VCOM Research Day Program Book 2023

Medical Student Research Cl inical

09 Does Resetting the Hips Change an Innominate Somatic Dysfunction Diagnosis?

Nicole Fremarek, DO, MBA; Albert Kozar, DO, FAOASM, R-MSK; Hope Tobey, DO, FAAP, FACOP, C-NMM/OMM; David Harden, DO; David Redden, PhD; Elizabeth Hammond OMS III; Shaunak Digambar OMS I Corresponding author: nfremarek@vt.vcom.edu

VCOM-Virginia Campus; VCOM Sports and Osteopathic Medicine

and terminology used. PART 2: We conducted a prospective, single-blinded, randomized control study of 150 osteopathic medical students and school staff randomizing between 3 groups: No RTH, actively performed RTH, and passively performed RTH. ONMM3 residents or ONMM faculty performed all landmark assessments. In analysis, we utilized a paired design with comparison made using an RMLE-based score test. The primary hypothesis was compared using McNemar’s test for paired proportions using Type I error. Results: Data is pending, but will be complete and analyzed fully for VCOM research day. Discussion/Conclusion: We suspect that we will find a variation in how “Resetting the Hips” is taught and used across the United States. In addition, we suspect that this maneuver will not impact innominate somatic dysfunction diagnosis. These findings will assist in advancing future osteopathic textbook development and Osteopathic Medical School curriculum. Future studies could evaluate “Resetting the Hips” posteriorly, interrater reliability

at different levels of training, or evaluator dominant eye impacts on diagnosis. Limitations to this study include: recruitment population, interrater reliability, response of survey for participation.

Introduction/Background: In Osteopathic Medicine, it is common for techniques to be passed down from former generations, including “Resetting the Hips”(RTH). This maneuver is performed to align the pelvis in a neutral position prior to diagnosing innominate somatic dysfunction (SD). RTH may be taught as direct or indirect and referred to as "reseating the hips,” “aligning the pelvis,” or "hip flop" in various textbooks. In the literature, RTH is taught inconsistently and its’ efficacy is not reported, leading to the formulation of this study to enhance osteopathic education and teaching. Objective/Hypothesis: AIM 1: We predict that > 75% of US Osteopathic medical schools will teach RTH, and > 75% will first introduce it during the first year of curriculum with regional preferences regarding terminology used. AIM 2: When evaluating RTH prospectively in a single-blinded study there will not be a statistically significant change in landmark findings after RTH compared to pre-maneuver. Methods: PART 1: We surveyed Educational Council of Osteopathic Principles (ECOP) members regarding RTH use, level of introduction,

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