(59) Empowering Pediatric URI Management: Evaluating the Role of Lymphatic OMT and Parental Involvement

Background: Osteopathic Manipulative Treatment (OMT) remains underutilized in pediatrics despite promising benefits, particularly for upper respiratory infections (URIs). Lymphatic drainage techniques, highlighted in studies such as the Multicenter Osteopathic Pneumonia Study in the Elderly, have demonstrated improved recovery times through enhanced lymphatic flow. However, evidence for OMT use in pediatrics remains limited. This study explores its potential as an adjuvant therapy in children and evaluates the feasibility of teaching techniques to parents.

Objectives: This study aims to establish that lymphatic drainage techniques can be effectively taught to parents of pediatric patients and used as adjunctive treatment for URIs, particularly otitis media. Aims include: assessing physician and student perceptions of OMT’s benefit; evaluating the perceived feasibility of parent instruction; identifying barriers to pediatric OMT use; and comparing insights across training levels to understand gaps between positive perceptions and clinical practice.

Design/Methods: This cross-sectional study builds upon a 2024 pilot survey of 14 respondents that revealed favorable views of OMT for pediatric URIs. The 2025 survey was distributed nationally to osteopathic medical schools, including physicians and medical students. It comprises 55 anonymous Qualtrics questions refined by a board-certified osteopathic pediatrician [J.J.]. Respondents were categorized by license and training level. Likert-scale items assessed beliefs regarding OMT effectiveness, teachability, and barriers. Technique-specific questions addressed 11 commonly used OMTs. One open-ended item solicited feedback on future educational resources. No identifying data was collected. The survey was distributed between June and August 2025. Participation was voluntary and uncompensated.

Results: As of this submission, 35 responses have been recorded. Preliminary data support findings. Among 20 respondents, 95% rated lymphatic drainage as at least slightly effective for pediatric URIs (Mean = 3.05, SD = 0.79, 95% CI: 2.70–3.39). Among 19 respondents, there was strong agreement that parents could implement these techniques with proper support (Mean = 3.68, SD = 0.48, 95% CI: 3.45–3.91).

Conclusions: Early findings suggest lymphatic OMT is both appreciated and underutilized in pediatric care. Strong support for parent-led implementation highlights the need for instructional tools and supports future clinical trials assessing OMT as an adjunct therapy in pediatric URI management.