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

Lunghi, Christian; Iacopini, Alessio; Baroni, Francesca; Consorti, Giacomo; Cerritelli, Francesco

doi:10.1016/j.jmpt.2020.07.004

Cited by 7 publications

(9 citation statements)

References 42 publications

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“…Furthermore, the role of SD in osteopathic diagnostic-clinical reasoning is mainly to address the touch input quality in the region of the entire body to improve biological and psychological self-regulation, focusing on patient agency, body awareness, and adaptive capacity. The interviewees reported 3 phases that characterize the decision-making process, in temporal order: Assessment of contraindications to osteopathic treatment to ensure patient safety; confirming the findings of another qualitative study [ 53 ]. However, a recently published systematic review reported that further well conducted studies are needed to confirm and extend the safety of osteopathic care, despite no serious adverse events have been reported in the selected studies [ 54 ].…”

Section: Discussionsupporting

confidence: 76%

“…Assessment of contraindications to osteopathic treatment to ensure patient safety; confirming the findings of another qualitative study [ 53 ]. However, a recently published systematic review reported that further well conducted studies are needed to confirm and extend the safety of osteopathic care, despite no serious adverse events have been reported in the selected studies [ 54 ].…”

Section: Discussionsupporting

confidence: 72%

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“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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Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 72%

“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

Self Cite

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“…Although studies in children have considered DS, professionals need to adapt the SD-based approach for infants and children. For example, one of the classical palpatory findings based on tenderness is not helpful in neonatal management because it is not possible to have feedback from newborns [ 55 ].…”

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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“…Strategic sampling, also known as purposeful sampling, was employed to ensure a targeted and comprehensive understanding of the phenomenon under analysis ( Lunghi et al, 2021 ). The sample size was determined based on data saturation, where no new information emerged from the interviews ( Thomson et al, 2014 ).…”

Section: Methodsmentioning

confidence: 99%

The osteopath-parent-child triad in osteopathic care in the first 2 years of life: a qualitative study

Accardi,

Cerritelli,

Bovo

et al. 2023

Front. Psychol.

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BackgroundEnactivism and active inference are two important concepts in the field of osteopathy. While enactivism emphasizes the role of the body and the environment in shaping our experiences and understanding of the world, active inference emphasizes the role of action and perception in shaping our experiences and understanding of the world. Together, these frameworks provide a unique perspective on the practice of osteopathy, and how it can be used to facilitate positive change in patients. Since the neonatal period is a crucial time for development, osteopaths should aim to create a therapeutic relationship. Arguably, through participatory sense-making, osteopaths can help the baby build a generative model (with positive priors) to deal with stress and needs throughout their life.AimSince the literature considers that interactions with the environment, which enact the patients’ experiences, depending on contextual factors and communication between patient and caregiver, this research explored whether there is a correspondence between the indications in the literature and clinical practice in the management of the mother/parent–child dyad during osteopathic care on children aged 0 to 2 years old.MethodsSemi-structured interviews were conducted with a purposive sample of nine osteopaths with experience in the field of pediatrics. Interviews were transcribed verbatim, and constructivist grounded theory was used to conceptualize, collect and analyze data. Codes and categories were actively constructed through an interpretive/constructionist paradigm.ResultsThe core category was the idea of the pediatric osteopath as a support for the family, not only for the child. Four additional categories were identified: (1) Preparing a safe environment for both children and parents, (2) Communication, (3) Attachment and synchrony, and (4) Synchronization.ConclusionThrough participatory sense-making, osteopaths manage contextual factors to establish an effective therapeutic alliance through the osteopath-parent–child triad to facilitate the construction of the child’s internal generative model to promote healthy development. The therapeutic encounter is considered an encounter between embodied subjects, occurring within a field of affordances (ecological niche) that allows the interlocutors to actively participate in creating new meanings through interpersonal synchronization. Participatory sense-making and the establishment of a therapeutic alliance through the osteopath-parent–child triad are crucial to promote healthy development in the child.

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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

Cited by 7 publications

References 42 publications

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

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

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

The osteopath-parent-child triad in osteopathic care in the first 2 years of life: a qualitative study

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