International Journal of Osteopathic Medicine最新文献

{"title":"Is regression in lumbar disk herniation possible by spinal mobilization? A single-blind randomized controlled clinical study","authors":"Burhan Taşkaya ,&nbsp;İsmail Taşkent ,&nbsp;Mahmut Çakıllı ,&nbsp;Öznur Tunca","doi":"10.1016/j.ijosm.2025.100760","DOIUrl":"10.1016/j.ijosm.2025.100760","url":null,"abstract":"<div><h3>Aims</h3><div>This study aims to examine the impacts of spinal mobilization practices on herniation distance, disc height, and facet joint distance, as well as functional status, pain, range of motion (ROM), and flexibility in lumbar disc herniation (LDH) patients.</div></div><div><h3>Methods</h3><div>Thirty-two participants participated in the study, divided into an Intervention and Control Group. Radiological findings were evaluated by magnetic resonance imaging before and after the study. The Back Performance Scale, Visual Analogue Scale, The S, and The Sit and Reach Test were assessed before, after, and at three months. The control group received ten sessions of stabilization exercises for five weeks, two sessions per week. In the intervention group, spinal mobilization applications were applied in addition to stabilization exercises</div></div><div><h3>Results</h3><div>Intra-group analysis revealed significant reductions in herniation distance, increases in facet joint distance, pain alleviation, functional improvement, enhanced flexibility, and extended ROM in both groups (p &lt; 0.05). Notably, a significant increase in disc height was observed exclusively in the Intervention Group (p &lt; 0.05). Inter-group analysis revealed no significant differences between the groups post-intervention (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Mobilization applications applied in LDH patients may have a positive effect on radiological findings, functional status, pain, ROM, and flexibility.</div></div><div><h3>ClinicalTrials.gov Identifier</h3><div>NCT05753579 (03.02.2023)</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100760"},"PeriodicalIF":1.1,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890883","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":"Potential effects of combining osteopathic manual therapy and menstrual awareness on pain and associated symptoms in women with primary dysmenorrhea: A randomized clinical trial","authors":"María Conesa-Albaladejo ,&nbsp;Gemma Victoria Espí-López ,&nbsp;Eva Martínez-Graullera ,&nbsp;Anna Arnal-Gómez","doi":"10.1016/j.ijosm.2025.100761","DOIUrl":"10.1016/j.ijosm.2025.100761","url":null,"abstract":"<div><h3>Background</h3><div>Dysmenorrhea is a menstrual condition that accounts for 50–90 % of all gynaecological consultations and is the most common gynaecological condition among young women. Lack of information regarding treatment options can affect the symptoms and quality of life of women who suffer from it. Osteopathic manual therapy could be a treatment option to improve symptoms in primary dysmenorrhea.</div></div><div><h3>Objective</h3><div>The aim of this study was to apply an osteopathic manual therapy protocol to reduce menstrual pain and other symptoms related to primary dysmenorrhea.</div></div><div><h3>Methods</h3><div>A randomized clinical trial was conducted. Thirty-nine female volunteers diagnosed with primary dysmenorrhea, with a mean age of 30.4 years (SD = 5.67), were randomly assigned to two groups: an experimental group (n = 19) who received body awareness plus osteopathic manual therapy and a comparator group (n = 20) who received only body awareness. Pain intensity (Visual Analogue Scale), pain perception (the McGill Pain Questionnaire), quality of life (36-Item Short Form Survey Instrument), body satisfaction (Body Satisfaction and Global Self-Perception Questionnaire), and overall perception of change (Patient Global Impression of Change Scale) were assessed pre- and post-treatment.</div></div><div><h3>Results</h3><div>Comparing both groups, the experimental group showed a statistically significant improvement in pain intensity (p = 0.007), pain perception (p = 0.025), quality of life (p &lt; 0.001), and body satisfaction (p &lt; 0.001). In addition, most women in the experimental group (94.7 %) perceived a positive change after treatment, while most of the comparator group (65 %) reported no changes.</div></div><div><h3>Conclusion</h3><div>An osteopathic manual therapy protocol combined with body awareness revealed significant improvements in terms of pain and other symptoms in women with dysmenorrhea.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100761"},"PeriodicalIF":1.1,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886956","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":"How to Prepare for the Comprehensive Osteopathic Medical Licensing Examination of the USA level 2-Cognitive Evaluation (COMLEX-USA level 2-CE)","authors":"Samuel Kadavakollu,&nbsp;Aaron George,&nbsp;Venkata Atluri,&nbsp;Paula Gregory","doi":"10.1016/j.ijosm.2025.100758","DOIUrl":"10.1016/j.ijosm.2025.100758","url":null,"abstract":"<div><div>To complete undergraduate medical training and secure licensure, osteopathic medical students must pass standardized high-stakes examinations, including the Comprehensive Osteopathic Medical Licensing Examination of the USA Level 2-Cognitive Evaluation (COMLEX-USA Level 2-CE). The examination aims to verify learners' necessary clinical knowledge, diagnostic reasoning, required competencies for osteopathic physicians in training, and readiness before they advance to graduate medical education settings. As the number of students in osteopathic medical training increases, it is essential to advance opportunities for COMLEX-USA Level 2-CE preparation. This manuscript aims to support osteopathic medical students and osteopathic medical educators, learning specialists, academic advisors, and administrators in developing a successful preparation plan for the COMLEX-USA Level 2-CE. The tips within this manuscript align with the information presented in osteopathic medical school curricula and the content outline found within the National Board of Osteopathic Medical Examiners (NBOME) blueprint. These include an emphasis on preparation phases for planning, reviewing, and practicing as well as the importance of clinical curriculum, clinical examinations, NBOME Blueprint, clinical scenarios, and complete full-length examinations. The article is an opinion piece that describes how osteopathic medical students can prepare, practice, and develop more effective board preparation strategies to improve their COMLEX Level 2-CE score.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100758"},"PeriodicalIF":1.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899200","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":"Osteopathic manipulative treatment of the ankle-foot complex in individuals with limited dorsiflexion: Study protocol for a randomized crossover clinical trial","authors":"Alice Loures de Paula ,&nbsp;Rayane Quintão Castro ,&nbsp;Heloisa Costa Souza ,&nbsp;Bruna de Castro Moreira ,&nbsp;Isabella Cristina Moreira Baião ,&nbsp;Cyntia Pace Schmitz Correa ,&nbsp;Diogo Carvalho Felício ,&nbsp;Diogo Simões Fonseca","doi":"10.1016/j.ijosm.2025.100756","DOIUrl":"10.1016/j.ijosm.2025.100756","url":null,"abstract":"<div><div>Reduced ankle dorsiflexion range of motion leads to changes in daily functional activities such as walking. Myofascial, muscular, and joint techniques are commonly used to restore this range. Joint techniques typically focus on the talocrural joint, treating the foot as a rigid segment. This study aims to propose an evaluation and treatment protocol for the ankle and foot complex in healthy individuals with reduced dorsiflexion. A randomized crossover clinical trial, with a 2-week washout period and follow-up to assess the retention of the intervention's effects, will be conducted in adults aged 18–40 years. Thirty participants will be recruited and assessed before and after intervention for ankle range of motion using the weight-bearing lunge test, as well as for kinematic and spatiotemporal gait variables measured by inertial sensors. The intervention, consisting of osteopathic manipulative treatment, will target the talocrural, distal tibiofibular, subtalar, midtarsal (Chopart), tarsal-metatarsal, and metatarsal-phalangeal joints. This study has been submitted to the Ethics Committee of the Universidade Federal de Juiz de Fora (protocol no. 6.917.725) and registered in the Brazilian Registry of Clinical Trials (RBR-10rvpcp3). An acute improvement in ankle dorsiflexion range of motion is expected, along with additional effects on the spatiotemporal and kinematic gait variables, which could assist in clinical decision-making for treating dorsiflexion limitations.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100756"},"PeriodicalIF":1.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890882","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":"Lessons learned from the digital transformation of physiotherapy education: A phenomenological study","authors":"Laura Eccott ,&nbsp;Andrea Moulson ,&nbsp;Karen Atkinson ,&nbsp;Salvatore Livatino ,&nbsp;Jeremy Lewis ,&nbsp;Mindy Cairns","doi":"10.1016/j.ijosm.2025.100759","DOIUrl":"10.1016/j.ijosm.2025.100759","url":null,"abstract":"<div><h3>Objective</h3><div>The Covid-19 pandemic changed education globally with a rapid reduction of in-person learning and increase in e-learning. This was challenging for students with themes of poorer motivation, reduced engagement, and difficulty translating knowledge into practical skills. Although Covid-19 restrictions have been removed in the UK, increased e-learning is likely to be permanently integrated in healthcare programmes by most UK universities. Therefore, programmes need to evaluate their e-learning to learn lessons for the future. This study aimed to understand physiotherapy students’ experiences of e-learning and what, if any, specific topics were more challenging and why they felt this was the case to identify how e-learning can be developed to meet their needs.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological methodology and purposive sampling of physiotherapy students at a UK university was used. Two semi-structured focus groups were conducted, data was analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Four themes were constructed which were: connected but disconnected; collaborative disengagement; practicality for professional identity; and disembodiment with anatomy.</div></div><div><h3>Conclusions</h3><div>For vocational healthcare courses with substantial practical skill development required to meet regulatory standards, the balance of online and in-person learning will continue to be a challenge. The changes to education delivery which occurred because of the Covid-19 pandemic have provided educators with an opportunity to reflect on the challenges facing both students and the profession itself in this increasingly online world. Recommendations from this study include integrating online communication skills within the curriculum, prioritising digital skills, and embracing emerging immersive technologies to enhance anatomy learning.</div></div><div><h3>Implications for educational practice</h3><div><ul><li><span>•</span><span><div>The balance of online and in-person learning for professional healthcare programmes is challenging</div></span></li><li><span>•</span><span><div>Curriculums should include development of online communication skills to support students learning experience in the online classroom and to develop the skills required for the future workplace</div></span></li><li><span>•</span><span><div>Digital skill development should be integrated into programmes to reflect the changing professional climate of healthcare</div></span></li><li><span>•</span><span><div>MSK programmes using online anatomy learning needs to include embodied experiences with sensory-motor activities to support deep learning of the topic, digital tools such as iVR may be appropriate to support this</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100759"},"PeriodicalIF":1.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891025","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":"Leadership and capacity building in international osteopathic research: Introducing Strengthening osteopathy leadership and research (SOLAR) program","authors":"Cindy McIntyre ,&nbsp;Gopi Anne McLeod ,&nbsp;Ana Paula Antunes Ferreira ,&nbsp;Francesco Cerritelli ,&nbsp;Jerry Draper-Rodi ,&nbsp;Jack Feehan ,&nbsp;Michael Fleischmann ,&nbsp;Kesava Kovanur Sampath ,&nbsp;Chantal Morin ,&nbsp;Lee Muddle ,&nbsp;Niklas Sinderholm Sposato ,&nbsp;Oliver P. Thomson ,&nbsp;Loïc Treffel ,&nbsp;Nicholas Tripodi ,&nbsp;Brett Vaughan ,&nbsp;Amie Steel ,&nbsp;Jon Adams","doi":"10.1016/j.ijosm.2025.100755","DOIUrl":"10.1016/j.ijosm.2025.100755","url":null,"abstract":"<div><div>Research evidence has become the foundation of modern health services. Health professionals rely on sound research to provide safe and effective care for patients, for the development of innovative diagnostic and treatment practices and to develop policies supporting the provision of optimal healthcare. Osteopathy is an established profession with an emerging research evidence base. The Strengthening Osteopathic Leadership and Research (SOLAR) program is a recent international initiative aiming to further build the evidence base and research capacity of the osteopathy profession. The program was developed by The Australian Research Consortium in Complementary and Integrative Medicine (ARCCIM) at the University of Technology Sydney (Sydney, Australia) and funded primarily by Osteopathy Australia, with the support from the Osteopathic Foundation (UK), Osteopaths New Zealand (NZ), Unité Pour l’Ostéopathie (France), and Svenska Osteopatförbundet (Sweden). This paper describes the origins, objectives and features of the SOLAR program and outlines the importance of the program for future research and practice in the osteopathy profession. From its beginnings in 2022, to date, the SOLAR program has been highly successful, producing a substantial collection of concrete research and presentations, while enhancing the Fellows' capacity and confidence as leaders, both in osteopathy and the broader healthcare environment.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100755"},"PeriodicalIF":1.1,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890884","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":"A call for improving the internal validity and the reporting of manual therapy trials self-labelled as pragmatic: A methodological review","authors":"S. Roura ,&nbsp;G. Alvarez ,&nbsp;D. Hohenschurz-Schmidt ,&nbsp;I. Solà ,&nbsp;R. Núñez-Cortés ,&nbsp;J. Bracchiglione ,&nbsp;C. Fernández-Jané ,&nbsp;J. Phalip ,&nbsp;I. Gich ,&nbsp;M. Sitjà-Rabert ,&nbsp;G. Urrútia","doi":"10.1016/j.ijosm.2025.100754","DOIUrl":"10.1016/j.ijosm.2025.100754","url":null,"abstract":"<div><h3>Objectives</h3><div>This study provides further data from a review assessing methodological characteristics of pragmatic randomised controlled trials (pRCTs) published in manual therapy (MT). In this second part, we aim to assess the report, the risk of bias (RoB), and the relationship between these items and the pragmatism scores of the self-labelled pRCTs in the MT field.</div></div><div><h3>Study design and setting</h3><div>We searched MEDLINE and the Cochrane Central Register of Controlled Trials for pRCTs in the MT field from inception to January 2024. Two independent reviewers screened the trials using several CONSORT extensions and assessed them using the Cochrane Risk of Bias tool. We performed a descriptive analysis using frequencies and percentages and a relation analysis between the trials' pragmatism, their reporting, and their RoB.</div></div><div><h3>Results</h3><div>We included 39 self-labelled MT pRCTs. Compliance with CONSORT items was higher than 70 % in one-third of the included trials (13/39) but varied across items. Performance and detection bias were the main threats to internal validity (we rated 90 %, 35/39, and 77 %; 30/39 of trials at high risk of bias, respectively). Selective reporting bias was unclear in almost half of the sample (46 %; 18/39). No relation was found between the highly pragmatic attitude and good reporting except for CONSORT item 25 (Sources of funding and other support) (p = 0.006). No relation was found between the RoB and the pragmatic attitude of the studies. The percentage of compliance with CONSORT items was higher in the trials with low RoB.</div></div><div><h3>Conclusion</h3><div>Pragmatic trials in MT have significant methodological limitations, and their reporting is suboptimal. Nonetheless, trials with less risk of bias had higher compliance with CONSORT items.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100754"},"PeriodicalIF":1.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422504","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":"Inter-rater and intra-rater reliability of belt-stabilized hand-held dynamometer using make test in lower extremity muscle strength assessment among healthy adults","authors":"Reil Vinard S. Espino ,&nbsp;Consuelo Gonzalez-Suarez ,&nbsp;Lewis A. Ingram ,&nbsp;Ivan Neil B. Gomez ,&nbsp;Kris Anthony T. Agarao ,&nbsp;Jazzmine Gale Flores ,&nbsp;Nicole Bulseco","doi":"10.1016/j.ijosm.2025.100753","DOIUrl":"10.1016/j.ijosm.2025.100753","url":null,"abstract":"<div><h3>Background</h3><div>A significant factor that affects athletic or functional performance in various sports or activities is the weakness in the muscles of the lower extremities. The isokinetic dynamometer (IKD) and the handheld dynamometer (HHD) are two tools available for measuring muscle strength objectively. However, the handheld dynamometer (HHD) - which is convenient, portable, and simple to use, is one of the more popular ways to measure the strength of the lower limb muscles.</div></div><div><h3>Objective</h3><div>This study aims to assess the inter-rater and intra-rater reliability of the make test conducted with a belt-stabilized HHD for measuring lower extremity muscle strength.</div></div><div><h3>Design</h3><div>This research adopted an inter-rater and intra-rater reliability study design involving ten healthy adults (six females, four males; mean age = 22.6 ± 2.9 years) from a university community.</div></div><div><h3>Setting</h3><div>The assessments were conducted in a Sports Science Laboratory.</div></div><div><h3>Methods</h3><div>A two-way mixed absolute agreement model of intraclass correlation coefficient (ICC) was used to assess inter-rater and intra-rater reliability.</div></div><div><h3>Results</h3><div>The intra-rater reliability analysis revealed excellent results for most assessors, with an ICC exceeding 0.75; however, two assessors demonstrated moderate reliability (ICC = 0.72–0.73). The inter-rater reliability showed excellent outcomes ranging from ICC = 0.913 to 0.980.</div></div><div><h3>Conclusion</h3><div>In conclusion, the make test using a belt-stabilized HHD displayed excellent reliability for assessing hip, knee, and ankle muscle strength in the healthy young adult population.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100753"},"PeriodicalIF":1.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611010","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":"Advancing Equitable Osteopathic Practice: Integrating Person-Centredness & Addressing Racial Biases Through the Lens of Critical Theory","authors":"Hakim Mhadhbi ,&nbsp;Andrew MacMillan ,&nbsp;Jerry Draper-Rodi ,&nbsp;Mathieu Ménard ,&nbsp;Niklas Sinderholm Sposato","doi":"10.1016/j.ijosm.2025.100752","DOIUrl":"10.1016/j.ijosm.2025.100752","url":null,"abstract":"<div><div>As osteopaths, many of us ideally endeavour to minimise biased interpretations when evaluating the pain and distress expressed by individuals seeking treatment. However, as a product of the society we live in, we acknowledge that various unconscious biases, including racial bias, may unintentionally and spontaneously influence our view of a patient's condition and perception of pain. This paper explores the intersection of Person-Centred Care (PCC) and racial biases through critical theory in the context of osteopathic practice. It emphasises the ethical duty of healthcare professionals to deliver PCC that recognizes individual experiences, values, needs, and abilities. Racial biases within healthcare settings are identified as contributors to disparities in access, quality, and outcomes. They can also lead to bias in the clinical decision-making process requiring attention in osteopathic clinical practice.</div><div>The critical theory framework allows for the identification of opportunities and barriers to implementing PCC and equity in osteopathic practice, highlighting factors such as the impact of implicit bias and structural barriers.</div><div>As a result, osteopaths are recommended to take a proactive approach through self-awareness, challenging personal beliefs and actively engaging in cultural humility to minimise racial biases. Osteopathic education could contribute to the cultivation of cultural humility and awareness in training programmes, fostering a passion for fair healthcare among future osteopathic professionals. Ultimately, the integration of critical theory and PCC through cultural humility is presented as an approach to promoting equitable healthcare that empowers individuals.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100752"},"PeriodicalIF":1.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132614","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 pain education delivered through telerehabilitation on pain and disability in patients with chronic musculoskeletal pain: A systematic review protocol","authors":"Gabriel Velho,&nbsp;Francisco Xavier de Araujo,&nbsp;Carlos Vicente da Silva,&nbsp;Jodelle Chagas Machado,&nbsp;Fabiana Cristina da Silva,&nbsp;Morten Sebastian Hoegh,&nbsp;Marcelo Faria Silva","doi":"10.1016/j.ijosm.2025.100751","DOIUrl":"10.1016/j.ijosm.2025.100751","url":null,"abstract":"<div><h3>Background</h3><div>Chronic musculoskeletal (MSK) pain is an urgent global public health concern. Pain education (PE) is an intervention used in the management of MSK pain. Traditionally delivered in-person, PE can be challenging for those in remote areas. Telerehabilitation has emerged as a viable alternative for providing pain management support. Despite the individual benefits of PE and telerehabilitation, no systematic review has evaluated the impact of these interventions combined on chronic MSK pain.</div></div><div><h3>Objective</h3><div>To systematically review the literature on the effects of pain education delivered through telerehabilitation on pain and disability in patients with chronic musculoskeletal pain.</div></div><div><h3>Methods</h3><div>This systematic review protocol will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement and is registered with the Prospective Register of Systematic Reviews (PROSPERO). We will systematically search the MEDLINE, PEDro, Cochrane Central Register of Controlled Trials, Scopus, Web of Science and EMBASE databases from their inception to present time. We will include only randomized controlled trials involving adults with chronic MSK pain, that received PE delivered through telerehabilitation. The primary outcomes will be pain and/or disability, while secondary outcomes will assess the impact of pain on daily living, workability and mental health. Two authors independently will select studies, rate risk of bias, extract data, and judge the overall certainty of evidence using Grading of Recommendations, Assessment, Development and Evaluation (GRADE). A structured narrative synthesis will be used for data analysis. When possible, quantitative findings will be pooled and meta-analyses will be performed.</div></div><div><h3>Discussion</h3><div>This review will comprehensively examine existing literature to identify research gaps and provide evidence to help clinicians make informed, evidence-based decisions for managing chronic musculoskeletal pain.</div></div><div><h3>Review registration</h3><div>CRD42024534188.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100751"},"PeriodicalIF":1.1,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132615","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}