Virginia Research Day 2022

Medical Resident Research Cl inical

01 Variations In Average Cranial Rhythmic Impulse Rates

Tiffany Crider, DO, MPH, PGY-5; Jared Grim, OMS III, Al Kozar, DO, FAOASM, R-MSK; Hope Tobey, DO Corresponding author: tcrider@vcom.vt.edu

VCOM Sports and Osteopathic Medicine

Introduction: Few studies have been done on cranial rhythmic impulse (CRI) over the years. Even fewer studies have been completed to see if there are any cause in variations of the CRI among specific groups. This study will attempt to identify any variables which cause a deviation from the average CRI. The purpose of the study will be to determine if the average CRI in the VCOM Sports and Osteopathic Medicine (VSOM) Clinic is different based on variables such as age, sex, height, weight, BMI, heart rate, before treatment rate compared to after treatment rate, diagnoses, mood, appearance of patient such as awake, sleeping, crying, calm, and treated somatic dysfunction areas. Methods: A retrospective chart review for the last 3 months will be performed to evaluate documented CRI rates in comparison to the

area can help current and future osteopathic physicians to unlock more information about diagnosing and treating cranial dysfunction. It could also tell researchers and physicians more about possible changes in CRI as patients age and if there should be change as they progress in disease state or during treatment. Performing studies, such as this one can help further determine the role CRI plays in the patient’s overall health, any variations in the average rate based on variables like age, and how to best utilize this information when caring for a patient.

other variables available in the patient’s chart at that time. Initial query of the electronic health record results in about 400 possible patient charts to be reviewed. The quantitative data will be analyzed using descriptive statistics including mean, median, mode, range, standard deviation, and skewness. preliminary review, it is expected that there will be different average CRI rates based on age, especially pediatric patients compared to adult patients. It is also expected that the average CRI rate may vary depending on the medical or somatic dysfunction diagnoses. There is still a lot that is unknown about the CRI. Early osteopaths felt that assessing the CRI could tell osteopathic physicians about the “vitality” of the patient. Further studies in this Conclusion and Discussion: Data collection is still in process. Based on

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