News update – Page 33 – COME collaboration

Cynefin Framework for Evidence-Informed Clinical Reasoning and Decision-Making

2 May 2019 | By Patrick van Dun | 0 Comments

2 May 2019

Cynefin Framework for Evidence-Informed Clinical Reasoning and Decision-Making

Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic medicine has been well integrated into traditional health care systems in the United States, little is known about the role of osteopathy in traditional health care systems outside the United States. Therefore, it is incumbent on the osteopathy community to gather evidence in order to practice scientifically informed effective methods. This narrative review outlines the Cynefin framework for clinical reasoning and decision-making and encourages a broadening of the evidence base among osteopaths to promote health in an interdisciplinary care setting. This review also presents the concept of an osteopath’s mindline, in which the osteopath combines information from a range of sources into internalized and collectively reinforced tacit guidelines … ABSTRACT

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Manual therapy for the pediatric population: a systematic review

29 April 2019 | By Patrick van Dun | 0 Comments

29 April 2019

Manual therapy for the pediatric population: a systematic review

This systematic review evaluates the use of manual therapy for clinical conditions in the pediatric population, assesses the methodological quality of the studies found, and synthesizes findings based on health condition. We also assessed the reporting of adverse events within the included studies and compared our conclusions to those of the UK Update report … MORE

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Cerebral Perfusion Changes After Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial

28 April 2019 | By Patrick van Dun | 0 Comments

28 April 2019

Cerebral Perfusion Changes After Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial

Osteopathic Manipulative Treatment (OMT) is a therapeutic approach aimed at enhancing the body’s self-regulation focusing on somatic dysfunctions correction. Despite evidence of OMT effectiveness, the underlying neurophysiological mechanisms, as well as blood perfusion effects, are still poorly understood. The study aim was to address OMT effects on cerebral blood flow (CBF) in asymptomatic young volunteers as measured by Magnetic Resonance Arterial Spin Labeling (ASL) method. Thirty blinded participants were randomized to OMT or placebo, and evaluated with an MRI protocol before manual intervention (T0), immediately after (T1), and 3 days later (T2). After T0 MRI, participants received 45 min of OMT, focused on correcting whole body somatic dysfunctions, or placebo manual treatment, consisting of passive touches in a protocolled order. After treatment, participants completed a de-blinding questionnaire about treatment perception. Results show significant differences due to treatment only for the OMT group (OMTg): perfusion decreased (compared to T0) in a cluster comprising the left posterior cingulate cortex (PCC) and the superior parietal lobule, while increased at T2 in the contralateral PCC. Furthermore, more than 60% of participants believed they had undergone OMT. The CBF modifications at T2 suggest that OMT produced immediate but reversible effects on CBF … MORE

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Refining the biopsychosocial model for musculoskeletal practice by introducing religion and spirituality dimensions into the clinical scenario

28 April 2019 | By Patrick van Dun | 0 Comments

28 April 2019

Refining the biopsychosocial model for musculoskeletal practice by introducing religion and spirituality dimensions into the clinical scenario

Addressing religion and spirituality (R/S) dimensions may be uncomfortable for patients and practitioners because they refer to intimate beliefs about existence, vary across the globe and cultures, and are not routinely shared in the modern therapeutic scenario. Often, R/S dimensions are overlooked in musculoskeletal (MSK) practice despite associations with attitudes and behaviour that directly affect quality of life and health outcomes. Inclusion of basic R/S dimensions in the therapeutic alliance may optimise care and establish these dimensions as interactors within the biopsychosocial model. The purpose of this commentary was to provide practitioners with definitions of R/S that are useful for managing care of MSK patients, describe how attitudes towards R/S may be linked to health status, and indicate how R/S dimensions could be discussed in simple ways in a modern therapeutic scenario. Finally, suggestions are provided for MSK practitioners and researchers to address R/S dimensions in Western evidence-oriented healthcare … ABSTRACT

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Patient experience, satisfaction, perception and expectation of osteopathic manipulative treatment: A systematic review

28 April 2019 | By Patrick van Dun | 0 Comments

28 April 2019

Patient experience, satisfaction, perception and expectation of osteopathic manipulative treatment: A systematic review

Patient experience, satisfaction, perception and expectation are some related measures valued by patient-centered health care. Patient experience (PE) usually refers to objective, observable events or facts; while patient satisfaction, perception and expectation (PS) are measures which focus on a patient’s subjective evaluation of the health care process. These concepts have been studied in osteopathic manipulative treatment (OMT), a therapeutic intervention practiced by osteopathic practitioners in many countries and by some medical doctors in USA and Canada. The objective of this study was to systematically review and summarize the primary research literature pertaining to PE and PS of OMT … ABSTRACT

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Do empathic osteopaths achieve better clinical results? An observational feasibility study

15 March 2019 | By Patrick van Dun | 0 Comments

15 March 2019

Do empathic osteopaths achieve better clinical results? An observational feasibility study

Empathy plays a role in medical care. Studies have showed that higher empathy levels of physicians correlates with better patient outcomes. The role of empathy in osteopathic practice has been poorly investigated. The objective of this study was to explore the feasibility of analysing the link between the empathy of osteopaths and the improvement in persistent musculoskeletal pain patients … ABSTRACT

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Manual therapy for the pediatric population: a systematic review

15 March 2019 | By Patrick van Dun | 0 Comments

15 March 2019

Manual therapy for the pediatric population: a systematic review

This systematic review evaluates the use of manual therapy for clinical conditions in the pediatric population, assesses the methodological quality of the studies found, and synthesizes findings based on health condition. We also assessed the reporting of adverse events within the included studies and compared our conclusions to those of the UK Update report … MORE

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Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials

15 March 2019 | By Patrick van Dun | 0 Comments

15 March 2019

Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials

The objective of this systematic review and meta-analysis of randomised controlled trials was to assess the benefits and harms of spinal manipulative therapy (SMT) for the treatment of chronic low back pain … MORE

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The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials

13 March 2019 | By Patrick van Dun | 0 Comments

13 March 2019

The acute effects of joint manipulative techniques on markers of autonomic nervous system activity: a systematic review and meta-analysis of randomized sham-controlled trials

The autonomic nervous system (ANS) interests many chiropractors and manual therapists, because joint manipulative techniques (JMT), e.g. high velocity low amplitude (HVLA) manipulations and mobilizations, appear to produce acute changes in ANS mediated physiology. The complexity of this issue justifies a systematic critical literature review. The objective of this study was to review the literature comparing the acute changes in markers of ANS activity between JMT applied on spinal or peripheral joints and a sham procedure in healthy or symptomatic subjects … MORE

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Assessment of Pulmonary Function After Osteopathic Manipulative Treatment vs Standard Pulmonary Rehabilitation in a Healthy Population

13 February 2019 | By Patrick van Dun | 0 Comments

13 February 2019

Assessment of Pulmonary Function After Osteopathic Manipulative Treatment vs Standard Pulmonary Rehabilitation in a Healthy Population

Standard pulmonary rehabilitation (SPR) does not use osteopathic manipulative treatment (OMT), but OMT has potential to improve lung function and patient perception of breathing. the objective of this study was to analyze the immediate effects of OMT and SPR techniques on pulmonary function using spirometry and subjective ratings in young, healthy persons … ABSTRACT

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