Contextual effects in musculoskeletal pain: are we overlooking essential factors?

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17 February 2025

Contextual effects in musculoskeletal pain: are we overlooking essential factors?

The role of contextual effects in musculoskeletal pain research and clinical practice has garnered growing interest in recent years. While ongoing research has advanced knowledge, it has also sparked debate between clinicians, clinical trialists and other researchers. The controversy over contextual effects in musculoskeletal pain research and practice highlights the tension between leveraging their therapeutic potential and minimizing them to preserve treatment specificity … MORE

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Effect of osteopathic manipulative treatment on pain in palliative care patients: a randomized placebo-controlled clinical trial

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17 February 2025

Effect of osteopathic manipulative treatment on pain in palliative care patients: a randomized placebo-controlled clinical trial

Standard osteopathic manipulative therapy (OMT) is used as a supportive care for pain management in cancer patients. The present study aimed to compare the efficacy of OMT with that of a sham treatment to attenuate pain in cancer patients in a palliative care unit … MORE

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Early osteopathic manipulative treatment to prevent cranial positional deformities: A randomized controlled trial

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12 February 2025

Early osteopathic manipulative treatment to prevent cranial positional deformities: A randomized controlled trial

Cranial positional deformities occur frequently in the first months of life. The objective of this study is to evaluate the effectiveness of osteopathic manipulative treatment (OMT) in preventing the onset of positional plagiocephaly and brachycephaly at 4 months in at-risk newborns … MORE

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Osteopathic treatment of infants with infantile colic/excessive crying: a prospective, multicentric, randomized controlled trial and nested observational trial

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12 February 2025

Osteopathic treatment of infants with infantile colic/excessive crying: a prospective, multicentric, randomized controlled trial and nested observational trial

Colic in infants is defined as excessive crying in an otherwise healthy and thriving baby. Colic is a common but poorly understood and often frustrating problem for caregivers. The objective of this paper is to study whether osteopathic treatments of infants with infantile colic / excessive crying (IC/EC) have an impact on the subjectively perceived psychological stress of caregivers compared to usual care … MORE

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Context is Complex: Challenges and opportunities addressing contextual factors in manual therapy mechanisms research

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3 January 2025

Context is Complex: Challenges and opportunities addressing contextual factors in manual therapy mechanisms research

Mechanistic studies on manual therapy (MT) have potential to allow better understanding of ‘why’ and ‘how’ MT interventions provide an effect. Contextual factors (CF) include the multitude of intrinsic and extrinsic inputs outside of the specific intervention which influence response. CFs must be accounted for within both clinical and mechanistic trials. The influence of CFs provides several challenges and opportunities which are outlined within this commentary. Researchers should consider the specific purpose of their research when developing mechanistic trials to establish if controlling versus recording CF is warranted based on their aim(s) … ABSTRACT

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Practitioner characteristics of osteopaths who treat pregnant women and children: An Australasian perspective from two practice-based research networks

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19 December 2024

Practitioner characteristics of osteopaths who treat pregnant women and children: An Australasian perspective from two practice-based research networks

Although there is evidence supporting positive outcomes for osteopathic healthcare during pregnancy and post-natal phases, there is very little that describes the practice and management characteristics of osteopaths providing this healthcare. The aim of this study is to describe the specific characteristics of Australian and New Zealand osteopaths who often treat pregnant women and children … MORE

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Characteristics of the practice of New Zealand osteopaths who manage patients with chronic pain

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19 December 2024

Characteristics of the practice of New Zealand osteopaths who manage patients with chronic pain

Chronic pain management is challenging. Those with chronic pain present to health professionals, including osteopaths. This study looked at information from a survey of osteopaths in New Zealand. We wanted to learn about the backgrounds and types of treatment given by osteopaths who often help patients with chronic pain versus those who don’t … ABSTRACT

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Effectiveness of osteopathic craniosacral techniques: a meta-analysis

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5 October 2024

Effectiveness of osteopathic craniosacral techniques: a meta-analysis

Craniosacral osteopathic manipulative medicine—also known as craniosacral therapy (CST)—is a widely taught and used component of osteopathic medicine. This paper seeks to systematically review and conduct a meta-analysis of randomized controlled trials assessing the clinical effectiveness of CST compared to standard care, sham treatment, or no treatment in adults and children … MORE

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Investigating Fryette’s mechanics in computed tomography scans: an analysis of vertebrae spinal physiology using open-sourced datasets and three-dimensional vertebral orientation

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30 September 2024

Investigating Fryette’s mechanics in computed tomography scans: an analysis of vertebrae spinal physiology using open-sourced datasets and three-dimensional vertebral orientation

Fryette’s mechanics is taught as a simplistic model of coupled vertebral movement, fundamental in osteopathic practice. This study seeks to better understand the likelihood of Fryette’s model by calculating vertebral orientation in computed tomography (CT) scans. Given previous findings of low angular coupled movements during overall spinal motion, static calculations provide a unique perspective on the likelihood of Fryette’s mechanics. This analysis aims to evaluate the efficacy of Fryette’s principles in predicting vertebral positioning in CT scans by comparing their 3-dimensional (3D) orientation to movements described by Fryette .. MORE

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Cerebrospinal fluid flow extends to peripheral nerves further unifying the nervous system

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28 September 2024

Cerebrospinal fluid flow extends to peripheral nerves further unifying the nervous system

Cerebrospinal fluid (CSF) is responsible for maintaining brain homeostasis through nutrient delivery and waste removal for the central nervous system (CNS). Here, we demonstrate extensive CSF flow throughout the peripheral nervous system (PNS) by tracing distribution of multimodal 1.9-nanometer gold nanoparticles, roughly the size of CSF circulating proteins, infused within the lateral cerebral ventricle (a primary site of CSF production). CSF-infused 1.9-nanometer gold transitions from CNS to PNS at root attachment/transition zones and distributes through the perineurium and endoneurium, with ultimate delivery to axoplasm of distal peripheral nerves. Larger 15-nanometer gold fails to transit from CNS to PNS and instead forms “dye-cuffs,” as predicted by current dogma of CSF restriction within CNS, identifying size limitations in central to peripheral flow. Intravenous 1.9-nanometer gold is unable to cross the blood-brain/nerve barrier. Our findings suggest that CSF plays a consistent role in maintaining homeostasis throughout the nervous system with implications for CNS and PNS therapy and neural drug delivery … MORE

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