BACKGROUND Balance disorders are among the most frequent reasons for consultation and referral to specialist care. Osteopathic Manipulative Treatment (OMT) can influence the proprioceptive system by inducing alterations in the proprioceptive stimuli, hence affecting postural control. OBJECTIVE The present systematic review aimed to explore the effects of OMT in managing patients with vertigo and balance disorders. METHODS MEDLINE (PubMed), ScienceDirect, and Google Scholar were searched. Clinical trials and prospective observational studies were considered. Only studies that considered OMT as the main intervention, provided alone or combined with other interventions, were included. The methodological quality of the evidence was assessed with a modified version of the Newcastle-Ottawa Scale. RESULTS Five studies that enrolled a total of 114 subjects met our inclusion criteria. Overall, it has been observed that there is a positive effect on balance disorders through different outcomes in all of the included studies. Only two studies (9 subjects) mentioned low to moderate adverse events after OMT. CONCLUSIONS OMT showed weak positive effects on balance function, encouraging the connection of conventional medicine and evidence-based complementary medicine for integrative clinical practice and interprofessional work. However, full-sized adequately powered randomized trials are required to determine the effectiveness of OMT for vertigo and balance disorders.

中文翻译：

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眩晕和平衡障碍——整骨手法治疗的作用：系统评价

背景平衡障碍是咨询和转诊至专科护理的最常见原因之一。整骨疗法 (OMT) 可以通过诱导本体感觉刺激的改变来影响本体感觉系统，从而影响姿势控制。目的 本系统评价旨在探讨 OMT 在治疗眩晕和平衡障碍患者中的​​作用。方法 MEDLINE (PubMed)、ScienceDirect 和谷歌学术搜索。考虑了临床试验和前瞻性观察研究。仅包括将 OMT 作为主要干预措施的研究，单独提供或与其他干预措施相结合。证据的方法学质量使用纽卡斯尔-渥太华量表的修改版进行评估。结果 五项研究共招募了 114 名受试者，符合我们的纳入标准。总的来说，在所有纳入的研究中，已经观察到通过不同的结果对平衡障碍产生积极影响。只有两项研究（9 名受试者）提到了 OMT 后的低至中度不良事件。结论 OMT 对平衡功能表现出微弱的积极作用，鼓励将常规医学和循证补充医学相结合，用于综合临床实践和跨专业工作。然而，需要全尺寸、有足够效力的随机试验来确定 OMT 对眩晕和平衡障碍的有效性。只有两项研究（9 名受试者）提到了 OMT 后的低至中度不良事件。结论 OMT 对平衡功能表现出微弱的积极作用，鼓励将常规医学和循证补充医学相结合，用于综合临床实践和跨专业工作。然而，需要全尺寸、有足够效力的随机试验来确定 OMT 对眩晕和平衡障碍的有效性。只有两项研究（9 名受试者）提到了 OMT 后的低至中度不良事件。结论 OMT 对平衡功能表现出微弱的积极作用，鼓励将常规医学和循证补充医学相结合，用于综合临床实践和跨专业工作。然而，需要全尺寸、有足够效力的随机试验来确定 OMT 对眩晕和平衡障碍的有效性。