{"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 , Haixin Wei , 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}
Jasemin Todri, Orges Lena, Carolina Vázquez-Villa, Juan Martínez-Fuentes, Alberto Ciferri, María Antonia Murcia-González
{"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, Orges Lena, Carolina Vázquez-Villa, Juan Martínez-Fuentes, Alberto Ciferri, 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}
Jasemin Todri, Orges Lena, Carolina Vázquez-Villa, Juan Martínez-Fuentes, Alberto Ciferri, María Antonia Murcia-González
{"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, Orges Lena, Carolina Vázquez-Villa, Juan Martínez-Fuentes, Alberto Ciferri, 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}
Kristine Johnston , Regina Chow , Matthew Rubinstein , Madyson Burtner , Sarah Hollander , Anne Humm , Lucy Chen , Megan DeArmond , Sherli Koshy-Chenthittayil , Cheryl Hightower
{"title":"Effects of osteopathic manipulative treatment on cardiovascular function: a systematic review and meta-analysis","authors":"Kristine Johnston , Regina Chow , Matthew Rubinstein , Madyson Burtner , Sarah Hollander , Anne Humm , Lucy Chen , Megan DeArmond , Sherli Koshy-Chenthittayil , 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 >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 (>24 h) effects of OMT and those measuring endocrine variables, skin temperature and conductance, and cardiac output appeared in <3 studies. There were no short-term (<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, Hariharan Srinivasan, Aishwarya Biradar, 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}
Romy Settbon Moore , Maya Krasnik Rawlings , Steven Vogel
{"title":"The association between exposure to adverse childhood experiences and the risk of developing autoimmune rheumatic disease: A systematic review","authors":"Romy Settbon Moore , Maya Krasnik Rawlings , 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":"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, Manu Goyal, Aditi Popli, Rohan Kumar Sahu, Devendra Kumar Dhruv, 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}
{"title":"From guidelines to practice: collective learning through clinical audit of the IFOMPT cervical framework","authors":"Daniel Bailey , Jerry Draper-Rodi","doi":"10.1016/j.ijosm.2025.100807","DOIUrl":"10.1016/j.ijosm.2025.100807","url":null,"abstract":"<div><h3>Background</h3><div>The International Federation of Manual and Musculoskeletal Physical Therapists Incorporated (IFOMPT) cervical framework provides evidence-based guidance for assessing patients with cervical pain to identify potential vascular pathologies. However, implementation of clinical frameworks by practitioners remains challenging.</div></div><div><h3>Objective</h3><div>To evaluate current implementation levels of the IFOMPT framework amongst osteopaths and assess the impact of an intervention that used clinical audit and group discussion to improve framework implementation.</div></div><div><h3>Methods</h3><div>An audit utilising a pre-post design was conducted with practising osteopaths who participated in structured workshops and webinars addressing vascular causes of cervical pain. Participants conducted clinical audits of their patient records before and at least three months after attending the Continuing Professional Development (CPD) event. Changes in implementation rates were analysed using descriptive statistics and chi-square.</div></div><div><h3>Results</h3><div>One hundred and fifty-six osteopaths completed the initial audit for 453 patients, and 67 osteopaths completed the reaudit for 123 patients. There were no significant differences in the age, gender, clinical role, or years in practice between osteopaths taking part in the initial audit and reaudit. For nine out of the 13 IFOMPT framework criteria featured in the audit, there was a significant increase (p=<0.05) in the criteria being recorded as ‘fully completed’ in the patients records at the follow-up audit compared to the initial audit.</div></div><div><h3>Conclusion</h3><div>A structured CPD activity incorporating clinical audit can effectively improve osteopaths' implementation of the IFOMPT framework. This study provides novel evidence for enhancing clinical framework implementation amongst osteopaths, with significant implications for continuing professional development design across manual therapy professions.</div></div><div><h3>Implications for practice</h3><div><ul><li><span>•</span><span><div>Osteopaths fully or partially recorded IFOMPT framework information for the majority (>50 %) of their patients' notes across key criteria.</div></span></li><li><span>•</span><span><div>Bespoke learning approaches are essential for supporting clinicians, as practices can vary considerably.</div></span></li><li><span>•</span><span><div>Clinical audit could potentially address implementation gaps identified in educational settings.</div></span></li><li><span>•</span><span><div>Osteopaths should consider the use of blood pressure and cranial nerve examination in the assessment of cervical pain patients.</div></span></li><li><span>•</span><span><div>Osteopaths should consider familiarising themselves safety netting and recording the process routinely in the patients' notes.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"59 ","pages":"Article 100807"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420735","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}