Core competencies in osteopathy: Italian register of osteopaths proposal

Sciomachen, Paola; Arienti, Chiara; Bergna, Andrea; Castagna, Carmine; Consorti, Giacomo; Lotti, Antonella; Lunghi, Christian; Tramontano, Marco; Longobardi, Mauro

doi:10.1016/j.ijosm.2018.02.001

Cited by 30 publications

(21 citation statements)

References 29 publications

(16 reference statements)

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“…The OMT session was performed by two female healthcare professionals who had completed a training program in osteopathy aligned with Italian Core Competencies in osteopathy [ 36 ] and with the European Standard on Osteopathic Healthcare Provision.…”

Section: Methodsmentioning

confidence: 99%

Brain Connectivity Changes after Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial

Tramontano

Cerritelli²,

Piras

et al. 2020

Brain Sciences

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The effects of osteopathic manipulative treatment (OMT) on functional brain connectivity in healthy adults is missing in the literature. To make up for this lack, we applied advanced network analysis methods to analyze resting state functional magnetic resonance imaging (fMRI) data, after OMT and Placebo treatment (P) in 30 healthy asymptomatic young participants randomized into OMT and placebo groups (OMTg; Pg). fMRI brain activity measures, performed before (T0), immediately after (T1) and three days after (T2) OMT or P were used for inferring treatment effects on brain circuit functional organization. Repeated measures ANOVA and post-hoc analysis demonstrated that Right Precentral Gyrus (F (2, 32) = 5.995, p < 0.005) was more influential over the information flow immediately after the OMT, while decreased betweenness centrality in Left Caudate (F (2, 32) = 6.496, p < 0.005) was observable three days after. Clustering coefficient showed a distinct time-point and group effect. At T1, reduced neighborhood connectivity was observed after OMT in the Left Amygdala (L-Amyg) (F (2, 32) = 7.269, p < 0.005) and Left Middle Temporal Gyrus (F (2, 32) = 6.452, p < 0.005), whereas at T2 the L-Amyg and Vermis-III (F (2, 32) = 6.772, p < 0.005) increased functional interactions. Data demonstrated functional connectivity re-arrangement after OMT.

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Section: Methodsmentioning

confidence: 99%

Brain Connectivity Changes after Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial

Tramontano

Cerritelli²,

Piras

et al. 2020

Brain Sciences

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“…The OMT session was performed by two female healthcare professionals who had completed a training program in osteopathy aligned with Italian Core Competencies in osteopathy (Sciomachen et al, 2018) and with European Standard on Osteopathic Healthcare Provision.…”

Section: Methodsmentioning

confidence: 99%

“…For each participant, osteopaths used the outpatient osteopathic SOAP (subjective, objective, assessment, plan) note form. OMT techniques were focused on correcting the dysfunctions found during the initial physical examination and included articular and myofascial techniques, balanced ligamentous tension, visceral manipulations, and osteopathy in the cranial field (see Supplementary Table S1) (Magoun, 1976; Lay, 1997; Johnson and Kurtz, 2003; Sciomachen et al, 2018). The manual placebo treatment was performed by the same osteopaths and consisted of a passive touch without joint mobilization in a protocolled order (Noll et al, 2004).…”

Section: Methodsmentioning

confidence: 99%

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

Tamburella

Piras

et al. 2019

Front. Physiol.

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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.

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“…In Italy, with the approval of the law 3/2018, osteopathy has been recognized as a healthcare profession [12]. However, the regulation process is still ongoing, and despite the recent publication of the Core Competence of the Italian Osteopaths [13], the official scope of practice of Italian osteopaths has not yet been published.…”

Section: Introductionmentioning

confidence: 99%

The Italian Osteopathic Practitioners Estimates and RAtes (OPERA) study: How osteopaths work

Cerritelli¹,

Consorti²,

Dun³

et al. 2020

PLoS ONE

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The scope of practice of the osteopathic profession in Italy is underreported. The first part of the present study investigated the Italian osteopaths' profile, focusing on the socio-demographic information and geographical distribution together with the main characteristics of their education. The OPERA-IT study highlighted that the majority of respondents declared to work as sole practitioners (58.4%), while the remaining declared to work as part of a team. Since teamwork and networking are recognized as fundamental aspects of healthcare, the present study aims to compare the osteopathic practice, diagnostic and treatment modalities of osteopaths who work as a sole practitioner and osteopaths who work as part of a team to highlight possible differences. Moreover, patients' characteristics will be presented. The OPERA-IT study population was chosen to provide a representative sample. A web campaign was set up to inform the Italian osteopaths before the beginning of the study. The OPERA IT study used a previously tested questionnaire. The questionnaire was translated into Italian following the World Health Organization recommendation. The questionnaire was composed of 57 items grouped in five sections, namely: socio-demographics, osteopathic education and training, working profile, organization, and management of the clinical practice and patient profile. The survey was delivered online through a dedicated platform. The survey was completed by 4,816 individuals. Osteopaths who work as sole practitioners represented the majority of the sample (n = 2814; 58.4%). Osteopaths who work as part of a team declared to collaborate mostly with physiotherapists (n = 1121; 23.3%), physicians with speciality (n = 1040; 21.6%), and other osteopaths (n = 943; 19.6%). The two groups showed heterogeneous characteristics. Significative differences were observed in all the factors, namely: geographical distribution, age, gender, training, working contract and working place, daily consultations and time for each consultation, fees, and the average waiting period to book an appointment. The principal component analysis

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Core competencies in osteopathy: Italian register of osteopaths proposal

Cited by 30 publications

References 29 publications

Brain Connectivity Changes after Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial

Brain Connectivity Changes after Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial

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

The Italian Osteopathic Practitioners Estimates and RAtes (OPERA) study: How osteopaths work

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