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Table 2
Summary of included case series
| References | Peer reviewed? | Sample | Type of OM | Manipulative treatment | Results | Adverse events | Quality? |
|---|---|---|---|---|---|---|---|
| Degenhardt and Kuchera28 | Yes | 5 Males, 3 Females; 7-35 mo | Recurrent OM | Osteopathic manipulative treatments | 5 had no recurrence; 1 bulging tympanic membrane; 1 had 4 additional OM recurrences; 1 underwent surgery. | Not stated | Good |
| Zhang and Snyder29 | Yes | 12 Males, 9 Females; 9 mo-9 y | AOM | Chiropractic: toftness adjustments | Red, bulging tympanic membrane was found in all cases. 95% of the patients' tympanic membrane returned to normal after 1 adjustment. | Not stated | Fair |
| Fallon30 | Yes | 315 patients; 6 mo-5 y | 127 AOM; 104 serous/chronic OM; 10 mixed OM | Chiropractic adjustments | % recurrence per diagnosis: 11% with acute; 16% with chronic; 30% with mixed; 18% with no diagnosis. | Not stated | Good |
| Fysh31 | Yes | 3 Males, 2 Females; 13 mo-5 y | Chronic recurrent OM | Chiropractic adjustments | Each patient responded favorably to treatment by day 3 to week 8. | “No complications noted” | Excellent |
| Froehle32 | Yes | 46 patients; ≤ 5 y | Ear discomfort/infection | Chiropractic: sacral occipital technique & modified applied kinesiology | 93% of all episodes improved, with 75% improving within 10 d or less. | Not stated | Good |