International Journal of Osteopathic Medicine最新文献

{"title":"WITHDRAWN:Regards 'What is wrong with osteopathy' Oliver P Thomson, Andrew MacMillan, IJOM, 13th March 2023","authors":"S. Barlow","doi":"10.1016/j.ijosm.2023.100674","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100674","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"29 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80354881","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":"“It's all about the story”. Osteopaths' experiences of exploring menopausal symptoms: A qualitative interview study","authors":"Nicoletta Gelli,&nbsp;Hilary Abbey","doi":"10.1016/j.ijosm.2023.100657","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100657","url":null,"abstract":"<div><h3>Background</h3><p>The prevalence of natural menopause means that middle aged women seeking osteopathic treatment are likely to have symptoms, but it is unknown how osteopaths explore and give advice about it.</p></div><div><h3>Aim</h3><p>To explore osteopaths’ experiences of screening for symptoms of menopause and providing advice to climacteric patients.</p></div><div><h3>Methods</h3><p>Elements of interpretative Grounded Theory, via semi-structured interviews with a purposive sample of six experienced osteopaths and constant comparative analysis to identify themes.</p></div><div><h3>Results</h3><p>Three themes emerged: <em>Breaking the ice -</em> describing the menopause as a sensitive topic with social, personal, and professional barriers to explore it; <em>Personal - not so personal</em> - revealing the influence of practitioners' personal experiences of the menopause; and <em>Storytelling -</em> illustrating osteopaths’ narratives about patient interactions.</p></div><div><h3>Conclusions</h3><p>The three themes combined flexibly to form partially overlapping therapeutic approaches, underpinned by participants' personal experience of the menopause and conception of osteopathy. <em>Sharing Stories,</em> where personal disclosure is leveraged to enhance the rapport, with links to the Communicator therapeutic approach; <em>Telling Stories,</em> where the absence of personal experience led to a de-personalised narrative and elements of the Treater approach; and <em>Changing the Story</em>, where personal experience plays no role and the focus is on patients’ empowerment (Educator approach). Further research is needed to explore findings on osteopaths without personal experience of menopause and to evaluate osteopaths’ training to address sensitive topics.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"48 ","pages":"Article 100657"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49904197","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":"What's wrong with osteopathy?","authors":"Oliver P. Thomson ,&nbsp;Andrew MacMillan","doi":"10.1016/j.ijosm.2023.100659","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100659","url":null,"abstract":"<div><p>This commentary critically examines the foundational assumptions, practices and claimed distinctiveness upon which osteopathy was built and continues to be structured. Five areas which are considered to be highly problematic for osteopathy, namely its weak theoretical basis, inherent biomedicalism, monointerventionism, default practitioner-centredness and predilection for implausible mechanisms. It is argued that these areas require considerable reflection and action as if not remedied, they constitute a major threat to the development, unity and legitimacy of the osteopathic profession. Ongoing reconceptualisation of underpinning theories, assumptions and associated skills informed by current evidence and knowledge from disciplines outside of the osteopathic domain is necessary for professional maturation.</p></div><div><h3>Implications for practice</h3><p></p><ul><li><span>•</span><span><p>Osteopathy's weak theoretical basis, biomedicalism, monointerventionism, practitioner-centredness and implausible mechanisms are problematic.</p></span></li><li><span>•</span><span><p>These constitute a major threat to the development, unity and legitimacy of osteopathy.</p></span></li><li><span>•</span><span><p>Ongoing critical reflection, practice reconceptualisation and research are needed for professional maturation.</p></span></li><li><span>•</span><span><p>Osteopaths should draw on theory and evidence from outside the osteopathic domain.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"48 ","pages":"Article 100659"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49904199","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":"Dose-response of talus mobilizations in weight bearing ankle dorsiflexion ROM of the older adults with limited ankle mobility: A randomized clinical trial","authors":"Catalina Tolsada-Velasco ,&nbsp;David Hernández-Guillén ,&nbsp;Irene Borja-de-Fuentes ,&nbsp;Elena Costa-Moreno ,&nbsp;Carmen García-Gomáriz ,&nbsp;José-María Blasco","doi":"10.1016/j.ijosm.2023.100670","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100670","url":null,"abstract":"<div><h3>Background</h3><p>Although manual therapy is an effective technique for increasing ankle range of motion, the dose-response required is unclear.</p></div><div><h3>Objective</h3><p>To find out what number of sessions of talus mobilizations will induce a detectable change in weight bearing ankle dorsiflexion range of motion of older adults with limited ankle mobility.</p></div><div><h3>Design</h3><p>Four-arm randomized clinical trial.</p></div><div><h3>Setting</h3><p>Community-dwelling.</p></div><div><h3>Methods</h3><p>62 older adults; aged over 60; with ankle dorsiflexion ROM below 35°. Four groups received from one to four treatment sessions. Each session consisted of 3 mobilizations of 30 s, with of the talus in anteroposterior glide, with a rest of 30 s. Grade IV mobilizations were applied to target the accessory movement of the ankle up to the resistance offered by periarticular tissues. The Lunge test was used to measure weight bearing ankle dorsiflexion.</p></div><div><h3>Results</h3><p>The four groups increased their ankle mobility after one session, but two sessions were needed to overcome the established 4.7°’ threshold, regardless of group. Only those participants who received four sessions maintained the improvements for 8 weeks.</p></div><div><h3>Conclusions</h3><p>Two sessions of talus mobilizations are effective in improving weight bearing ankle dorsiflexion ROM. It will be necessary to deliver four sessions of treatment if these improvements are to be maintained for at least 8 weeks.</p></div><div><h3>Clinical trial registration number</h3><p><span>NCT04563663</span><svg><path></path></svg>.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100670"},"PeriodicalIF":1.9,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875066","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":"Construct validity and reliability of a test for sacroiliac dysfunction: Downing test","authors":"Rafael P. Ribeiro ,&nbsp;Filipe G. Guerrero ,&nbsp;Eduardo N. Camargo ,&nbsp;Luiza R. Pivotto ,&nbsp;Mateus A. Aimi ,&nbsp;Cláudia T. Candotti ,&nbsp;Jefferson F. Loss","doi":"10.1016/j.ijosm.2023.100669","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100669","url":null,"abstract":"<div><h3>Background</h3><p>Low back pain is the main cause of global disability, with 13–30% of patients with low back pain reporting pain in the sacroiliac joint (SIJ). One of the clinical tests available for assessing SIJ mobility is the Downing test. However, information about the reliability and validity of this test is scarce in the scientific literature.</p></div><div><h3>Objectives</h3><p>To evaluate the construct validity and intra and inter-rater reliability of the Downing test.</p></div><div><h3>Methods</h3><p>Prospective study, in which the sample consisted of 30 individuals of both sexes. The evaluation team was composed of 5 researchers. The evaluations took place on two different days: (1st day) inter-rater reliability and construct validity; (2nd day) intra-rater reliability. The reference standard used for construct validity was three-dimensional measurements, using the BTS Smart-DX system. Statistical analysis: the percentage (%) agreement and the kappa statistic (k) were used.</p></div><div><h3>Results</h3><p>Moderate agreement was found for construct validity for the conclusion of the test (% agreement = 54.5%; k = 0.43; p &lt; 0.01) and intra-rater reliability (% agreement = 66.7%; k = 0.43; p &lt; 0.01). However, agreement was poor for inter-rater reliability (% agreement = 16.7%; k = 0.15; p &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>The construct validity of the Downing test was confirmed, only for the conclusion of the test, and it is reliable when applied by the same rater to healthy people, even if the rater has only 2 years of experience. The test is unreliable when it is performed by different raters. We suggest further studies that investigate the measurement properties of the Downing test, especially in symptomatic patients.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100669"},"PeriodicalIF":1.9,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875060","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 effect of lumbopelvic manipulation on electromyography parameters of gluteus medius and vastus medialis in patients with patellofemoral pain syndrome: A double-blind, placebo-controlled trial","authors":"Tahere Zafarian ,&nbsp;Mohammad Taghipour ,&nbsp;Soraya Khafri ,&nbsp;Masoud Bahrami ,&nbsp;Khodabakhsh Javanshir","doi":"10.1016/j.ijosm.2023.100667","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100667","url":null,"abstract":"<div><h3>Background</h3><p>Patellofemoral Pain Syndrome is the most common cause of anterior knee pain, especially in active young people<strong>.</strong> This study aimed to evaluate the effect of lumbopelvic manipulation on electromyography parameters of gluteus medius and vastus medialis in patients with patellofemoral pain syndrome.</p></div><div><h3>Methods</h3><p>In this double-blind placebo-controlled randomized clinical trial study, 26 patients with a diagnosis of patellofemoral pain syndrome were randomly divided into two groups. The first group received Lumbopelvic manipulation and the second group was a control group that received placebo manipulation. Electromyography activity of vastus medialis and gluteus medius muscles were evaluated as primary outcomes during the single-leg squat; pain intensity during rest and functional tasks (step up, step down, single leg squat) were assessed by numerical pain rating scale. Functional status was evaluated by step-down test and the score of the Kujala patellofemoral questionnaire, as secondary outcomes. All evaluations were performed before and after the intervention, except pain intensity at rest and the Kujala patellofemoral questionnaire that were assessed before the intervention and one week after.</p></div><div><h3>Result</h3><p>In both groups, no significant difference was observed before and after the intervention in terms of average amplitude and the onset of gluteus medius and vastus medialis. However, in the lumbopelvic manipulation group, pain intensity during rest and functional tests significantly decreased compared to the control group. Functional status significantly improved in the lumbopelvic manipulation group, with no significant difference between group comparisons.</p></div><div><h3>Conclusion</h3><p>Lumbopelvic manipulation caused a reduction in pain intensity and improvement of functional status in the rehabilitation of patients with patellofemoral Pain Syndrome. However, it seems that this method could not change the EMG activity of muscles in these patients.</p></div><div><h3>Implications for practice</h3><p></p><ul><li><span>•</span><span><p>The results of present study can help physiotherapists to understand the possible underlying pathomechanics of patellofemoral pain syndrome and more effective treatment of these group of patients.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100667"},"PeriodicalIF":1.9,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875111","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":"Investigating the current published literature where osteopathic manual therapy is used as an intervention: A scoping review","authors":"Harmony Ryan,&nbsp;Tim Friedlander,&nbsp;Helen Anderson,&nbsp;Jesse Mason","doi":"10.1016/j.ijosm.2023.100665","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100665","url":null,"abstract":"<div><h3>Background and objective</h3><p>Research is a fundamental component of evidence-based practice. This scoping review will explore what peer reviewed empirical studies have been published between January 2010–March 2021 where osteopathic manual therapy (OMT) is used as an intervention. A deeper understanding of what research comprises the osteopathic body of literature may support osteopaths in their clinical decision making process.</p></div><div><h3>Methods</h3><p>A 5-stage scoping review framework was followed. Finalised search terms were applied to four databases: PubMed, ScienceDirect, EBSCO and BASE. Reference lists of yielded articles were checked until evidence saturation occurred. Extraction fields included author, year of publication, study population and sample size, methodology, intervention, and comparator. Articles were also grouped into 10 broad categories based on the overarching topic of exploration.</p></div><div><h3>Results</h3><p>A total of 292 studies were included for review, 189 studies were determined as quantitative research with three qualitative and one mixed methods study. The remaining studies comprised 78 case report/case series and 24 systematic reviews. Musculoskeletal, neurological and paediatric categories made up 64% of the total literature.</p></div><div><h3>Conclusion</h3><p>The osteopathic literature is largely dominated by quantitative research. Yielded studies covered a range of topics. However, the number of isolated research publications gives a fragmented impression of the literature and research gaps suggest inconsistent coverage in some areas. Osteopathic research may benefit from a more considered research agenda where research is methodically generated to fill contextual gaps in the literature.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100665"},"PeriodicalIF":1.9,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875108","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":"Work from home-related musculoskeletal pain during the COVID-19 pandemic: A rapid review","authors":"Ivan Neil Gomez ,&nbsp;Consuelo G. Suarez ,&nbsp;Ken Erbvin Sosa ,&nbsp;Maria Lourdes Tapang","doi":"10.1016/j.ijosm.2022.12.001","DOIUrl":"10.1016/j.ijosm.2022.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>This rapid review explores the prevalence of musculoskeletal pain symptoms associated with work from home conditions during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>We conducted a rapid review across three databases (i.e., PubMed, Medline, and CINAHL) for observational studies that report on the musculoskeletal functions among individuals placed in a work from home setup due to the COVID-19 pandemic, published between December 2019–August 2021. Two independent review authors searched, appraised, and extracted data from the articles included in the final review. A descriptive approach was used to synthesize the narrative evidence.</p></div><div><h3>Results</h3><p>Forty-four articles were initially identified. A total of six (n = 6) studies met the full inclusion criteria and were included. Among them, there were five cross-sectional studies and one case-control study. The highest prevalence reported were neck pain (20.3–76.9%), low back pain (19.5–74.1%), and shoulder pain (3.0–72.9%). The most common instrument used was the Nordic Musculoskeletal Questionnaire. One of the common professions that report musculoskeletal pain symptoms associated with work from home conditions were individuals working in the academic sector.</p></div><div><h3>Conclusion</h3><p>The increased prevalence of musculoskeletal pain symptoms associated with work from home conditions during the COVID-19 pandemic is a concern that should be addressed to prevent negative neuromusculoskeletal outcomes.</p></div><div><h3>Systematic review registration</h3><p>This review is in the Open Science Framework registry (osf.io/vxs4w) and the PROSPERO database (CRD42021266097).</p></div><div><h3>Implications for practice</h3><p></p><ul><li><span>•</span><span><p>A system in the workplace should be developed for the early detection of musculoskeletal pain.</p></span></li><li><span>•</span><span><p>Apart from standard occupational safety and proper ergonomic, sustainable policies and programs that address the mental health issues of employees should also be addressed.</p></span></li><li><span>•</span><span><p>Programs addressing musculoskeletal pain should be available online for employees to address accessibility and ubiquity.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"47 ","pages":"Article 100654"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10492806","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":"The role of 3D digital applications in manual therapy education – A scoping review","authors":"Kesava Kovanur Sampath ,&nbsp;Ashokan Arumugam ,&nbsp;Gwendolen Jull","doi":"10.1016/j.ijosm.2022.10.007","DOIUrl":"https://doi.org/10.1016/j.ijosm.2022.10.007","url":null,"abstract":"<div><h3>Background</h3><p>Currently, teaching methods for developing physical assessment and palpation skills in manual therapy is challenging for both learners and educators. 3D digital technologies such as virtual reality (VR) may facilitate and/or address these challenges. However, their current usage in improving learning outcomes in manual therapy education is unknown.</p></div><div><h3>Methods</h3><p>The following electronic databases were searched from Jan 2005 to April 2021: PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), Science Direct and Google Scholar. Two independent reviewers reviewed the articles to assess for eligibility. Studies of any methodology that investigated the use or application of the 3D digital applications were included in the review. Primary outcomes included any outcome related to learning based on the updated Blooms taxonomy. Narrative synthesis was used to synthesize data from the included studies.</p></div><div><h3>Results</h3><p>A total of 4 articles were included in the final review. The main findings were classified into the following key concepts: (1) perception of tissue stiffness, (2) improved student self-efficacy in performing MT techniques, and (3) barriers and facilitators for utilizing 3D technologies. All included outcomes met understanding, applying, analysing and evaluating levels of Blooms taxonomy; however, no outcomes met the ‘creating’ level of Bloom's taxonomy.</p></div><div><h3>Discussion</h3><p>Our review found that there are no AR, VR or mixed applications that specifically serve the needs of MT education in relation to joint motion assessment, but applications are available that can be readily used or potentially adapted to train skills of tissue palpation.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"47 ","pages":"Article 100645"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49899051","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 intervention for infants with breastfeeding difficulty: A retrospective case series","authors":"Kirsty Greenwood ,&nbsp;Roger Engel ,&nbsp;Sandra Grace","doi":"10.1016/j.ijosm.2022.11.005","DOIUrl":"https://doi.org/10.1016/j.ijosm.2022.11.005","url":null,"abstract":"<div><h3>Background</h3><p>The importance of breastfeeding and its effect on reducing the burden of disease is recognised globally. The physical aspect of successful breastfeeding is multifactorial and requires maternal comfort and confidence and an infant's ability to latch and maintain intra-oral sucking functions. Infants need to have sufficient function of their musculoskeletal system to maintain positioning and attachment.</p></div><div><h3>Objectives</h3><p>The primary aim was to investigate the effect of osteopathic intervention on mothers and infants with breastfeeding difficulty. The secondary aim was to record the musculoskeletal dysfunctions found in those infants.</p></div><div><h3>Design</h3><p>A retrospective case series of de-identified patient files.</p></div><div><h3>Setting</h3><p>Osteopathic private practice.</p></div><div><h3>Methods</h3><p>A Breastfeeding Self-Efficacy Scale and Visual Analogue Scale for maternal pain while feeding, ability to latch, ability to maintain latch and noise while feeding were completed before and after osteopathic intervention.</p></div><div><h3>Participants</h3><p>Eighteen mother-infant-dyad files were retrospectively reviewed.</p></div><div><h3>Results</h3><p>Following an average of five osteopathic treatments over 7.4 weeks, all 18 mother-infant-dyads noted improvement in breastfeeding confidence and/or improvements in the ability to latch and maintain latch, maternal pain at the breast and infant noise while feeding. The greatest improvements were seen in the seven mother-infant dyads identified at risk of ceasing breastfeeding at baseline (p=&lt;0.001).</p></div><div><h3>Conclusion</h3><p>This study provides evidence that osteopathic intervention may be capable of delivering benefits in breastfeeding confidence and function. Our results also indicate that osteopathic intervention may benefit mothers at risk of ceasing breastfeeding. Further research, including prospective clinical trials with a comparator group, is warranted.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"47 ","pages":"Article 100652"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49899055","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}