Louisiana Research Day Program Book 2025

Clinical Research

Clinical Research

Gwenn Jackson, MD 1 ; Anne Marie Ogden, OMS-III 2 ; Jony Munholland, OMS-III 3 1 VCOM Louisiana; 2 Department of Labor and Delivery, Division of Postpartum Care, St. Francis Medical Center; 3 Department of Labor and Delivery, Division of Postpartum Care, Natchitoches Regional Medical Center 32 INCIDENCE OF SACRAL SOMATIC DYSFUNCTION IN VAGINAL DELIVERY AFTER SPONTANEOUS LABOR

Davis A., BS, OMS-II; Kang D., BS, OMS-II; Jedidiah L., BA, OMS-II; Zakaria J., BS, OMS-II; Gerges M., BS, OMS-IV; Moussaed A., BS, OMS-IV; Newell S. PhD 1 VCOM-Louisiana; 2 VCOM-Auburn; 3 Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, TN 33 NATIONAL TRENDS IN RUG-RELATED HEAD INJURIES: A COMPREHENSIVE DATABASE EXAMINATION

Background: Pregnancy produces numerous physiological and structural changes in the mother as the fetus grows. An increase in hormone relaxin throughout pregnancy causes ligamentous laxity, which encourages relaxation of ligaments to allow the body to stretch and make room for the fetus as well as prepare the body for birth (Tafler). This relaxation of the musculoskeletal system contributes to lumbar lordosis, pelvic pain, lumbar disc herniation, and joint pain. (Fiat). These changes may persist after delivery causing years of lumbar and sacral pain. Although multiple reports indicate that 50% of delivered patients will develop back pain which is likely multifactorial, few studies have evaluated postpartum women for sacral dysfunctions. In a 2022 study evaluating the pelvis and leg length discrepancies, Tafler recommended investigation of the true incidence of sacropelvic dysfunction (Tafler). Our goal in this study is to investigate the types of postpartum sacral dysfunctions women experience. This would give a better understanding of how to effectively prevent and/or treat women’s post-partum dysfunctions. Objective: Our study will focus on investigating the incidence of sacral dysfunctions in recently post-partum patients. The objectives for this study

include the following: • to assess the type of sacral somatic dysfunction present in post-partum patients • investigating the correlation between various demographic factors (age of mother, gravida, para, gestational age, utilization of anesthesia, post-partum day of osteopathic evaluation, presentation of fetus, operative delivery via forceps or suction, weight of baby) and sacral somatic dysfunctions Methods: This study will be conducted by OMS III and IV medical students recruited during their obstetrics and gynecology clerkship rotation. Students participating in this study have successfully demonstrated the skill of evaluating sacral dysfunctions. After providing informed consent, study participants are evaluated for sacral dysfunction utilizing the standardized palpatory technique. Findings made by Student Evaluators at each palpated site will be recorded in a password protected Microsoft Teams account. Principal investigators will utilize this data to make specific sacral diagnosis for each patient.

utilized for analysis of risk factors for sacral somatic dysfunction.

Context: Falls are the leading cause of injury globally, and rugs and carpets are a known contributing environmental risk factor. Objective: This study examines the populations most at risk for rug and carpet falls and the injuries commonly associated with these incidents. It provides insights for healthcare providers and caretakers to develop fall prevention strategies, especially for vulnerable populations like the elderly. Methods: This study employed a retrospective analysis approach, analyzing the national NEISS database reporting deidentified hospital cases of product-related injuries involving children and adults of all ages in the United States. The database contained 4,631 cases of rug- and carpet-related injuries recorded from 2014 to 2023. Statistical analysis was performed on the data set to identify patterns and correlations using JASP. Results: Findings revealed key associations between rug- and carpet-related falls, the resulting injuries, and the demographics most at risk, underscoring the need for targeted

interventions. Specifically, the average age range of head-related injuries due to rug/carpet falls was 50-63, while the average age of lower trunk-related injuries due to rug/carpet falls was 62-73. Females reported a higher rate of injuries than males in all categories. Internal injuries were the most frequently reported head-related injuries, while contusions were predominant among lower-trunk injuries. These results provide actionable data on what populations should be provided with fall prevention strategies concerning rugs and carpets and what injuries should be screened for after a rug or carpet-related fall. Comparing these results to previous literature, this research highlights consistent trends in the literature and novel insights. While prior literature acknowledges the role of household surfaces such as rugs and carpets in falls, our study expands on this understanding by focusing on the populations’ demographics and the injuries sustained in these falls. These findings offer critical insights for designing safer living spaces and tailoring fall prevention strategies to protect high-risk groups, particularly older adults.

importance of addressing rug and carpet safety to reduce fall-related injuries. The results advocate for the omission or minimization of rugs and carpets in homes of high-risk populations such as the elderly. By bridging gaps in current knowledge, this research sets a foundation for future studies and actionable strategies to enhance the safety of vulnerable populations such as older adults.

Results: A total of 25 patients have participated in the study to date. Sacral dysfunction has been identified in 100% of the patients. Among the dysfunctions identified, 16 patients ( 64% total patients) have a right on left sacral torsion, and 5 of patients ( 20% total patients) have a left on right sacral torsion, 3 have a right on right sacral torsion (12%), 3 have left on left sacral torsion (11%), and 1 has a right unilateral extension (4%). Dividing the patient population based upon time from delivery of less than or greater than 24 hours, we identified 16 patients with right on left sacral torsion in the early group and 5 patients with a left on right sacral torsion in the group with a later evaluation. The significance of this distribution cannot be determined without additional data. Conclusion: Understanding the incidence of various sacral dysfunctions in postpartum patients may provide us with a deeper understanding of potential causes of back pain following vaginal delivery. Our study is currently ongoing.

Conclusions: This study underscores the

Additional patient data will be recorded and

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2025 Research Recognition Day