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Posts by: Patrick van Dun

Osteopathic Manual Treatment in Women with Endometriosis: A Scoping Review on Clinical Symptoms, Fertility and Quality of Life.

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Endometriosis presents significant treatment challenges and economic burdens, necessitating the exploration of alternative therapies such as Osteopathic Manual Treatment (OMT) to potentially improve patient outcomes. This scoping review aimed to systematically map existing research on the intervention effects of OMT’s on clinical symptoms, fertility, and quality of life in women with endometriosis, and review the current quality of evidence regarding these outcomes … MORE

Autonomic Nervous System and Viscera-Related Responses to Manual Therapy: A Narrative Overview

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Manual therapy (MT) has long-held that it physiologically impacts autonomic nervous system ANS) and viscera-related function. This narrative review is intended to serve as a consolidated interdisciplinary resource of original studies related to physiological effects of MT as it relates to the ANS for MT clinicians and researchers new to this MT-related topic. This review seeks to identify ANS and viscera-related physiological responses to MT interventions using search terms commonly used by chiropractic, massage, osteopathic, physical therapy, and structural integration clinicians and to provide a quick reference resource of original MT-related studies investigating ANS effects … ABSTRACT

Data-driven analysis of whole-brain intrinsic connectivity in patients with chronic low back pain undergoing osteopathic manipulative treatment

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Chronic Low Back Pain (cLBP) poses a significant health challenge, leading to functional disability and reduced quality of life. Osteopathic Manipulative Treatment (OMT) is emerging as a therapeutic option for cLBP, but the brain mechanisms underlying its analgesic effect remain unclear … MORE

Osteopathy: A potential ally against anorexia?

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This article addresses the complex relationship between body perception and anorexia through some examples of body psychotherapy frameworks that also integrate osteopathic principles. We aim to correlate these perspectives and propose directions for future research integrating psychiatry and osteopathy … ABSTRACT

Osteopathic manipulation and its applicability in the emergency department: A narrative review

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Osteopathic manipulative treatment (OMT), also known as osteopathic manipulative medicine (OMM), is a set of manual techniques, developed by Dr. Andrew Taylor Still, founder of osteopathic medicine, initially limited to osteopathic medicine, for the treatment of painful conditions. This toolset is now used by allopathic physicians, international osteopaths, physical therapists, chiropractors, and other healthcare workers for the treatment of musculoskeletal pain. OMT can be used in the emergency department (ED) for the treatment of musculoskeletal complaints as an adjunct to pharmacologic agents (e.g., NSAIDs), or an alternative to opioids. This narrative review provides emergency clinicians with an understanding of OMT, including a broad overview of the basis, development, and common subtypes of OMT; data on OMT efficacy and on the use of conditions commonly encountered in the ED setting; and information on how to implement the use of OMT in emergency medicine and urgent care settings … ABSTRACT

The effect of osteopathic manipulative treatment on quality of life in patients with cardiac implantable electronic devices

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Osteopathic manipulative treatment (OMT) has been demonstrated to have an effect on the autonomic nervous system, which may have antiarrhythmic effects. The effects of OMT in patients with cardiac implantable electronic devices (CIEDs) have not previously been reported. This study investigated the impact of OMT on quality of life (QOL) in this patient population. The purpose of this study is to investigate the effects of OMT on QOL in CIED patients … MORE

Exploring the Role of Therapeutic Alliance and Biobehavioural Synchrony in Musculoskeletal Care: Insights from a Qualitative Study

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Person-centred care underscores the therapeutic alliance (TA) as fundamental, fostering positive treatment outcomes through collaborative patient-clinician interactions. Biobehavioural synchrony within the TA, essential for effective care, reflects an adaptive process where organisms align responses during interactions. Enactivism and active inference provide profound insights into human perception, reshaping musculoskeletal care understanding. Touch and verbal communication, integral to the TA, foster synchrony and alignment of personal beliefs. This study aimed to identify the tools used by manual therapists in musculoskeletal care to establish a TA with patients. Furthermore, it endeavours to evaluate the alignment of these strategies with current literature and their correlation with biobehavioural synchrony, enactivism, and the role of touch in active inference … ABSTRACT

Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy

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Chiropractic, osteopathy, and physiotherapy (COP) professionals regulated outside the United States traditionally incorporate hands-on procedures aligned with their historical principles to guide patient care. However, some authors in COP research advocate a pan-professional, evidence-informed, patient-centered approach to musculoskeletal care, emphasizing hands-off management of patients through education and exercise therapy. The extent to which non-Western sociocultural beliefs about body representations in health and disease, including Indigenous beliefs, could influence the patient–practitioner dyad and affect the interpretation of pillars of evidence-informed practice, such as patient-centered care and patient expectations, remains unknown … MORE

Exploring Enactivism: A Scoping Review of its Key Concepts and Theorical Approach

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Enactivism is a theoretical perspective in the fields of philosophy of mind and cognition that emphasizes the active role of the organism in constructing and giving meaning to the world around it. It highlights that the mind is not merely a passive receiver of information from the environment, but rather an active participant in the creation of meaning and experience. The idea for this article arises from the uncertainty surrounding the distinction of practice, principles, and osteopathic concepts, which have been raised by various regarding osteopathic principles: the anachronism of their distinction, whether the role of these principles could still be accepted as a guide for osteopathy in the contemporary world, whether the biopsychosocial model could be the basis for a proposal to redefine them and even whether the use of these principles could do more harm than good. Objectives: Facilitate access to essential definitions and concepts related to enactivism, and make the understanding of these elements more accessible, as they play a crucial role in the reconceptualization of osteopathy. Materials and methods: The work was elaborated as a scoping review, using the PRISMA-P 2020 Checklist … ABSTRACT

“Disproportionate Olympic Rings” – the usage of a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain by osteopaths in Aotearoa/New Zealand– A qualitative study

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To address chronic musculoskeletal (MSK) pain effectively, a multidimensional model of care such as the biopsychosocial (BPS) model may be required. However, to date, the incorporation of the BPS model into osteopathic practice by New Zealand (NZ) osteopaths is unknown. Hence, the aims of this study were to: 1) investigate the incorporation of the BPS model into osteopathic practice by NZ osteopaths; (2) explore the attitudes and perceptions about the BPS model among NZ osteopaths; and (3) investigate the barriers to implementing the BPS model in NZ osteopathic practice … ABSTRACT

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