International Journal of Osteopathic Medicine最新文献

{"title":"Does manual therapy improve pain, disability, and glenohumeral motion in overhead athletes? Systematic review and meta-analysis","authors":"Sávio Douglas Ferreira Santana ,&nbsp;Vander Gava ,&nbsp;Valéria Mayaly Alves de Oliveira ,&nbsp;Gabriel Alves dos Santos ,&nbsp;Tássio Augusto Soares Lima ,&nbsp;Danilo Harudy Kamonseki","doi":"10.1016/j.ijosm.2025.100747","DOIUrl":"10.1016/j.ijosm.2025.100747","url":null,"abstract":"<div><h3>Objectives</h3><div>To systematically review the effects of manual therapy (MT) on pain intensity, disability, internal rotation (IR), external rotation (ER), and horizontal adduction (HA) range of motion (ROM) in overhead athletes.</div></div><div><h3>Data sources</h3><div>Databases (Medline, EMBASE, SPORTDiscus, CINAHL, CENTRAL, Web of Science, and SCOPUS) were searched from inception up to May 2023.</div></div><div><h3>Study selection</h3><div>Randomized controlled trials (RCTs) comparing MT to a non-treatment group or other treatment groups were selected.</div></div><div><h3>Data extraction</h3><div>Two reviewers independently selected RCTs that investigated the effects of MT on pain intensity, disability, IR, ER, and HA ROM.</div></div><div><h3>Data synthesis</h3><div>Mean difference or Standardized Mean Differences, along with 95 % confidence intervals, were calculated for the meta-analysis of each outcome of interest. The level of evidence was synthesized using GRADE.</div></div><div><h3>Results</h3><div>Twelve RCTs were included, with a pooled sample of 401 athletes. MT was not superior (p &gt; 0.05) to no treatment in improving pain, disability, IR ROM, and ER ROM, but it was superior to no treatments in improving HA. MT was not superior (p &gt; 0.05) to other treatments in improving ER ROM and HA ROM, but it was superior other treatments in improving IR ROM and disability. Those findings were based on very low certainty of evidence.</div></div><div><h3>Conclusion</h3><div>MT may not effectively improve pain and ER ROM. The very low quality of evidence, conflicting findings regarding the effects of MT on disability and IR, and the small, likely clinically irrelevant effects on HA, do not provide sufficient support for a definitive recommendation regarding the effectiveness of MT for treating overhead athletes.</div></div><div><h3>Implications for practice</h3><div><ul><li><span>-</span><span><div>Manual therapy may not effectively improve pain intensity and glenohumeral external rotation range of motion.</div></span></li><li><span>-</span><span><div>Manual therapy showed conflicting effects on disability and glenohumeral internal rotation range of motion.</div></span></li><li><span>-</span><span><div>Manual therapy showed small and clinically irrelevant effects on horizontal adduction range of motion.</div></span></li><li><span>-</span><span><div>No significant difference was observed among different manual therapy techniques.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100747"},"PeriodicalIF":1.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132039","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":"Categorizing treatment mechanisms for Complementary and Integrative Musculoskeletal Interventions","authors":"Chad E. Cook ,&nbsp;Victoria E. Abraira ,&nbsp;John Burns ,&nbsp;Brian F. Degenhardt ,&nbsp;Greg Kawchuk ,&nbsp;Damian Keter ,&nbsp;M. Terry Loghmani ,&nbsp;William R. Reed ,&nbsp;Beth A. Winkelstein ,&nbsp;Amy McDevitt","doi":"10.1016/j.ijosm.2025.100749","DOIUrl":"10.1016/j.ijosm.2025.100749","url":null,"abstract":"<div><div>Treatment mechanisms (TM) reflect the steps or processes through which a treatment unfolds. However, TM research faces challenges due to inconsistent terminology and varying measurement approaches for each mechanism, which creates confusion and controversy among clinicians and scientists. In this paper, we: 1) define key terms associated with TM, 2) provide recommended categories of study that reflect intervention domains, and 3) present examples of measures of TM within the defined categories. Our recommended definitions differentiate associated TM (a finding that occurs following administration of a treatment that may or may not influence outcomes) from causal TM (which directly affects the clinical outcome). When measuring causal TM, we recommend that researchers consider three potential categories of interventional domains: a) anatomical, b) psychological/cognitive and c) behavioral. Lastly, we argue that within each interventional domain, TM can be measured across a spectrum that includes physiological (e.g., brain activity, nerve activity, biomarkers, etc.) and functional (e.g., range of motion, stiffness, cognition measures, etc.) mechanisms. Measuring both physiological and functional mechanisms improves the likelihood of understanding the complexity of clinical recovery. Harmonizing TM terminology, categories, and measurements across a spectrum, while providing examples of each, may reduce confusion and assist researchers and funding sources in targeting specific mechanistic-related questions.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100749"},"PeriodicalIF":1.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132071","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 preoperative exercise rehabilitation for patients after total knee arthroplasty: An updated systematic review and meta-analysis","authors":"Yang Zhou,&nbsp;Shengying Wang","doi":"10.1016/j.ijosm.2025.100748","DOIUrl":"10.1016/j.ijosm.2025.100748","url":null,"abstract":"<div><h3>Background</h3><div>Total knee replacement is a common surgical intervention in orthopedic practice. However, the well-known postoperative complications limit the mobility and activity of patients. The efficacy of preoperative exercise rehabilitation might be an alternative solution for this issue.</div></div><div><h3>Methods</h3><div>Preoperative exercise rehabilitation vs. routine care control comparison for postoperative range of motion, postoperative knee joint scores, and quality of life scores were set for the updated systematic review and meta-analysis, which can help us determine the differences in postoperative range of motion, postoperative knee joint scores, and quality of life scores between the 2 groups. Randomized controlled trials (RCT) were only eligible type of studies to be included. Finally, 16 RCTs (688 patients with the preoperative exercise rehabilitation, and 678 patients with routine control care) were included, with the focused outcome on postoperative range of motion, postoperative knee joint scores, and quality of life scores after total knee arthroplasty.</div></div><div><h3>Results</h3><div>The meta-analytic results showed that preoperative exercise rehabilitation might be associated with a better status of postoperative range of motion in the knee joints. In addition, the postoperative knee joint scores were lower and the postoperative quality of life was better in the preoperative exercise rehabilitation group when compared to routine care group.</div></div><div><h3>Conclusions</h3><div>Preoperative exercise rehabilitation might be beneficial for patients with total knee arthroplasty when compared to routine care from the perspective of postoperative knee joint range of motion, knee joint scores, and quality of life. Practitioners can apply preoperative exercise rehabilitation to improve the postoperative outcome.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100748"},"PeriodicalIF":1.1,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132632","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":"Context is complex: Challenges and opportunities addressing contextual factors in manual therapy mechanisms research","authors":"Damian L. Keter ,&nbsp;Jorge E. Esteves ,&nbsp;M. Terry Loghmani ,&nbsp;Giacomo Rossettini ,&nbsp;Chad E. Cook","doi":"10.1016/j.ijosm.2025.100750","DOIUrl":"10.1016/j.ijosm.2025.100750","url":null,"abstract":"<div><div>Mechanistic studies on manual therapy (MT) have potential to allow better understanding of ‘why’ and ‘how’ MT interventions provide an effect. Contextual factors (CF) include the multitude of intrinsic and extrinsic inputs outside of the specific intervention which influence response. CFs must be accounted for within both clinical and mechanistic trials. The influence of CFs provides several challenges and opportunities which are outlined within this commentary. Researchers should consider the specific purpose of their research when developing mechanistic trials to establish if controlling versus recording CF is warranted based on their aim(s).</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100750"},"PeriodicalIF":1.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132070","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":"Integration of osteopathy in the Portuguese National Health Service: Perceptions and expectations of citizens and health professionals","authors":"Beatriz Maria ,&nbsp;Sílvia Gomes ,&nbsp;Ana Rita Goes","doi":"10.1016/j.ijosm.2024.100744","DOIUrl":"10.1016/j.ijosm.2024.100744","url":null,"abstract":"<div><h3>Background</h3><div>Osteopathy's framework varies globally in healthcare systems due to context-specific factors like legal status, healthcare system integration, and implementation levels. With osteopathy expanding in Portugal and recognising the importance of defining its role in the National Health Service, it is essential to understand public perceptions and expectations in the Portuguese context even for more significant equity of access.</div></div><div><h3>Objective</h3><div>Explore citizen and healthcare professionals' perceptions and expectations regarding integrating osteopathy into the Portuguese National Health Service.</div></div><div><h3>Methods</h3><div>The study used a qualitative design. Two focus groups were conducted—a citizens' focus group (n = 8) and a health professional's focus group (n = 6). Citizens' focus group was in-person, and the health professional's focus group was online. Analysis of focus group transcripts followed a constructivist paradigm utilising thematic analysis.</div></div><div><h3>Results</h3><div>Thematic analysis resulted in four principal themes: osteopathy concept; competent osteopath; concerns and expectations, and National Health Service integration. Despite diverse and limited perspectives on its scope, participants generally held positive attitudes towards osteopathy. Nevertheless, barriers to NHS integration were noted, along with suggestions for improving osteopathy's integration into the healthcare system.</div></div><div><h3>Conclusion</h3><div>This study highlights a positive attitude among participants towards the integration of osteopathy into the National Health Service. However, they acknowledge that the profession faces significant challenges in achieving this integration. Overcoming these obstacles may require a gradual approach, which includes focusing on evidence of effectiveness, wider dissemination, and the establishment of supportive reimbursement systems.</div></div><div><h3>Implication for practice</h3><div><ul><li><span>•</span><span><div>The findings highlight the importance of ensuring credible training, practical experience, and relational skills in osteopathy. These factors are key in influencing how individuals choose osteopaths and can guide practitioners in building trust with patients and positioning their services effectively.</div></span></li><li><span>•</span><span><div>Addressing concerns related to diagnostic capacity, technique safety, and quality assurance is crucial for improving the safety and quality of osteopathic care, as well as reducing public concerns.</div></span></li><li><span>•</span><span><div>The study provides valuable insights into the potential benefits and challenges of integrating osteopathy into the National Health Service, offering useful guidance for policymakers and healthcare professionals involved in this decision-making process.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100744"},"PeriodicalIF":1.1,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132072","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":"Assessing the effects of manual therapy on pain in patients living with persistent non-specific low back pain (PNSLBP): Which evaluation criteria and measurement tools are used in randomised controlled clinical trials? A systematic review","authors":"Agathe Bilhaut ,&nbsp;Anne-Hélène Olivier ,&nbsp;Jerry Draper Rodi ,&nbsp;Armel Cretual ,&nbsp;Mathieu Ménard","doi":"10.1016/j.ijosm.2024.100741","DOIUrl":"10.1016/j.ijosm.2024.100741","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the evaluation criteria and measurement tools that are used in Randomised Controlled Trials (RCT) to assess the effects of manual therapy on pain in adults living with PNSLBP.</div></div><div><h3>Methods</h3><div>RCT were included if: participants were adults (18–65 years old) with PNSLBP, experimental group received manual therapies (osteopathy, physiotherapy and chiropractic) and they had been published in English or French since 2010. The search was conducted between May 2021 and April 2023, using the Cochrane Library, Ebscohost, EMBASE, MEDLINE Pubmed, PEDro, ScienceDirect and Scopus databases. Three independent reviewers have checked eligibility. The PEDro scale have been used for quality appraisal.</div></div><div><h3>Results</h3><div>In the 29 studies included, 131 measurement tools were identified in three main areas: 76 % of the measurement tools were related to <em>life impact</em> (which 24 % related to <em>pain intensity</em> and 23 % to <em>functional difficulties</em>) and 24 % were related to <em>pathophysiological manifestations</em> (which 8 % related to <em>Range of motion</em>).</div></div><div><h3>Conclusion</h3><div>Most measurement tools focus on <em>pain intensity</em> and <em>physical functioning</em> using scales and questionnaires. Two perspectives must be considered: responding to current recommendations by standardizing the measurement tools relating to <em>life impact</em> and <em>physiopathological manifestations,</em> and using biomechanical markers making it possible to evaluate patients in daily life situations.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100741"},"PeriodicalIF":1.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132073","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 development of the National Council for Osteopathic Research - Research Network (NCOR-RN): A qualitative focus group study of osteopaths’ views","authors":"Daniel Bailey ,&nbsp;Carol Fawkes ,&nbsp;Dawn Carnes ,&nbsp;Jerry Draper-Rodi","doi":"10.1016/j.ijosm.2024.100742","DOIUrl":"10.1016/j.ijosm.2024.100742","url":null,"abstract":"<div><h3>Background</h3><div>Practice Based Research Networks (PBRNs) are groups of clinicians working with academic organisations to conduct research that answers questions relevant to clinical practice. A PBRN for osteopathy in the UK would be a suitable approach for the National Council for Osteopathic Research to achieve its mission statement of ‘developing a culture of research’.</div></div><div><h3>Objective</h3><div>We aimed to explore osteopaths’ views on the utility of creating a PBRN and to identify barriers and facilitators to their involvement in a PBRN.</div></div><div><h3>Methods</h3><div>Focus groups were conducted as part of a free CPD day advertised nationally to all osteopaths to collect qualitative data. A reflexive thematic analysis framework was used to develop themes from the data.</div></div><div><h3>Results</h3><div>Forty osteopaths took part in 5 focus groups conducted at three locations around the UK. Six themes were developed describing the utility, barriers, and facilitators to developing a PRBN for osteopathy: research experience, finance and time, developing osteopathy, insecurity and identity, integration into practice, and PBRN organisation.</div></div><div><h3>Conclusions</h3><div>Osteopaths perceived a PBRN had the potential for increasing the evidence base for osteopathy, enhancing the status of the profession, and improving patient care. Various barriers and facilitators to their involvement with a PBRN were identified.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100742"},"PeriodicalIF":1.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747932","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 seven drivers of change in osteopathic education","authors":"Raimund Engel","doi":"10.1016/j.ijosm.2024.100740","DOIUrl":"10.1016/j.ijosm.2024.100740","url":null,"abstract":"<div><div>This article aims to highlight the developments in European osteopathic education since the turn of the century by discussing seven drivers of change, namely growth of the profession, government regulation, international standards, academisation, evidence-based medicine, educational research and the recent Covid19 pandemic. Then it highlights how these drivers have changed the osteopathic educational providers (OEPs) and their faculties, what is taught and how it is taught. It has been a complex development with many important and mutually influencing factors, where cause and effect relationships are often difficult to establish. While these overall trends can be observed in many European countries, the development in individual jurisdictions may deviate from what is described.</div></div><div><h3>Implications for practice</h3><div>The Seven Drivers of Change in Osteopathic Education.<ul><li><span>•</span><span><div>This article aims to highlight the developments in European osteopathic education since the turn of the century by discussing seven drivers of change.</div></span></li><li><span>•</span><span><div>These drivers are growth of the profession, government regulation, international standards, academisation, evidence-based medicine, educational research and the recent Covid19 pandemic.</div></span></li><li><span>•</span><span><div>Then it is highlighted how these drivers have changed the osteopathic educational providers (OEPs) and their faculties, what is taught and how it is taught.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"55 ","pages":"Article 100740"},"PeriodicalIF":1.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747831","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":"Dynamometry for the assessment of trunk muscle strength in postpartum women with pregnancy-related posterior pelvic girdle pain: A reliability study","authors":"Fahimeh-Sadat Jafarian ,&nbsp;Mahmonir Jafari-Harandi ,&nbsp;Gillian Yeowell ,&nbsp;Ebrahim Sadeghi-Demneh","doi":"10.1016/j.ijosm.2024.100738","DOIUrl":"10.1016/j.ijosm.2024.100738","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the inter and intra-rater reliability of maximum isometric trunk muscular strength in postpartum women with pregnancy-related posterior pelvic girdle pain using a handheld dynamometer.</div></div><div><h3>Methods</h3><div>Thirty women (30.13 ± 3.67 years) with pregnancy-related posterior pelvic girdle pain (PPGP) had their trunk muscular strength assessed using a handheld dynamometer. Inter-rater reliability was estimated for measurements of two separate raters on the first day of the investigation. The tests were repeated with the first rater seven days later to determine the intra-rater reliability. A digital handheld dynamometer was used for testing, and a metal bar was used to secure it to a table. Participants were instructed to use maximal force to push the dynamometer in various trunk flexion, extension, lateral flexion, and rotational orientations. Each trial was repeated three times and averaged to obtain the representative assessment data. Analysis of variance, interclass correlation, absolute agreement, and standard error of measurements were used to evaluate the repeatability of measurements.</div></div><div><h3>Results</h3><div>Excellent inter and intra-rater reliability were demonstrated. The inter-rater reliability, computed with intraclass correlation coefficient (ICC), ranged from 0.979 to 0.992, and intra-rater reliability (ICC) ranged from 0.966 to 0.987. The standard error of measurement ranged from 0.35 % to 1.26 % for the different tests. Additionally, the dynamometer values in women with PPGP might be reported using just one trial after an instruction.</div></div><div><h3>Conclusion</h3><div>The maximum isometric trunk muscular strength is reliable, and a quantitative assessment of the trunk strength in women with postpartum pregnancy-related posterior pelvic girdle pain and could be used to monitor the changes in postural stability between sessions.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100738"},"PeriodicalIF":1.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651950","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":"Evaluating perspectives, knowledge and behaviors of osteopathic medicine in a United States osteopathic medical school: A study in employee education and changes in understanding","authors":"Kelli Glaser ,&nbsp;Joel Roberts ,&nbsp;Michele K. Coleman ,&nbsp;Mark Payton ,&nbsp;Scott Wilke ,&nbsp;Matthew Linton ,&nbsp;Jacquelyn Waller","doi":"10.1016/j.ijosm.2024.100739","DOIUrl":"10.1016/j.ijosm.2024.100739","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The institutional culture where students complete training may significantly impact their professional identity and practice habits related to osteopathic medicine principles and the use of Osteopathic Manipulative Treatment (OMT). This is the first study to evaluate institutional culture, perspectives, knowledge, behaviors, and the effect of an educational intervention among an institution's employees surrounding the principles of osteopathic medicine.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore the impact of a standardized educational intervention in osteopathic medicine for employees in promoting greater integration of osteopathic principles and practice into our institutional culture at a single multi-campus institution..&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A cross-sectional study was conducted to assess osteopathic knowledge, perspectives, and behaviors through two surveys provided before and 6 months after an educational intervention. The educational intervention consisted of 7 online, asynchronous modules. A baseline (PRE) survey and 6-month follow-up (POST) were treated as independent samples, as not all study respondents participated in the educational intervention. Contingency tables were generated for the preliminary data set to assess the relationships among survey responses. Chi-square tests were conducted to test relationships and Fisher Exact Tests employed when assumptions for the chi-square test were not met. Analyses of variance and independent t-tests were conducted to evaluate score differences across different employment categories and backgrounds.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;All employees were invited to participate in the study, 96/370 (25.9 %) completed the PRE and 94/370 (25.4 %) completed the POST surveys. In the POST survey, 45/94 (47.9 %) of respondents indicated they participated in the educational modules. After the training, a greater number of participants agreed or strongly agreed that they understand the fundamentals of OPP [PRE: 80/95 (84.2 %); POST: 88/92 (95.7 %); P = 0.01] and the origins and history of osteopathic medicine in the United States [PRE: 62/94 (66 %); POST: 79/92 (85.9 %); P = 0.003]. Within the administrators/staff category, significantly more had experienced OMT at the end of the study [PRE: 38/48 (79.2 %); POST: 45/48 (93.8 %); P = 0.04]. There were significantly more participants who correctly identified body systems impacted by OMT [PRE: 68/96 (70.8 %); POST: 79/93 (84.9 %); P = 0.01]. Faculty planned to integrate osteopathic principles into their teaching [37/40 (92.5 %)] and written exam items [25/40 (62.5 %)] in the future. Finally, employee participants in the training [50/51 (98 %)] reported an impact on their confidence in discussing Osteopathic Principles and Practice (OPP) with others, and believed the training increased their awareness of OPP in their work [46/51 (90 %)].&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;An educational interventio","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100739"},"PeriodicalIF":1.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651948","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}