Autonomic correlates of osteopathic manipulative treatment on facial functional mapping: an innovative approach based on thermal imaging

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: March 2, 2025

Osteopathic manipulative treatment (OMT) has shown efficacy in various clinical conditions and age groups. Understanding its neurobiological, particularly autonomic, mechanisms of action remain limited. Preliminary studies suggested a parasympathetic effect OMT, evidenced by heart-rate-variability analysis. A cross-over RCT on healthy adults was conducted to compare OMT with sham therapy. Thirty-seven participants underwent two sessions (OMT sham), comprising baseline, tactile treatment, post-touch. Novel thermal imaging data analyses combination seed correlation (SCA) were employed explore the effects autonomic parameters. Particularly, group exhibited an elevated warming cheeks, nose, chin. Inversely, for conspicuous cooling trend but not cheeks chin observed. Considering SCA maps, intensity nose tip, glabella GSR seeds showed higher values compared group. The comparative analysis maps results represents significant advancement our understanding physiological underlying OMT's functions. By elucidating specific patterns temperature change, clusters, this research provides valuable insights optimizing practice refining theoretical models manual

Language: Английский

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Tradition-Dismissive vs. Tradition Reconceptualization Approaches in Musculoskeletal Care: The Example of Osteopathic Care

Applied Sciences, Journal Year: 2025, Volume and Issue: 15(7), P. 3828 - 3828

Published: March 31, 2025

Background: Musculoskeletal conditions with multisystem comorbidities present significant challenges in terms of prevention and rehabilitation. Despite advances instrumental technologies for diagnosis treatment, a gap remains between biomedical research practical application. Strengthening the therapeutic alliance involves improving patients’ understanding diagnostics while emphasizing face-to-face interactions. A team healthcare professionals, promoting an integrated approach combining manual movement therapies—such as physiotherapy, chiropractic, osteopathic care—can bridge this gap, well-being through person-centered framework. Emerging highlights role cognitive, neurophysiological, sociocultural factors body perception health, need inclusive, culturally sensitive care within practice. Methods: We synthesize available evidence expert insights to address gaps literature. Our integrates conceptual analysis emerging research, applying Driscoll’s reflective model generate framework rooted principles clinical experiences. Results: propose integrative incorporating narrative-based sense-making, shared decision-making, mindfulness, active participation. By blending historical modern evidence, aims enhance health resilience, reduce unnecessary interventions, establish holistic Conclusions: Integrating diverse approaches refines practices, ensuring more person-centered, sensitive, musculoskeletal This bridges tradition enhancing outcomes fostering inclusive system.

Language: Английский

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Osteopathic diagnosis and treatment of the spine in patients with chronic back pain through the lens of medical infrared thermography: A randomised controlled pilot study

Complementary Therapies in Clinical Practice, Journal Year: 2025, Volume and Issue: unknown, P. 101999 - 101999

Published: May 1, 2025

Language: Английский

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Profession-based manual therapy nomenclature: exploring history, limitations, and opportunities

Journal of Manual & Manipulative Therapy, Journal Year: 2023, Volume and Issue: 32(1), P. 96 - 110

Published: Dec. 17, 2023

The International Consortium on Manual Therapies (ICMT) is a grassroots interprofessional association open to any formally trained practitioner of manual therapy (MT) and basic scientists promoting research related the practice MT. Currently, MT impeded by professions' lack communication with other professions, biases, vernacular. Current ICMT goals are minimize these barriers, compare techniques, establish an glossary.

Language: Английский

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Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy

Healthcare, Journal Year: 2024, Volume and Issue: 12(11), P. 1149 - 1149

Published: June 5, 2024

Background: Chiropractic, osteopathy, and physiotherapy (COP) professionals regulated outside the United States traditionally incorporate hands-on procedures aligned with their historical principles to guide patient care. However, some authors in COP research advocate a pan-professional, evidence-informed, patient-centered approach musculoskeletal care, emphasizing hands-off management of patients through education exercise therapy. The extent which non-Western sociocultural beliefs about body representations health disease, including Indigenous beliefs, could influence patient–practitioner dyad affect interpretation pillars evidence-informed practice, such as care expectations, remains unknown. Methods: our perspective paper combines best available evidence expert insights unique viewpoints address gaps scientific literature inform an interdisciplinary readership. Results: A pan-professional tends marginalize approaches, prevention-oriented clinical scenarios advocated by osteopathic practitioners for assumptions. Cynefin framework was introduced decision-making tool aid clinicians managing complex promoting patient-centered, culturally sensitive Conclusion: Epistemological flexibility is historically rooted due his roots. It imperative reintroduce conceptual operative frameworks that better contemporary needs, promote inclusion equality healthcare, enhance quality manual therapy services beyond COP’s Western-centered perspective.

Language: Английский

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Exploring the Role of Therapeutic Alliance and Biobehavioural Synchrony in Musculoskeletal Care: Insights from a Qualitative Study

Musculoskeletal Science and Practice, Journal Year: 2024, Volume and Issue: 73, P. 103164 - 103164

Published: Aug. 14, 2024

Person-centred care underscores the therapeutic alliance (TA) as fundamental, fostering positive treatment outcomes through collaborative patient-clinician interactions. Biobehavioural synchrony within TA, essential for effective care, reflects an adaptive process where organisms align responses during Enactivism and active inference provide profound insights into human perception, reshaping musculoskeletal understanding. Touch verbal communication, integral to foster alignment of personal beliefs.

Language: Английский

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

Chiropractic & Manual Therapies, Journal Year: 2022, Volume and Issue: 30(1)

Published: Aug. 31, 2022

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

Language: Английский

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Historical Osteopathic Principles and Practices in Contemporary Care: An Anthropological Perspective to Foster Evidence-Informed and Culturally Sensitive Patient-Centered Care: A Commentary

Healthcare, Journal Year: 2022, Volume and Issue: 11(1), P. 10 - 10

Published: Dec. 21, 2022

Historical osteopathic principles and practices (OPP)-considering the patient as a dynamic interaction of body, mind, spirit incorporating body's self-healing ability into care-are inherited from traditional/complementary alternative (CAM) principles. Both concepts are familiar to contemporary practitioners, but their incorporation healthcare for evidence-informed, patient-centered care (PCC) remains unclear. Further, polarity exists in profession between 'traditional-minded' group following historical OPP despite evidence against those models an 'evidence-minded' current available common complaints. By shifting professional towards evidence-based manual therapy line with Western dominant biomedical paradigm, latter is challenging identity. To alleviate this polarity, we would like refocus on values expectations, highlighting cultural diversity anthropological perspective. Increasing awareness diverse sociocultural health assumptions may foster culturally sensitive PCC, especially when including non-Western belief systems that person-centered care. Therefore, medical perspective legacy traditional/CAM offered advance by promoting ethical, sensitive, evidence-informed PCC secular environment. Such inclusive approaches likely meet patients' whether informed or beliefs, improve satisfaction clinical outcomes.

Language: Английский

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Patient Active Approaches in Osteopathic Practice: A Scoping Review

Healthcare, Journal Year: 2022, Volume and Issue: 10(3), P. 524 - 524

Published: March 14, 2022

In the field of manual therapies there is a growing interest in moving from passive hands-on approaches to patient active approaches. osteopathic are both and methods described as integrated process care. However, this prospective linkage has not been formally explored well shared community practice. The present review aims appraise relevant literature on functioning principles Patient (PAOAs) explore model for selecting different types PAOA, highlighting their integration into management strategies.A scoping was conducted analyze PAOA obtain comprehensive perspective phenomenon.The eligible articles provide insights mechanisms application be with These results new relevance clinical practice.The proposal, emerging review, may promote discussions practice road map research towards achieving an evidence-based structure PAOA.

Language: Английский

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Making sense of cranial osteopathy: An interpretative phenomenological analysis

International journal of osteopathic medicine, Journal Year: 2023, Volume and Issue: 50, P. 100673 - 100673

Published: June 28, 2023

Language: Английский

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