OMT Minute  |   June 2018
Osteopathic Cranial Manipulative Medicine in the Setting of Concussion
Author Notes
  • From the Touro University College of Osteopathic Medicine-CA in Vallejo. 
  • Financial Disclosures: None reported. 
  • Support: This video was produced by Touro University College of Osteopathic Medicine-CA 
  •  Address correspondence to Chris Warren, OMS IV, 1310 Club Dr, Mare Island, Vallejo, CA 94592-1187. Email: christopher.warren@tu.edu
     
Article Information
Emergency Medicine / Neuromusculoskeletal Disorders
OMT Minute   |   June 2018
Osteopathic Cranial Manipulative Medicine in the Setting of Concussion
The Journal of the American Osteopathic Association, June 2018, Vol. 118, e41-e42. doi:10.7556/jaoa.2018.088
The Journal of the American Osteopathic Association, June 2018, Vol. 118, e41-e42. doi:10.7556/jaoa.2018.088
Concussions represent a clinical diagnosis and process that is usually self-limiting. Symptoms of concussions include headaches, dizziness, sleep disturbances, and difficulty concentrating. Standard treatment focuses on symptom control via medications and mental rest. 
Although the exact pathophysiology of concussions is not known, several mechanisms contribute to the clinical symptoms seen in concussions, including a disturbance in cellular function. Patients who have sustained concussions are subject to membrane disruption from the acceleration and deceleration forces. This disruption leads to an influx of ions and an accumulation of excitatory neurotransmitters, such as glutamate. 
In addition to the standard of care, osteopathic diagnosis and treatment can be an effective tool in assessing and managing concussion symptoms. Owing to the mechanism of injury sustained in concussions, cranial and extracranial somatic dysfunction may result. These dysfunctions may be amenable to osteopathic manipulative treatment (OMT) techniques, including those techniques (eg, osteopathic cranial manipulative medicine [OCMM]) directed at enhancing physiologic mechanisms for improvement of intracranial drainage. 
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