Continuing debates about models of practice

Vogel, Steven

doi:10.1016/j.ijosm.2020.09.001

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…A large debate still persists about their use in research/education and beyond models and theoretical frameworks for manual care [22][23][24]. Judging the specific and functional tests commonly practised in a clinical context depends primarily on subjective analyses made by the clinician and based on training, experience and personal feelings [25].…”

Section: Introductionmentioning

confidence: 99%

Exploring lumbo-pelvic functional behaviour patterns during osteopathic motion tests: A biomechanical (en)active inference approach to movement analysis

Ménard¹,

Couvertier²,

Awai³

et al. 2022

International Journal of Osteopathic Medicine

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Section: Introductionmentioning

confidence: 99%

Exploring lumbo-pelvic functional behaviour patterns during osteopathic motion tests: A biomechanical (en)active inference approach to movement analysis

Ménard¹,

Couvertier²,

Awai³

et al. 2022

International Journal of Osteopathic Medicine

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“…Concerning the different considerations of the concept of SD found in the included studies, it should be mentioned that, in 2020, authors from outside the U.S., i.e., the European, Australasian and Brazilian communities of practice, published their contributions to a debate about osteopathic conceptual models, including the concept of SD [ 26 , 27 , 28 , 29 , 30 , 42 , 43 , 44 , 45 , 46 ]. On one hand, Esteves et al mentioned SD as a non-relevant clinical entity [ 26 ]; on the other hand, different authors discussed updating the concept and renovating the old theoretical substrate, not necessarily removing it [ 27 , 29 , 30 , 42 , 43 , 44 , 45 , 46 , 47 ]. They claimed that it is possible to gain a conceptual osteopathic approach that uses SD as a reconditioned model by implementing new evidence-based knowledge, such as allostasis and interoception, involving (en) active model and strategies, integrating patient-centred communication, shared decision-making self-management, and educational coaching [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…All authors agreed that the time has arrived to build teamwork among global osteopathic communities to produce a shared vision and reduce the gap between scientific knowledge and osteopathic tradition. There is an opportunity to move forward from pseudo-scientific concepts and adopt a person-centred and evidence-informed osteopathic practice [ 26 , 27 , 47 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

Tramontano

Tamburella

Farra³

et al. 2021

Healthcare

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Background: Osteopathic manipulative treatment (OMT) is a patient-centred, whole-body intervention aimed at enhance the person’s self-regulation. OMT interventions are focused on somatic dysfunctions (SD) that can be defined as an altered regulative function associated with inflammatory signs palpable in the body framework in different body regions. The conceptual model that sustains SD, as well as its usefulness for the osteopathic profession, is still being discussed by the osteopathic community. Understanding the role and the application of SD is the aim of this scoping review. Methods: A literature search was carried out through the main biomedical databases: Pubmed (Medline), Cochrane, Central (Cochrane), Embase, PEDro and Scopus. Grey literature was considered via Google Scholar and the Osteopathic Research Web. The review was prepared by referring to the “Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews” (PRISMA-ScR). Results: A total of 37,279 records were identified through database searching and other sources. After the duplicates were removed, 27,023 titles and abstracts were screened. A total of 1495 full-text articles were assessed for eligibility. The qualitative synthesis included 280 studies. Conclusions: Treating SD is an important part of osteopathic practice that varies from country to country. SD should be considered as a clinical value that assists in the clinical assessment and guides the decision-making process of osteopathic practitioners. Further studies should be designed to better understand why and how to choose the different assessment and intervention modalities to approach SD and to evaluate new osteopathic models.

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“…The international osteopathic community is now facing a growing debate on the role of SD in osteopathic practice and professional identity [13][14][15][16][17][18][19][20]. There is a need to critically examine the heritage that osteopathy carries, in order to build a strong osteopathic professional identity and clinical practice that clearly differentiates from other professions [21,22].…”

Section: Introductionmentioning

confidence: 99%

“…Others like Licciardone et al, 2014 reported SD use during ambulatory medical care visits [29]. However, only a few authors reported the osteopaths' direct thoughts on SD in clinical practice [14,19,20,[30][31][32]. Moreover, a recently published scoping review highlighted a gap between osteopathic clinical practice and the osteopathic methods reported in the literature concerning the use of SD [28].…”

Section: Introductionmentioning

confidence: 99%

“What you feel under your hands”: exploring professionals’ perspective of somatic dysfunction in osteopathic clinical practice—a qualitative study

Arcuri¹,

Consorti²,

Tramontano

et al. 2022

Chiropr Man Therap

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Background Despite controversy regarding its validity and clinical usefulness, manual examination findings still have an important role for manipulative therapies. As an example, somatic dysfunction (SD) remains central to osteopathic practice.This study aims to explore the experienced osteopaths' attitudes concerning SD and its role in osteopathic practice. This qualitative research could contribute to building a consistent paradigm for manual intervention in all musculoskeletal manipulations. Methods A thematic analysis with grounded theory elements was used. Data were collected through semi-structured interviews carried out between February and April 2021. A purposive sample of twenty professional osteopaths with past experience in osteopathic care was chosen to reflect the phenomenon's variety. The data analysis was done inductively and in tandem with the recruiting to keep track of data saturation. Results Eleven osteopaths participated in the study. Three main themes emerged from the data analysis: (1) SD as a safe tissue-touch-based communication tool between operator and person complex adaptive health system; (2) The treatment of SD is shareable between osteopaths, other health professionals, and the patients involved in the therapeutic pathway improving body awareness and health; (3) The development of the SD concept in research and practice to better clarify osteopathic profession identity and definition. Conclusions A panel of expert osteopaths consider the concept of SD as a valuable tool integrated into the osteopathic evaluation and treatment process. The shared concept and clinical application of SD is informed by person-centered care concepts and from the fields of neuroscience, cognitive and complexity science. Our study reports a common need among osteopaths to develop an evidence-based framework of SD to allow the best development of the osteopathic profession.

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Continuing debates about models of practice

Cited by 5 publications

References 9 publications

Exploring lumbo-pelvic functional behaviour patterns during osteopathic motion tests: A biomechanical (en)active inference approach to movement analysis

Exploring lumbo-pelvic functional behaviour patterns during osteopathic motion tests: A biomechanical (en)active inference approach to movement analysis

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

“What you feel under your hands”: exploring professionals’ perspective of somatic dysfunction in osteopathic clinical practice—a qualitative study

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