International Journal of Osteopathic Medicine最新文献

{"title":"Comparative efficacy of foot orthoses stabilizing methods on pain intensity, balance performance, and knee adduction moment in medial knee osteoarthritis: A randomized trial of subtalar straps vs. high-top shoes","authors":"Amirhossein Mofidi,&nbsp;Hanieh Khaliliyan,&nbsp;Mahmood Bahramizadeh,&nbsp;Majid Ansari,&nbsp;Farhad Ghaffari,&nbsp;Morteza Faghih Jouibari,&nbsp;Arash Sharafatvaziri,&nbsp;Amir Reza Vosoughi","doi":"10.1016/j.ijosm.2026.100862","DOIUrl":"10.1016/j.ijosm.2026.100862","url":null,"abstract":"<div><h3>Background and objective</h3><div>Medial knee osteoarthritis (MKOA) is a prevalent degenerative joint condition associated with pain and altered knee joint loading. This superiority randomized trial compared the effects of a lateral wedge foot orthosis stabilized with subtalar straps (LWSS) versus one stabilized with high-top shoes (LWHTS) on pain intensity and knee adduction moment in patients with MKOA.</div></div><div><h3>Methods</h3><div>Forty-four individuals with MKOA were randomly allocated (1:1) to LWSS or LWHTS. Primary outcomes were pain intensity (visual analogue scale, VAS) and balance performance (timed up and go test, TUG), assessed at 4-week follow-up. Secondary outcomes comprised knee adduction moment parameters (first peak, second peak, and angular impulse) and additional balance measures (timed stair climb, repeated chair rise, and single-leg stance). Between-group differences were examined using repeated-measures analysis of variance.</div></div><div><h3>Results</h3><div>At 4-week follow-up, LWHTS produced significantly greater pain reduction than LWSS (mean difference [MD]: 2.27 cm, 95% CI: 2.02 to 2.52, p &lt; 0.001). For knee adduction moment, LWHTS significantly reduced first peak (MD: 0.16 Nm/BW×Ht, 95% CI: 0.14 to 0.18, p &lt; 0.001) and angular impulse (MD: 1.92 Nm·s/BW×Ht, 95% CI: 0.96 to 2.88, p &lt; 0.001) compared with LWSS; no between-group difference was found for second peak (p = 0.99). No adverse events were reported in either group.</div></div><div><h3>Conclusion</h3><div>LWHTS provided superior pain relief and greater reduction in knee adduction moment compared with LWSS at 4 weeks in early-to-moderate MKOA, supporting high-top shoe stabilization as a more effective strategy for medial compartment unloading.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"61 ","pages":"Article 100862"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148853949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial”","authors":"Yuanrun Wei ,&nbsp;Haixin Wei ,&nbsp;Yan Wang","doi":"10.1016/j.ijosm.2025.100805","DOIUrl":"10.1016/j.ijosm.2025.100805","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100805"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Letter to the Editor regarding “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial” (Int J Osteopath Med. 2025;58:100777)","authors":"Jasemin Todri,&nbsp;Orges Lena,&nbsp;Carolina Vázquez-Villa,&nbsp;Juan Martínez-Fuentes,&nbsp;Alberto Ciferri,&nbsp;María Antonia Murcia-González","doi":"10.1016/j.ijosm.2025.100804","DOIUrl":"10.1016/j.ijosm.2025.100804","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100804"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to commentary to the Editor regarding “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial” (Int J osteopath Med. 2025;58:100777)","authors":"Jasemin Todri,&nbsp;Orges Lena,&nbsp;Carolina Vázquez-Villa,&nbsp;Juan Martínez-Fuentes,&nbsp;Alberto Ciferri,&nbsp;María Antonia Murcia-González","doi":"10.1016/j.ijosm.2026.100812","DOIUrl":"10.1016/j.ijosm.2026.100812","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100812"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of osteopathic manipulative treatment on cardiovascular function: a systematic review and meta-analysis","authors":"Kristine Johnston ,&nbsp;Regina Chow ,&nbsp;Matthew Rubinstein ,&nbsp;Madyson Burtner ,&nbsp;Sarah Hollander ,&nbsp;Anne Humm ,&nbsp;Lucy Chen ,&nbsp;Megan DeArmond ,&nbsp;Sherli Koshy-Chenthittayil ,&nbsp;Cheryl Hightower","doi":"10.1016/j.ijosm.2026.100813","DOIUrl":"10.1016/j.ijosm.2026.100813","url":null,"abstract":"<div><h3>Objective</h3><div>The objective was to estimate osteopathic manipulative treatment (OMT) effects on cardiovascular function directly and indirectly through nervous and endocrine system regulators.</div></div><div><h3>Methods</h3><div>A search found studies that compared controls and OMT groups with no restrictions. Two independent reviewers did title/abstract screening, full-text screening, quality appraisals, and data extraction per published protocol in Covidence. Outcome variables with sample size &gt;2 were analyzed in an equal effects model (R software) with sub-group analysis for touch/passive controls and sensitivity analysis for adult/infant populations.</div></div><div><h3>Results</h3><div>34 of 9140 studies met inclusion criteria. Selected studies had mean quality score 9.2/12; 18 were RCTs, and 18 incorporated touch controls. Studies measuring long-term (&gt;24 h) effects of OMT and those measuring endocrine variables, skin temperature and conductance, and cardiac output appeared in &lt;3 studies. There were no short-term (&lt;1 h) OMT effects on heart rate (mean difference = −1.85; 95% confidence interval = −5.82, 2.11 bpm) or systolic blood pressure (-3.30; −6.86, 0.25 mmHg). High frequency heart rate variability (HRV) increased in adults (0.66; 0.30, 1.03) after OMT relative to control. Low frequency HRV decreased after OMT relative to passive (−1.78; −2.43, −1.41) but not touch (−0.04; −0.34, 0.25) controls. Time domain HRV did not respond to OMT in adults (−0.08; −0.53, 0.37).</div></div><div><h3>Conclusion</h3><div>Studies for long-term OMT effects on cardiovascular health are rare, while evidence for short-term effects are weak and convey mixed messages regarding benefit vs harm. Better long-term studies with attention to statistical reporting and confounders such as body position and participant age are indicated.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100813"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Efficacy of myofascial unwinding and myofascial release on somatic symptoms in patients with non-specific chronic low back pain – A study protocol for a single-blinded randomized clinical trial”","authors":"Chandana Maji,&nbsp;Hariharan Srinivasan,&nbsp;Aishwarya Biradar,&nbsp;Reenoo Jauhari","doi":"10.1016/j.ijosm.2026.100811","DOIUrl":"10.1016/j.ijosm.2026.100811","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100811"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical analysis of trigger point constructs in clinical trials commentary on Todri et al., 2025—Methodological considerations and pain science foundations","authors":"Monica Noy","doi":"10.1016/j.ijosm.2026.100814","DOIUrl":"10.1016/j.ijosm.2026.100814","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100814"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between exposure to adverse childhood experiences and the risk of developing autoimmune rheumatic disease: A systematic review","authors":"Romy Settbon Moore ,&nbsp;Maya Krasnik Rawlings ,&nbsp;Steven Vogel","doi":"10.1016/j.ijosm.2025.100808","DOIUrl":"10.1016/j.ijosm.2025.100808","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100808"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Setting the osteopathic research agenda: consensus, context, controversy, and capacity","authors":"David Hohenschurz-Schmidt ,&nbsp;Jerry Draper-Rodi ,&nbsp;Oliver Thomson ,&nbsp;Paul Vaucher ,&nbsp;Steven Vogel","doi":"10.1016/j.ijosm.2026.100810","DOIUrl":"10.1016/j.ijosm.2026.100810","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100810"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of myofascial unwinding and myofascial release on somatic symptoms in patients with non-specific chronic low back pain – A study protocol for a single-blinded randomized clinical trial","authors":"Sourabh Kumar,&nbsp;Manu Goyal,&nbsp;Aditi Popli,&nbsp;Rohan Kumar Sahu,&nbsp;Devendra Kumar Dhruv,&nbsp;Kanu Goyal","doi":"10.1016/j.ijosm.2025.100799","DOIUrl":"10.1016/j.ijosm.2025.100799","url":null,"abstract":"<div><h3>Objective</h3><div>We outline a protocol to determine the comparative efficacy of Myofascial Unwinding (MFU) and Myofascial Release (MFR) versus conventional physiotherapy on somatic symptoms, pain, and quality of life (QOL) in non-specific chronic low back pain (NSCLBP) patients.</div></div><div><h3>Methods</h3><div>NSCLBP patients with mild to moderate somatic symptoms will be recruited. The study design is a two-arm, single-blinded randomized clinical trial, spanning 4 weeks with a total of 12 sessions. The soft tissue mobilization (STM) group (Group 1) will receive MFU and MFR only, while the conventional physiotherapy group (Group 2) will receive structured exercises and electrophysical modality. Somatic symptoms, pain, and QOL will be evaluated with the Patient Health Questionnaire-15 (PHQ-15), Numeric Pain Rating Scale (NPRS), and Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF) respectively at baseline and the end of 4 weeks from baseline.</div></div><div><h3>Results</h3><div>The statistical analysis will be performed to determine within and between-group differences and outcomes will be displayed in tables and charts.</div></div><div><h3>Conclusion</h3><div>To date, evidence for the beneficial effects of STM on somatic symptoms in individuals with NSCLBP is lacking. Thus, the outcomes of this research will offer baseline data on efficacy and challenges in implementing this treatment regimen.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100799"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}