International Journal of Osteopathic Medicine最新文献

{"title":"Five challenges for manual therapies trials with placebo controls: A proposal","authors":"Giandomenico D'Alessandro ,&nbsp;Nuria Ruffini ,&nbsp;Alessio Iacopini ,&nbsp;Marco Annoni ,&nbsp;Joe Kossowsky ,&nbsp;Francesco Cerritelli","doi":"10.1016/j.ijosm.2022.08.002","DOIUrl":"10.1016/j.ijosm.2022.08.002","url":null,"abstract":"<div><p>Randomised placebo-controlled trials (RCT) are implemented to determine whether a particular therapy is superior to placebo<span> and can thus be considered effective. However, adopting the standard RCT design in contexts other than pharmacological trials, such as manual therapy, may result in systematic biases. These biases may occur due to: the impossibility of traditional “double-blinding” in manual therapy trials; insufficient pre-training of operators delivering the treatment<span> and/or sham therapy; biased recruitment of study participants; the problematic use of subjective and/or objective outcomes; and finally, the presence of phenomena mimicking placebo effects. From the perspective of placebo studies, the purpose of this paper is to discuss and make appropriate recommendations to address these five issues in manual therapy research.</span></span></p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81065015","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 Portuguese osteopaths' attitudes towards a biomechanical or biopsychosocial model in the approach of chronic low back pain – A cross-sectional questionnaire-based survey","authors":"Mónica Dinis ,&nbsp;Catarina Silva ,&nbsp;Ricardo Cruz ,&nbsp;Jorge Esteves ,&nbsp;Alexandre Nunes","doi":"10.1016/j.ijosm.2022.06.001","DOIUrl":"10.1016/j.ijosm.2022.06.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>This study investigated the Portuguese Osteopaths attitudes towards a biomechanical or biopsychosocial approach of care </span>in patients with chronic low back pain (cLBP).</p></div><div><h3>Methods</h3><p>A cross-sectional questionnaire-based survey of Portuguese registered osteopaths was composed using sociodemographic determinants, the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) and Pain Attitudes and Beliefs for Physiotherapists (PABS-PT). The HC-PAIRS assesses the attitudes and beliefs about the functional expectations of patients with cLBP, and the PABS-PT assesses the dominant model of care.</p></div><div><h3>Results</h3><p>Portuguese registered osteopaths (n = 103) had mean PABS-PT subscale scores of 29.6 ± 7.7 [CI95% 28.12–31.14] (biomechanical) and 22.9 ± 5.3 [CI95% 21.88–23.94] (biopsychosocial). The mean HC-PAIRS total score was 52.4 ± 9.0 [CI95% 50.66–54.16]. There was a strong and positive correlation between the HC-PAIRS and the PABS-PT biomechanical subscale (n (103) = 0.55, p &lt; 0.001, and in PABS-PT a negative correlation between the biomechanical and biopsychosocial subscale scores (n(103) = -0.21, p = 0.028).</p></div><div><h3>Conclusions</h3><p>Portuguese osteopaths tend to adopt a biomechanical model of care instead of a biopsychosocial model in the management of patients with chronic low back pain. They seem to agree that chronic low back pain was due entirely to tissue damage, indicating strong biomechanical beliefs about the pain that may ultimately influence their clinical decisions.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75446815","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":"Acute effect of whole body-vibration exercise and osteopathic manipulative treatment on the heart rate variability in individuals with metabolic syndrome: Randomized cross-study protocol","authors":"D. Batouli-Santos ,&nbsp;A. Reis-Silva ,&nbsp;G.M. Guimarães-Lourenço ,&nbsp;R. Mendonça-Guimarães ,&nbsp;E. Moreira-Marconi ,&nbsp;A. Sonza ,&nbsp;M. Bernardo-Filho ,&nbsp;D.C. Sá-Caputo","doi":"10.1016/j.ijosm.2022.06.002","DOIUrl":"10.1016/j.ijosm.2022.06.002","url":null,"abstract":"<div><h3>Background</h3><p>Metabolic syndrome (MSy) is a risk factor for cardiovascular disease. The decrease in vagal activity has been related to the mechanism of MSy development. Recently, it has been proposed that the WBV exercise, as well as osteopathic manipulative treatment (OMT) stimulate cardiac autonomic modulation.</p></div><div><h3>Aim</h3><p>The aim of this study is to evaluate the acute effects of whole body-vibration (WBV) exercise and OMT on heart rate variability (HRV) in individuals with MSy.</p></div><div><h3>Methods</h3><p>Cross-sectional, randomized, cross-over study (one-week wash-out between interventions) and blinding analysis. Individuals with MSy will be randomized into 5 groups: 1) whole body-vibration exercise group (WBVG), 2) osteopathic manipulative treatment group (OMTG), 3) WBVG + OMTG, 4) OMTG + WBVG, 5) control group (CG). OMT will consist of suboccipital decompression technique, myofascial relaxation on cervical and diaphragm muscles. The HRV measurement will be done with the individual at rest, during the 2-min step test (2MST) and during interventions. After the treatment, the measurements will be repeated.</p></div><div><h3>Discussion</h3><p>The modulation of ANS is important in the management of MSy individuals. The investigation of intervention modalities to improve this modulation is necessary and it is expected that this protocol can promote this modulation and improve the HRV.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83179479","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 lumbo-pelvic functional behaviour patterns during osteopathic motion tests: A biomechanical (en)active inference approach to movement analysis","authors":"Mathieu Ménard ,&nbsp;Marien Couvertier ,&nbsp;Lea Awai ,&nbsp;Jorge E. Esteves ,&nbsp;Benoit Bideau ,&nbsp;Paul Vaucher","doi":"10.1016/j.ijosm.2022.05.001","DOIUrl":"10.1016/j.ijosm.2022.05.001","url":null,"abstract":"<div><h3>Background</h3><p>Observing how individuals actively adapt to their environment may provide additional insights into traditional clinical tests. Rather than using tests that only identify joint mobility limitations, it seems relevant to use clinical motion tests that assess global biomechanical functions more generally and identify functional behaviours.</p></div><div><h3>Objectives</h3><p>This study explores whether different functional kinematic behaviour patterns appear when executing a new complex motor task and whether those observations are consistent over multiple executions.</p></div><div><h3>Methods</h3><p>Marker-based kinematic analyses of the lumbo-pelvic complex were conducted on 29 asymptomatic athletes during two active self-induced motion tests: the one-sided tilt test and a modified version of this test limiting the trunk axial rotation. Marker data served as an input for a full musculoskeletal model to compute the lumbar and lower limb joint angles. Latent class analysis and intraclass correlation coefficients were calculated to identify different classes of functional kinematic behaviour and assess the reliability between measurements.</p></div><div><h3>Results</h3><p>The methodology allowed us to identify four distinctive classes of possible movement combinations based on these two functional tests: standard movement, low knee and lumbar engagement, high pelvis engagement and high lumbar flexion. All ICCs for the lumbo-pelvic complex degrees of freedom were higher than 0.6, suggesting a moderate to good reliability for the overall test.</p></div><div><h3>Conclusion</h3><p>It remains unknown whether the observed reproducible patterns emerging from the motion test relate to motivation and prior experiences. Further exploration is required to investigate whether these behaviours can be correlated to empirical clinical observations, past experiences, and future vulnerabilities for musculoskeletal conditions.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91071791","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 utilisation and attitudes to patient reported outcome measures by Australian osteopaths: A cross sectional study","authors":"Michael Fleischmann ,&nbsp;Gary Fryer","doi":"10.1016/j.ijosm.2022.07.003","DOIUrl":"10.1016/j.ijosm.2022.07.003","url":null,"abstract":"<div><h3>Objective</h3><p><span>Patient-reported outcome measures (PROMs) provide information on patients’ views of their symptoms, functional status, health related quality of life and are an important part of evidence-informed practice and patient-centred care. The utilisation of and attitudes to PROMs by Australian </span>osteopaths is unknown.</p></div><div><h3>Methods</h3><p>An online survey was designed to investigate the self-reported utilisation of PROMs by Australian osteopaths, including the frequency of use, the types of PROMs used, the features of PROMs are most useful, the attitudes towards PROMs, and the barriers and enablers for use of PROMs. The survey was a 14-item questionnaire that used a 5-point Likert scale or required free text answers. The effect of gender and years in practice was analysed using Mann-Whitney U tests. Effect sizes were calculated where possible.</p></div><div><h3>Results</h3><p>166 (male = 69, female = 97) osteopaths participated in the survey. Nearly half (47.6%) reported that pain scales were used ‘frequently’ or ‘always’, but there was less frequent use of PROMs other than pain scales (14.2%), except for third party paying patients (57.4%). Australian osteopaths reported using PROMs most frequently for patients with neck pain (31%) and low back pain (29%). The majority agreed PROMs were important for tracking improvement in patients (61%). The greatest barrier identified by osteopaths was the burden on consultation time.</p></div><div><h3>Conclusion</h3><p>This study highlighted only the minority of Australian osteopaths use PROMs frequently and consider them important. Professional organisations should consider professional development aimed to upskill and support practitioners in the efficient use of PROMs in practice.</p></div><div><h3>Implications for clinical practice</h3><p></p><ul><li><span>•</span><span><p>Nearly half (47.6%) of 166 osteopaths reported using pain scales ‘frequently’ or ‘always’, but there was a less frequent use of PROMs other than pain scales (14.2%), except for third party paying patients (57.4%).</p></span></li><li><span>•</span><span><p>The majority of osteopaths agreed that PROMs were important for tracking clinical improvement in patients (61%), although only 48% agreed that PROMs were important in osteopathic practice.</p></span></li><li><span>•</span><span><p>The greatest barrier identified by osteopaths to using PROMs was the burden on consultation time and most common enabler was the requirement of PROMs by third party payers.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82048700","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 clinician's guide to the management of geriatric musculoskeletal disease: Part 2 – Sarcopenia","authors":"Nicholas Tripodi ,&nbsp;Breanna Wright ,&nbsp;Amy Lawton ,&nbsp;Jesse Zanker ,&nbsp;Jack Feehan","doi":"10.1016/j.ijosm.2022.05.003","DOIUrl":"10.1016/j.ijosm.2022.05.003","url":null,"abstract":"<div><p>Sarcopenia<span><span>, the decrease of muscle mass and performance, is a growing health concern in the face of an ageing population. Sarcopenia is an important contributor to falls and fall related injury in older adults, and allied health musculoskeletal clinicians are well placed to play a key role in the prevention, diagnosis, and management of the disease. This masterclass aims to provide clinical confidence for musculoskeletal allied health professionals working with older adults to incorporate management of sarcopenia into their practice. Specifically it will focus on diagnosis of disease, appropriate and safe </span>therapeutic exercise prescription, as well as appropriate referral for these patients. We hope that equipping clinicians with skills and knowledge of sarcopenia directly translates into more effective prevention and management of disease, and improved patient outcomes in older age.</span></p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90208325","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":"Professional identity in osteopathy: A scoping review of peer-reviewed primary osteopathic research","authors":"Amanda R. Phillips","doi":"10.1016/j.ijosm.2022.06.005","DOIUrl":"10.1016/j.ijosm.2022.06.005","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1746068922000487/pdfft?md5=cb5bf0a0b5739be154f042641f39a363&pid=1-s2.0-S1746068922000487-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73861456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where do people acquire their beliefs about low back pain?","authors":"Ammar Suhail ,&nbsp;David C. Poulter","doi":"10.1016/j.ijosm.2022.06.004","DOIUrl":"10.1016/j.ijosm.2022.06.004","url":null,"abstract":"<div><p>Back pain<span> is a ubiquitous health issue across the globe. Beliefs of patients and health care providers play an important role in the development of chronic back pain and associated disability, as well as subsequent recovery. Recent published literature highlight that beliefs about back pain among the community and health care practitioners are inconsistent with current evidence. Presence of back pain myths negatively impacts individual's back-related behavior in general and may be amplified by the consulting health care provider. Our narrative of the sources of back pain is based on the current literature and reveals our position as practicing physiotherapists who are dealing with back pain patients.</span></p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78678806","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":"Doctors of Osteopathic Medicine (DO) and their potential impact on Canadian rural health care","authors":"Dylan S. Irvine ,&nbsp;Shaughnelene D. Smith ,&nbsp;Marta Telatin","doi":"10.1016/j.ijosm.2022.07.002","DOIUrl":"10.1016/j.ijosm.2022.07.002","url":null,"abstract":"<div><p>There are currently over 400 Canadian students studying at accredited Osteopathic Medical Schools in the United States, and the number of matriculants has been steadily rising annually [<span>1</span><span>]. In 2019–2020, there were approximately 100 Canadian Doctor of Osteopathic Medicine (DO) graduates and about 109 first-year matriculants [</span><span>1</span>,<span>2</span><span>]. With the increase of Canadian citizens training as Doctors of Osteopathic Medicine (DO) in the United States, it is essential to consider the positive effect this may have on the Canadian rural health care system and how these physicians can impact patients living in rural communities.</span></p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74070879","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 Osteopaths’ Therapeutic Approaches Questionnaire (Osteo-TAQ) - A content validity study","authors":"Oliver P. Thomson ,&nbsp;Brett Vaughan ,&nbsp;Kesava Sampath ,&nbsp;Jerry Draper-Rodi ,&nbsp;Michael Fleischmann ,&nbsp;Francesco Cerritelli","doi":"10.1016/j.ijosm.2022.07.001","DOIUrl":"10.1016/j.ijosm.2022.07.001","url":null,"abstract":"<div><h3>Background</h3><p>Osteopathy<span> requires reliable and valid research tools to generate evidence on the different aspects of practice including how osteopaths<span> approach the clinical care of patients. Such research will help the osteopathy profession understand its contribution to healthcare provision and communicate this to stakeholders. However, current quantitative tools to measure the different aspects of osteopathic practice are either focused on single pain conditions or developed from other health professional contexts.</span></span></p></div><div><h3>Aim</h3><p>The Osteopaths' Therapeutic Approaches Questionnaire (Osteo-TAQ) is a novel tool developed from qualitative research and aims to measure and describe multiple dimensions of osteopaths’ therapeutic approach to patient care. The aim of this study was to further develop the Osteo-TAQ to assess the content validity of the tool.</p></div><div><h3>Method</h3><p>A modified nominal group technique (NGT) was employed to establish whether the Osteo-TAQ items were consistent with the underlying construct and to ascertain the prevalence and strength of agreement amongst the expert group panel members (<em>N</em> = 11). A content validity index (CVI) was performed to obtain the evidence for the content validity for a revised version of the Osteo-TAQ.</p></div><div><h3>Results</h3><p>Two rounds of review and feedback by an expert panel as part of the NGT resulted in the revision of 13 of the 37 candidate items and refinement of the previously published Osteo-TAQ. Item CVI scores after phase 1 ranged from 0.44 to 1.0 and agreement was reached after two rounds. Data from the expert panel supports the content validity of the revised Osteo-TAQ items based on high levels of agreement with respect to coverage of the construct being measured.</p></div><div><h3>Conclusion</h3><p>This preliminary work to revise and refine the Osteo-TAQ resulted in a measure that is suitable for further testing as part of a validation research program.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87622767","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}