International Journal of Osteopathic Medicine最新文献

{"title":"Palpation and its learning: A professionalization approach to acquiring a complex skill","authors":"François Rosenzweig ,&nbsp;Rémi Feruglio ,&nbsp;Thibault Marin","doi":"10.1016/j.ijosm.2025.100792","DOIUrl":"10.1016/j.ijosm.2025.100792","url":null,"abstract":"<div><div>Palpation is a cornerstone of osteopathic practice, serving both diagnostic and therapeutic purposes. In France, the professionalization of osteopathy accelerated in 2014, when regulatory decrees mandated structured, competency-based teaching. This aligns with broader trends in science education emphasizing curriculum academization, professional collaboration, and skills-oriented learning. Among the six core competencies in osteopathy, “Performing an osteopathic intervention” includes palpation, assessed on precision, relevance, and clinical efficacy. Pedagogical guidelines underscore the need to regularly update teaching methods in light of scientific advances.</div><div>Physiologically, palpation involves complex neurobiological mechanisms. Specialized receptors in the fingertips process shape, pressure, and vibration, while affective touch engages psychoemotional dimensions that can influence therapeutic outcomes. Targeted training improves inter-examiner reproducibility and may even induce structural brain changes.</div><div>From an educational perspective, socio-constructivist and professionalization frameworks are particularly relevant. They highlight the interplay between individual development, guided practice, and communal learning. Students benefit from sensitive training and cognitive scaffolding that fosters reflection and skill refinement.</div><div>Beyond individual effort, peer learning and mentorship are equally vital. Interactions with teachers and peers nurture shared values, feedback, and role modeling, all of which reinforce confidence and self-efficacy. The emergence of a shared vocabulary and use of standardized tools further support diagnostic precision.</div><div>Ultimately, palpation is a technical skill embedded in social meaning and professional identity. Its development contributes to integrating learners into the osteopathic community of practice. As a structured, evidence-based, and patient-centered modality, palpation continues to evolve within a broader network of clinicians and educators.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100792"},"PeriodicalIF":1.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265926","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":"Association of neurovascular events with cervical manual therapy: A cohort study","authors":"John J. Fraser ,&nbsp;Elaine Lonnemann","doi":"10.1016/j.ijosm.2025.100782","DOIUrl":"10.1016/j.ijosm.2025.100782","url":null,"abstract":"<div><h3>Background</h3><div>Manual therapy is frequently used in the treatment of cervical-spine conditions. Due to the critical neurovascular structures in the cervical region, there are potential risks associated.</div></div><div><h3>Methods</h3><div>The PearlDiver Patient Record Database was used to evaluate a cohort of patients with cervical-spine conditions between 2007 and 2011 using International Classification of Disease codes (721.x, 722.x, 723.x, 739.1). Current Procedural Terminology codes were used to identify Manual Therapy Techniques (97140), Osteopathic Manipulation (98925–98927), and Chiropractic Manipulation (98940–98942). Medical encounters for Vertebral-Basilar Artery Syndrome or Transient Ischemic Attack (ICD-9435.x), Carotid or Vertebral Artery Dissection (ICD-9443.21 &amp; 443.24), Cerebral Artery Thrombosis or Embolus (ICD-9434.x), or Arterial Occlusion with or without Cerebral Infarct (ICD-9433.x) were assessed the same day, 14-days, 30-days, and 90-days following treatment exposure. For each event, prevalence ratios (PR) and 95 % confidence intervals (CI) were calculated comparing those receiving manual therapy to those not.</div></div><div><h3>Results</h3><div>4,781,968 unique patients (15.9 %) were diagnosed with a cervical-spine condition, with 2,477,117 (51.8 %) of these patients provided MT from 2007 to 2011. Patients provided MT had an 11 % increased prevalence of arterial occlusion observed within 90-days post-intervention (PR: 1.11 95 % CI 1.02–1.21, NNT Harm: 27,762) and a 11–45 % lower prevalence of being diagnosed with a neurovascular complication 30-days (PR: 0.89, 95 % CI 0.84–0.95), 14-days (PR = 0.82, 95 % CI 0.76–0.88), and the same day (PR: 0.55, 95 % CI 0.52–0.59) following treatment compared to patients not treated with MT.</div></div><div><h3>Conclusion</h3><div>This study presents population-level statistics on the occurrence of neurovascular complication after MT for cervical-spine conditions.</div></div><div><h3>Level of evidence</h3><div>Treatment, level 2a.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100782"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907309","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":"Specific osteopathic diagnosis of unilateral knee pain in an elite sprinter: a case report","authors":"Jérémie Mattatia,&nbsp;Axel Leplat,&nbsp;Sara Saiz","doi":"10.1016/j.ijosm.2025.100781","DOIUrl":"10.1016/j.ijosm.2025.100781","url":null,"abstract":"<div><div>This publication presents the case of a 25-year-old French high-level sprinter. He was referred for left gonalgia (knee pain), which had appeared during training a few weeks earlier and for which there was no clear traumatic cause. The athlete's medical team initially thought that he had suffered damage to his infrapatellar tendon. Despite implementing a combination of physiotherapy and allopathic medicine, the pain persisted and ultimately led to a state of disability. During the initial osteopathic consultation, the clinical examination was not very informative and did not reveal any pathognomonic signs. However, it appeared that the patient had external rotation of the tibia below the femur on the left, firmly maintained by a clear asymmetry of tone between the biceps femoris and the other left hamstrings. In the search for an aetiology, this asymmetry was explored with the sprinter's physical training staff. The athlete and his team of physical trainers determined that he was approaching curved trajectories with the left foot a little too wide open, causing shearing of the knee joint complex. Remediation of the running movements subsequently resolved the pain. The authors advocate for greater emphasis on functional diagnosis in osteopathic treatment.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100781"},"PeriodicalIF":1.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913614","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":"Development of a research mentorship program for Australian osteopaths","authors":"Shamona Eaves ,&nbsp;Amie Steel","doi":"10.1016/j.ijosm.2025.100779","DOIUrl":"10.1016/j.ijosm.2025.100779","url":null,"abstract":"<div><div>Current initiatives to support osteopathic clinicians’ endeavours to increase their research engagement are lacking. Following investigation of current mentorship programs run by professional, health, and academic institutions in addition to available literature, Osteopathy Australia established a formal mentorship program to support and facilitate the research interests of osteopaths in Australia. This manuscript describes the development of this program, including criteria for both mentors and mentees, the participant matching process, mentor and mentee training, the role of the organisation, and plans for program evaluation. The program is expected to promote research culture in osteopathy by building research engagement among osteopaths and enhancing networking and research collaboration opportunities between osteopaths and established health researchers across Australia. Implementation and evaluation of the voluntary program will occur between 2023 and 2024. Feedback received from participants is expected to be incorporated into changes in ongoing rounds to ensure continuous quality improvement of the program.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100779"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771326","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":"Comparing the effects of home exercise programmes and supervised exercise therapy on functional disability in adults with chronic non-specific low back pain. A Systematic Review of Randomised Controlled Trials","authors":"André Ingebrigtsen ,&nbsp;Robert Froud ,&nbsp;Jo Andreas Gundersen","doi":"10.1016/j.ijosm.2025.100778","DOIUrl":"10.1016/j.ijosm.2025.100778","url":null,"abstract":"<div><h3>Background:</h3><div>Low back pain is the highest contributor to years lived with disability. Many patients experience symptoms lasting over 12 weeks, often without a specific pathology. It remains unclear whether one type of exercise is superior for treating chronic non-specific low back pain (CNSLBP), and few trials have explored whether the exercise setting influences outcomes.</div></div><div><h3>Objective:</h3><div>To compare the effects of home exercise programmes (HEP) and supervised exercise therapy (SE) on functional disability in adults with CNSLBP.</div></div><div><h3>Method:</h3><div>MEDLINE, Embase and PEDro were searched for randomised controlled trials (RCTs) evaluating adults (18–65 years) with CNSLBP lasting more than 12 weeks. Trials had to compare SE and HEP effects on functional disability. Databases were searched from inception to January 17^th, 2023. Quality was assessed with Cochrane Risk of Bias 2.0 tool (RoB2). A narrative synthesis was conducted.</div></div><div><h3>Results:</h3><div>Database search resulted in 2310 hits. 119 were screened in full text, and seven RCTs were included in this review. Most trials were of low quality, scoring either “high risk” or “some concerns” on RoB2. SE was more effective than HEP in four trials, with Cohen’s d effect sizes ranging from near-medium to very large (<span><math><mrow><mi>d</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>43</mn></mrow></math></span> to 1.12) and statistical significance varying from non-significant (i.e. <span><math><mo>&gt;</mo></math></span> 0.05) to strong (i.e. <span><math><mo>&lt;</mo></math></span> 0.01).</div></div><div><h3>Conclusions:</h3><div>There is some evidence that supervised exercise may be more effective than home exercise for improving functional disability in adults with CNSLBP. However, the quality of the trials was low. Higher quality trials are needed to establish definitive conclusions.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100778"},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019455","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":"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":"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.2025.100777","DOIUrl":"10.1016/j.ijosm.2025.100777","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effectiveness of three manual therapy protocols (Jones, Lewit, and Chaitow) with a sham group in terms of pain pressure threshold and intensity.</div></div><div><h3>Participants</h3><div>Fifty-two physiotherapy bachelor students with neck pain lasting more than 3 days were recruited.</div><div>Outcomes: Pain was assessed with Numerical Rating Scale and Pressure Algometer, while cervical range of motion was evaluated with the Baiobit Inertial sensor.</div></div><div><h3>Intervention</h3><div>An investigator, independent of the assessment and randomization, conducted all the interventions and sham procedures. Specifically, the Jones group received pincer palpation with a 1-min duration of ischemic compression, followed by 90 s of the no-pain Strain-Counterstrain technique. The Lewit group underwent flat palpation for 1 min, accompanied by 40 s of intermittent compression and post-isometric relaxation. The Chaitow group received deep palpation for 1 min, followed by the pressure release position lasting 20 s to 1 min, concluding with the muscle energy technique. The Sham group received only flat palpation and a 3-min homolateral muscle shortening position.</div></div><div><h3>Results</h3><div>Effects for all three techniques (Chaitow/Lewit/Jones) when comparing them to sham were not significant on pain intensity (−0.96/−1.01/−0.63) or on pressure threshold (−0.5/−0.4/−0.19). No adverse events or undesirable effects were observed during the study.</div></div><div><h3>Conclusion</h3><div>Immediate effects on pain intensity and pressure threshold are not directly attributable to any of the three tested trigger techniques.</div></div><div><h3>Clinical trial registration number id</h3><div>NCT05265468.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100777"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867310","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":"Exploring scholarship in osteopathic education: A qualitative study of faculty perspectives at a United Kingdon institution","authors":"Jerry Draper-Rodi ,&nbsp;Payal Sood ,&nbsp;Carol Fawkes","doi":"10.1016/j.ijosm.2025.100776","DOIUrl":"10.1016/j.ijosm.2025.100776","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100776"},"PeriodicalIF":1.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522499","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":"Osteopathy educators' and researchers’ perspectives on artificial intelligence in academia: A cross-sectional study","authors":"Hakim Mhadhbi ,&nbsp;Jerry Draper Rodi ,&nbsp;Giacomo Consorti ,&nbsp;Ana Paula Antunes Ferreira ,&nbsp;Lluís M. Horta ,&nbsp;Sandra Rinne ,&nbsp;Paul Vaucher ,&nbsp;Mathieu Ménard","doi":"10.1016/j.ijosm.2025.100774","DOIUrl":"10.1016/j.ijosm.2025.100774","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) is increasingly being integrated into healthcare education and research, yet little is known about how AI is perceived within osteopathy. To the best of our knowledge, this is the first cross-sectional study to examine AI perspectives specifically among osteopathic educators and researchers, providing fresh insights into technology adoption within this healthcare discipline.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted between December 2023 and February 2024 among osteopathic educators and/or researchers through snowball sampling. The survey collected data on AI-related knowledge, usage in educational and research contexts, attitudes toward AI, perceived risks, and necessities challenges. Principal Component Analysis (PCA) was used to validate the structure of the survey. Demographic factors such as age, gender, occupation, and academic qualifications were analysed in relation to scores.</div></div><div><h3>Results</h3><div>190 respondents from 18 countries completed the survey. Participants demonstrated positive attitudes toward the role of AI in education and research, but acknowledged limited proficiency in its use. Usage of AI was higher among younger, male participants, with AI primarily used for personal organisation and research. Concerns about AI included risks of bias, over-reliance on technology, and potential replacement of human judgment. Participants with educational roles expressed fewer concerns about AI's risks compared to those outside of education. Knowledge of AI was not correlated with demographic factors, but attitudes and concerns about risks varied with age.</div></div><div><h3>Conclusion</h3><div>Osteopathic educators and researchers view AI as a beneficial tool for teaching and research, but face challenges in its effective implementation due to concerns about technology replacing human expertise and biases. Training, institutional support, and ethical guidelines are essential to foster the responsible integration of AI in osteopathy.</div></div><div><h3>Implications for practice</h3><div><ul><li><span>●</span><span><div>AI is underutilised in osteopathic education and research despite positive attitudes towards its potential.</div></span></li><li><span>●</span><span><div>Educators are less concerned about AI risks, positioning them as key facilitators of responsible assimilation.</div></span></li><li><span>●</span><span><div>Institutional policies should provide clear AI usage guidelines while addressing ethical and validity concerns.</div></span></li><li><span>●</span><span><div>AI should support, not replace, human expertise, ensuring critical thinking remains central in education and research.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100774"},"PeriodicalIF":1.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313292","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 letter to the Editor “Repositioning menstrual pain management: Multidisciplinary collaboration and cultural sensitivity as key priorities” about the article “Conesa-Albaladejo, M., Espí-López, G. V., Martínez-Graullera, E., & Arnal-Gómez, A. (2025). Potential effects of combining osteopathic manual therapy and menstrual awareness on pain and associated symptoms in women with primary dysmenorrhea: A randomized clinical trial. International Journal of Osteopathic Medicine, 56, 100761”","authors":"Gemma Victoria Espí-López","doi":"10.1016/j.ijosm.2025.100775","DOIUrl":"10.1016/j.ijosm.2025.100775","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100775"},"PeriodicalIF":1.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907310","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":"Understanding specific, contextual and non-specific effects in osteopathy","authors":"Nicholas Tripodi ,&nbsp;Amy Lawton ,&nbsp;Daniel Corcoran ,&nbsp;Jack Feehan","doi":"10.1016/j.ijosm.2025.100773","DOIUrl":"10.1016/j.ijosm.2025.100773","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100773"},"PeriodicalIF":1.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313293","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}