Category: Research

Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain – a mixed methods systematic review

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Clinical practice guidelines commonly recommend adopting a biopsychosocial (BPS) framework by practitioners managing musculoskeletal pain. However, it remains unclear how osteopaths implement a BPS framework in the management of musculoskeletal pain. Hence, the objective of this review was to systematically appraise the literature on the current practices, barriers and facilitators experienced by osteopaths in implementing […]

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Person-centered versus body-centered approaches in osteopathic care for chronic pain conditions

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We read with great interest the recently published study by Coste et al. The authors reported no benefit of osteopathic treatment in a sample of patients with fibromyalgia (FM) and, therefore, concluded that its use was not recommended. We argue that their findings were expected given their lack of rationale for evaluating the benefits of a single […]

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Reporting results in manual therapy clinical trials: A need for improvement

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The number of randomized clinical trials (RCTs) for manual therapy (MT) has increased exponentially in recent years but the quality of reporting is heterogeneous. The objective of this methodological review was to assess the quality of the reporting of results in RCTs manual therapy, both in the text and in the graphs … ABSTRACT

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The legacy and implications of the body-mind-spirit osteopathic tenet: a discussion paper evaluating its clinical relevance in contemporary osteopathic care

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A current osteopathic tenet inherited from Native American principles involves viewing each person as a dynamic interaction of body-mind-spirit (BMS). Because of its traditional medicine heritage and current evidence-based approach, the osteopathic profession is, arguably, uniquely positioned to promote evidence-informed person-centered approaches that transcend improvements in pain and musculoskeletal function. It may be particularly relevant […]

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Moderate to Substantial Inter-Rater Reliability in the Assessment of Cranial Bone Mobility Restrictions

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The World Health Organization benchmarks for osteopathic training consider cranial osteopathy as an important manual skill. Studies of cranial manual therapy have exhibited poor reliability. The aim of this study was to investigate the inter-rater reliability of the manual mobility tests of the spheno-occipital synchondrosis (SOS), and the temporal, parietal, and frontal bones, as assessed […]

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Effect of Osteopathic Manipulative Treatment vs Sham Treatment on Activity Limitations in Patients With Nonspecific Subacute and Chronic Low Back Pain A Randomized Clinical Trial

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Osteopathic manipulative treatment (OMT) is frequently offered to people with nonspecific low back pain (LBP) but never compared with sham OMT for reducing LBP-specific activity limitations. The objective of this RCT was to compare the efficacy of standard OMT vs sham OMT for reducing LBP-specific activity limitations at 3 months in persons with nonspecific subacute […]

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Stuck in the middle with you: why a broad-brush approach to defining central sensitisation does not help clinicians and patients

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Central sensitization is increasingly interpreted as central nervous system hyperexcitability accounting for a general increase in sensitivity, and used to explain a variety of pain and non-pain symptoms. In this commentary, we argue that such a broad interpretation might not be clinically useful because it fails to distinguish one patient from another based on pathophysiological […]

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Thematic Analysis of Attitudes Held by a Group of Italian Osteopaths Toward Osteopathic Evaluation, Treatment, and Management in the Neonatal and Pediatric Field: A Qualitative Study

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The purpose of this study was to investigate the attitudes held by a group of Italian osteopaths toward osteopathic evaluation, treatment, and management in the neonatal and pediatric field … ABSTRACT

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A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

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Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how Spanish osteopaths relate to EBP. The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary […]

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What Makes an Osteopathic Treatment Effective From a Patient’s Perspective: A Descriptive Phenomenological Study

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This study aimed to describe patients’ perspectives on their experience in osteopathic treatment, to contribute toward developing interpretative models on effectiveness … ABSTRACT

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