Why don’t more physicians use osteopathic manipulative medicine? A cross-sectional study of utilization and referral barriers
| By Patrick van Dun | 0 Comments
Posts by: Patrick van Dun
The use of high-velocity, low-amplitude techniques in paediatric osteopathic care: two multinational cross-sectional surveys on clinical practice and educational curricula
| By Patrick van Dun | 0 Comments
Up to one osteopathic consultation out of four involve infants and children. Although the clinical effectiveness of osteopathic care in paediatric populations remains inconclusive, available evidence suggests that it is generally safe. In contrast, high velocity, low amplitude technique (HVLA) has been associated with potential adverse effects. To inform a professional position on the use of HVLA techniques in paediatric care, this study investigated (1) the use of HVLA techniques by osteopathic practitioners in the treatment of infants, children, and adolescents, and (2) the extent to which HVLA techniques are included in osteopathic training programmes for these paediatric age groups … MORE
Fatigue in long COVID: An exploratory pragmatic randomized trial of osteopathic care plus physical therapy versus physical therapy alone
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This study explored whether osteopathic care (OC) combined with physical therapy (PT) could be more effective than PT alone in reducing fatigue and functional limitations in adults with long COVID … MORE
Patients With Chronic Low Back Pain Without Advanced Disk Degeneration Exhibit Gut Microbiome Dysbiosis: Evidence From an Age- , Sex- , and BMI- Matched Pilot Study
| By Patrick van Dun | 0 Comments
Chronic low back pain (LBP) is the leading cause of disability worldwide, yet its underlying pathophysiology remains poorly understood. Current diagnostic techniques rely heavily on imaging, which is insufficient for identifying inflammatory or systemic contributors. Emerging evidence suggests a role for gut microbiome dysbiosis in inflammatory pain pathways, yet its specific contribution to chronic LBP remains unclear. The aim of this study is to investigate gut microbiome alterations in chronic LBP patients compared to healthy controls … MORE
Rethinking causation and mechanisms in osteopathy and physical intervention trial design: the positivist-realist continuum
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There has been renewed interest in mechanistic theory within osteopathy and the associated musculoskeletal professions, particularly regarding the role mechanisms play in osteopathic, manual and other physical interventions. Evidence-Based Medicine which commits to evidential pluralism (explicit incorporation of mechanistic evidence to inform trial design, through the selection of more meaningful controls and measuring more relevant outcomes) is known as Evidence-Based Medicine Plus (EBM+).
This position paper introduces the concept of EBM+ to the osteopathy and MSK research community, and proposes the evolution of a theory of mechanisms that borrows from both positivist and realist traditions to better account for the mechanistic effects of physical interventions that are described in trials as specific, non-specific and contextual effects, and which have a relevance for clinical practice and education … ABSTRACT
From touch to triage: translating the NAME model into clinical practice for enhanced neonatal assessment
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The Neonatal Assessment Manual scorE (NAME) model has emerged as a novel, structured, touch-based approach to evaluating neonates’ general conditions, with growing evidence supporting its validity and reliability in NICU settings. However, there is a critical need to integrate this method into clinical workflows and explore its translational potential in improving neonatal care. This paper aims to consolidate the body of evidence surrounding the NAME model and propose a clinically implementable strategy to enhance neonatal assessment, early detection of complications, and overall health outcomes in NICU settings … MORE
Neonatal osteopathic care Integrating neonatal osteopathic care with global implementation protocols to improve health and economic outcomes
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This innovation represents the first systematic integration of evidence-based neonatal osteopathic care with global implementation protocols. It uniquely synthesizes findings from randomized controlled trials and a systematic review into a comprehensive, scalable framework. This framework can be adapted to diverse health care systems, ranging from high-resource neonatal intensive care units to basic facilities in lower-resource settings … MORE
Osteopaths’ Perceptions and Practice Behaviours Regarding Preventive Health in Their Clinical Practice
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Australia’s National Preventive Health Strategy (NPHS) explicitly highlights the important role of primary care in screening for and supporting behaviour change to help reach preventive health goals. Given osteopaths’ position as primary care providers in Australia, their role in fulfilling the NPHS warrants consideration. In response, this study aims to investigate osteopaths’ perceptions regarding their role in preventive health and their practice behaviours regarding the key priority areas outlined in the NPHS … ABSTRACT
Effect of osteopathic manipulative treatment on primary pelvic pain – A systematic review with meta-analysis
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The objective of this systematic review with meta-analysis is to evaluate the effectiveness of osteopathic manipulative treatment on primary pelvic pain … ABSTRACT
Impact of touch interventions on brain activity in moderately preterm infants: study protocol for a pilot randomised controlled trial
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Improving the quality of life for preterm children is a global health priority, given their vulnerability to neurocognitive impairments and adverse health consequences. Lack of posthospital care further exacerbates these risks, necessitating effective interventions during the neonatal period. This protocol for a pilot study aims to investigate the effects of touch interventions, including physiotherapy and osteopathic manipulative treatment, on brain activity in moderately preterm infants using brain functional MRI (fMRI), computerised EEG and metabolomics … MORE