Context is complex: Challenges and opportunities addressing contextual factors in manual therapy mechanisms research

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine Pub Date : 2025-01-03 DOI:10.1016/j.ijosm.2025.100750

Damian L. Keter , Jorge E. Esteves , M. Terry Loghmani , Giacomo Rossettini , Chad E. Cook

引用次数: 0

Abstract

Mechanistic studies on manual therapy (MT) have potential to allow better understanding of ‘why’ and ‘how’ MT interventions provide an effect. Contextual factors (CF) include the multitude of intrinsic and extrinsic inputs outside of the specific intervention which influence response. CFs must be accounted for within both clinical and mechanistic trials. The influence of CFs provides several challenges and opportunities which are outlined within this commentary. Researchers should consider the specific purpose of their research when developing mechanistic trials to establish if controlling versus recording CF is warranted based on their aim(s).

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背景是复杂的：在手工治疗机制研究中解决背景因素的挑战和机遇

手工治疗（MT）的机制研究有可能让我们更好地理解MT干预“为什么”和“如何”产生效果。情境因素（CF）包括影响反应的特定干预之外的大量内在和外在输入。必须在临床试验和机械试验中考虑慢性疲劳综合症。cf的影响提供了一些挑战和机遇，在本评论中概述了这些挑战和机遇。研究人员在开展机械试验时应考虑其研究的具体目的，以确定是否根据其目的控制或记录CF。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.