Pseudoscience: A skeleton in osteopathy's closet?

International journal of osteopathic medicine, Год журнала: 2024, Номер 52, С. 100716 - 100716

Опубликована: Фев. 19, 2024

Язык: Английский

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Does Osteopathic Heart-Focused Palpation Modify Heart Rate Variability in Stressed Participants with Musculoskeletal Pain? A Randomised Controlled Pilot Study

Healthcare, Год журнала: 2024, Номер 12(2), С. 138 - 138

Опубликована: Янв. 8, 2024

Heart rate variability (HRV) describes fluctuations in time intervals between heartbeats and reflects autonomic activity. HRV is reduced stressed patients with musculoskeletal pain improved after osteopathic manipulative treatment mind–body interventions. Heart-focused palpation (HFP) combines manual approaches to facilitate relaxation. This randomised controlled pilot study investigated the feasibility sample size for a future trial effect of single HFP or sham (SHAM) on short-term HRV. A total Thirty-three adults (47.7 ± 13.5 years old) stress completed acceptable rates recruitment (8.25 subjects per site/month), retention (100%), adherence adverse events (0%). (n = 18), but not SHAM 15), significantly increased root mean square successive RR interval differences (p 0.036), standard deviation NN 0.009), ratio low-frequency high-frequency power band 0.026). decreased heart < 0.001, p 0.009) index Poincaré plot along perpendicular line identity > 0.05). analysis calculated 72 participants. Taken together, was feasible pain, suggesting parasympathetic effect.

Язык: 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, Год журнала: 2022, Номер 11(1), С. 10 - 10

Опубликована: Дек. 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.

Язык: Английский

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

Healthcare, Год журнала: 2024, Номер 12(11), С. 1149 - 1149

Опубликована: Июнь 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.

Язык: 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, Год журнала: 2024, Номер 73, С. 103164 - 103164

Опубликована: Авг. 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.

Язык: Английский

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Advancing Equitable Osteopathic Practice: Integrating Person-Centredness & Addressing Racial Biases Through the Lens of Critical Theory

International journal of osteopathic medicine, Год журнала: 2025, Номер unknown, С. 100752 - 100752

Опубликована: Янв. 1, 2025

Язык: Английский

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

Applied Sciences, Год журнала: 2025, Номер 15(7), С. 3828 - 3828

Опубликована: Март 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.

Язык: Английский

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An integrative review of the evidence for Shinrin-Yoku (Forest Bathing) in the management of depression and its potential clinical application in evidence-based osteopathy

Journal of Bodywork and Movement Therapies, Год журнала: 2023, Номер 35, С. 244 - 255

Опубликована: Апрель 19, 2023

Язык: Английский

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Making sense of cranial osteopathy: An interpretative phenomenological analysis

International journal of osteopathic medicine, Год журнала: 2023, Номер 50, С. 100673 - 100673

Опубликована: Июнь 28, 2023

Язык: Английский

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The importance of constructing an osteopathic profession around modern common academic values and avoiding pseudoscience: The Spanish experience

Advances in Integrative Medicine, Год журнала: 2023, Номер 10(3), С. 139 - 144

Опубликована: Сен. 1, 2023

Язык: Английский

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