title: Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the efficacy of osteopathic manipulative treatment (OMT) as administered in the emergency department (ED) for the treatment of patients with acute ankle injuries.
  
  
  METHODS
  Patients aged 18 years and older with unilateral ankle sprains were randomly assigned either to an OMT study group or a control group. Independent outcome variables included edema, range of motion (ROM), and pain. Both groups received the current standard of care for ankle sprains and were instructed to return for a follow-up examination. Patients in the OMT study group also received one session of OMT from an osteopathic physician.
  
  
  RESULTS
  Patients in the OMT study group had a statistically significant (F = 5.92, P = .02) improvement in edema and pain and a trend toward increased ROM immediately following intervention with OMT. Although at follow-up both study groups demonstrated significant improvement, patients in the OMT study group had a statistically significant improvement in ROM when compared with patients in the control group.
  
  
  CONCLUSIONS
  Data clearly demonstrate that a single session of OMT in the ED can have a significant effect in the management of acute ankle injuries.
authors.affiliation: Department of Emergency Medicine, St Barnabas Hospital, Bronx, NY, USA.
authors.forename: Anita W
authors.initials: AW
authors.lastname: Eisenhart
authors.forename: Theodore J
authors.initials: TJ
authors.lastname: Gaeta
authors.forename: David P
authors.initials: DP
authors.lastname: Yens
mesh_terms: D000208:Acute Disease; D000328:Adult; D016512:Ankle Injuries / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D026301:Manipulation, Osteopathic / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies; D013180:Sprains and Strains / Q000628:therapy*