Understanding specific, contextual and non-specific effects in osteopathy

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine Pub Date : 2025-06-13 DOI:10.1016/j.ijosm.2025.100773

Nicholas Tripodi , Amy Lawton , Daniel Corcoran , Jack Feehan

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Abstract

Osteopathic care has been a part of the healthcare landscape for many years, and whilst diverse in its practice, in many world regions it has a predominant focus on musculoskeletal care. Despite the extensive history of osteopathy, the paradigms, principles and modes of effect that occur within its delivery lack consensus. Of the proposed modes of effect, many are based on specific and local phenomena that lack robust evidence supporting their proposed mechanisms. Recent research has promoted a shift away from exclusively explaining clinical outcomes through specific effects but rather, conceptualising these outcomes through the interplay of specific, non-specific and contextual effects. An improved understanding of this interplay is critical for osteopathy and, indeed, all other professions involved in musculoskeletal care. Reconceptualising the effects involved in clinical interventions will contribute to improved health outcomes through the facilitation of person-centred care and the adoption of the biopsychosocial model of healthcare.

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了解骨病的特异性、情境性和非特异性效应

多年来，整骨疗法一直是医疗保健领域的一部分，虽然其实践多种多样，但在世界许多地区，它主要侧重于肌肉骨骼护理。尽管整骨疗法有着广泛的历史，但在其治疗过程中所发生的范式、原则和效果模式缺乏共识。在提出的效应模式中，许多是基于特定和局部现象，缺乏强有力的证据支持其提出的机制。最近的研究促进了一种转变，即不再仅仅通过特定效应来解释临床结果，而是通过特异性、非特异性和背景效应的相互作用来概念化这些结果。提高对这种相互作用的理解对于整骨病和所有其他涉及肌肉骨骼护理的专业都是至关重要的。重新定义临床干预所涉及的影响将有助于通过促进以人为本的护理和采用医疗保健的生物心理社会模式来改善健康结果。

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.