International Journal of Osteopathic Medicine最新文献

{"title":"Efficacy of ankle mobilization on postural control in older people: A systematic review with meta-analysis","authors":"David Hernández-Guillén ,&nbsp;Carmen García-Gomariz ,&nbsp;Sergio Roig-Casasús ,&nbsp;Beatriz Díaz-Díaz ,&nbsp;Fernando Domínguez-Navarro ,&nbsp;José Pérez-Maletzki ,&nbsp;José-María Blasco","doi":"10.1016/j.ijosm.2024.100722","DOIUrl":"10.1016/j.ijosm.2024.100722","url":null,"abstract":"<div><h3>Objective</h3><p>To determine whether manual therapy based on joint mobilization techniques applied to recover a limited range of motion (ROM) in older adults could have a beneficial effect on balance.</p></div><div><h3>Methods</h3><p>Systematic review from MEDLINE, Embase, Cochrane Library, PEDro, WOS, Scopus, and Scielo, including studies with participants over 60, an experimental intervention based on ankle joint mobilization techniques, oriented to restore ankle ROM and assessing the effects on balance and ROM. A descriptive synthesis and a meta-analysis were conducted to estimate the effect of the interventions on balance and ROM, based on mean differences, with CI set at 95 %. Quality was assessed with PEDro scale and risk of bias with the Cochrane tool.</p></div><div><h3>Results</h3><p>A total of 8 studies were included in the qualitative and 5 in the quantitative synthesis. Manual therapy was shown to be effective, by overall increasing the ankle ROM by 11.3° (95 % CI 6.4 to 15.6). The monopodal stability was improved in 5.8 s (95 % CI 0.1 to 11.4) and the margins of stability in 4.4 cm (95 % CI 0.6 to 8.6). The static balance improved in terms of the center of pressure swayed area with a decrease of 78.4 mm² (95 % CI 46.1 to 110.6), but not of velocity (95 % CI 24.7 to −36.7). The Timed up and go time decreased by 0.86 s (95 % CI 0.38 to −2.08).</p></div><div><h3>Conclusions</h3><p>Manual therapy based on joint mobilization techniques is an effective approach to increase ankle ROM, with benefits on the stability of older adults.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1746068924000154/pdfft?md5=e4fd0a2f0169237a3275ba8d995f6d60&pid=1-s2.0-S1746068924000154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772359","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":"A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Canadian osteopaths","authors":"René Pelletier ,&nbsp;Chantal Morin ,&nbsp;Monica Noy ,&nbsp;Oliver P. Thomson ,&nbsp;Tobias Sundberg ,&nbsp;Matthew J. Leach","doi":"10.1016/j.ijosm.2024.100721","DOIUrl":"10.1016/j.ijosm.2024.100721","url":null,"abstract":"<div><h3>Background</h3><p>Health care professions face increasing pressure to integrate research evidence into practice to improve patient outcomes. For many professions, the uptake of evidence-based practice (EBP) remains poorly understood, including for osteopaths in Canada. The primary aim of this study was to determine the perceptions, training, self perceived skills, use, barriers, and facilitators of EBP amongst Canadian osteopaths.</p></div><div><h3>Methods</h3><p>Canadian Osteopaths were invited to participate in an online survey using the Evidence-Based Practice Attitude and Utilisation Survey.</p></div><div><h3>Results</h3><p>Four hundred and eight osteopaths’ (response rate 13.4%) provided informed consent of which three hundred and forty answered all questions. The majority of respondents had a favorable perception and believed EBP was important (70.8%). Most respondents (&gt;65%) rated their skills in performing EBP at a medium-high level. EBP use was infrequent among respondents. Barriers to the utilisation of EBP were lack of clinical evidence, time, and relevance to osteopathic practice. Facilitators of EBP use included having greater access to research articles and tools, and further information regarding critical analysis of research. Although searching and consulting research information was rarely performed by respondents, they were perceived as the most important aspect of clinical decision making along with clinical practice guidelines, personal and patient preferences.</p></div><div><h3>Conclusion</h3><p>Canadian osteopathic manual practitioners were largely supportive of EBP but there was limited commitment to its integration within clinical practice. Improving knowledge and skills of EBP, addressing the barriers of EBP uptake, and integrating EBP into educational programs may improve the uptake of EBP within osteopathic practice.</p></div><div><h3>Implications for practice</h3><p>There is acknowledgement of the importance and benefits of evidence-based practice amongst Canadian osteopaths.</p><p>Although Canadian osteopaths recognize the importance of evidence-based practice there is limited commitment to its use within clinical practice.</p><p>The major barriers to the use of evidence-based practice are a lack of time and clinically relevant osteopathic literature.</p><p>Canadian osteopaths state that patient preference, clinical practice guidelines, published clinical evidence and personal preference where the most important sources of information used for the basis of clinical decision making.</p><p>Interventions that aim to improve knowledge and skills, addresses barriers, and fosters alignment between osteopathic models and evidence-based practices may help to improve the uptake among osteopaths in Canada.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140149724","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":"Evidence of anchoring bias in novice (first year) osteopathic French students in the context of the primary respiratory mechanism: A randomized-experimental study","authors":"Clara Driaï-Allègre ,&nbsp;Fanny Coste ,&nbsp;Clara Olmière ,&nbsp;Marilyne Grinand ,&nbsp;Aymeric Le Nohaïc ,&nbsp;François Romanet ,&nbsp;Géraud Gourjon","doi":"10.1016/j.ijosm.2024.100717","DOIUrl":"10.1016/j.ijosm.2024.100717","url":null,"abstract":"<div><h3>Background</h3><p>Cognitive biases appear to be one of the most common causes of incorrect medical diagnosis. It affects students during their training and could persist after post-graduation. This could deteriorate patient care. Among them, anchoring bias can impair haptic perception and lead to a biased diagnosis.</p></div><div><h3>Objective</h3><p>Our study assessed the anchoring bias of first-year osteopathic students by determining whether information regarding the PRM rhythm could influence their haptic perception.</p></div><div><h3>Methods</h3><p>Forty first-year osteopathic students were randomly assigned to three groups. They were given different anchoring values during a PRM rhythm evaluation (3, 10 or 17 movements per minute, mpm). All information were given through video documents. Perceived rhythms were collected before and after anchoring. Wilcoxon and Kruskal-Wallis tests were used to compare intra and intergroup values.</p></div><div><h3>Results</h3><p>Before receiving the anchor, groups significantly (p = 0.105) perceived the same rhythms (11.8 ± 6.6mpm; 20.9 ± 9.9mpm; 18.2 ± 10.6mpm; respectively) with high variance among students. After receiving the anchor, students perceived significantly different rhythms; 3.5 ± 1.7mpm; 11.4 ± 2.8mpm; 16.8 ± 6.6mpm, respectively (p &lt; 0.0001). Variance decreased significantly.</p></div><div><h3>Conclusion</h3><p>An anchoring bias might occur among first-year osteopathic students regarding their perception of the PRM rhythm. These results provide insights into the importance of the way of presenting information to students, especially controversial ones. Indeed, the way in which changing the ontological framework can modify the epistemological approach needs to be investigated. This could have implications on a student's clinical diagnosis. Students are encouraged to believe in their haptic ability, but also to use critical thinking.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139951369","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":"Pseudoscience: A skeleton in osteopathy's closet?","authors":"Oliver P. Thomson ,&nbsp;Carlo Martini","doi":"10.1016/j.ijosm.2024.100716","DOIUrl":"10.1016/j.ijosm.2024.100716","url":null,"abstract":"<div><p>Pseudoscience has harmful effects on individual patient care, professions and society more broadly. The propagation of pseudoscience and spread of misinformation by a healthcare discipline raises questions as to their legitimacy and ethical standing as a profession. Osteopaths and osteopathic physicians are regulated by law as healthcare professionals in many parts of the world with an expectation that relevant aspects of practice are suitably aligned with the scientific paradigm in the form of a commitment to the values of evidence-based practice. This article discusses the system of pseudoscience and considers its historic, present and potential negative impacts on osteopathy and professional progress. We identify possible incentives for some aspects of osteopathy and osteopaths to engage in pseudoscientific thinking and in doing so we discuss osteopathy's susceptibility to pseudoscience and how practitioners may become more aware of and recognise pseudoscientific information and pseudoexpertise.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139922192","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 connected, so it all matters’ - the fallacy of osteopathic anatomical possibilism","authors":"Diego F. Hidalgo ,&nbsp;Andrew MacMillan ,&nbsp;Oliver P. Thomson","doi":"10.1016/j.ijosm.2024.100718","DOIUrl":"10.1016/j.ijosm.2024.100718","url":null,"abstract":"<div><p>Anatomy has been a cornerstone of osteopathic theory, practice and identity since the discipline's emergence in the 1800s and continues to be viewed as core knowledge to the present day. The domain of anatomical knowledge has provided seemingly endless rationales and explanations to justify osteopathic diagnosis, assessment and treatment. Moreover, knowledge of anatomy has been foundational for osteopaths' professional identity and conception of healthcare practice. Anatomical possibilism refers to the imagined, exaggerated, implausible and unproven relationships which are claimed to exist between anatomical structures. In persisting with such an approach to theory, practice and reasoning osteopathy may waste time, energy and intellectual capital and as a result fail to take advantage of opportunities to develop more plausible, ethical and person-focused approaches to patient care.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139922468","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":"New Zealand osteopaths’ use of patient-reported outcome measures with patients who have chronic low back pain: A cross-sectional survey","authors":"Evania Vallyon ,&nbsp;Saeideh Aminian ,&nbsp;Samantha Heath","doi":"10.1016/j.ijosm.2024.100719","DOIUrl":"10.1016/j.ijosm.2024.100719","url":null,"abstract":"<div><h3>Background and Objectives</h3><p>Patient-Reported Outcome Measures (PROMs) are instruments that capture patients' perspectives of their own health status and quality of life. As part of rising advocacy for their use in clinical practice, PROMs are said to hold promise for the management of long-term conditions. This study aimed to describe and explore New Zealand osteopaths’ use of PROMs for patients with chronic low back pain.</p></div><div><h3>Methods</h3><p>An online survey was adapted to investigate New Zealand osteopaths’ use of PROMs with patients who have chronic LBP. Topics included frequency of use, purposes for use, and determinants to use. Respondents were recruited via anonymous and non-randomised sampling across multiple platforms. Frequencies, means, and standard deviations were calculated for all numerical data. Content analysis was used to analyse textual data on determinants to use.</p></div><div><h3>Results</h3><p>In total, 79 osteopaths were included in data analysis. These respondents most often used PROMs to monitor patients’ pain intensity (80%) and sometimes also functional disability (27%). Although the respondents had some regard for their capability to use PROMs, they also claimed to be constrained by limited time and social or professional norms. Respondents were more attentive to the consequences of PROMs for patients than for other stakeholders.</p></div><div><h3>Conclusions</h3><p>Although New Zealand osteopaths may use PROMs to monitor the burden of chronic LBP, they probably do not use PROMs for the multidimensional assessment of pain or psychosocial factors. New Zealand osteopaths may be most receptive to adopting PROMs if they are presented with relevant interventions and evidence of their benefits for patients.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139922188","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 25-year-old woman with 7 years of intractable hiccups treated with OMT – A case report","authors":"Derek E. Bowman,&nbsp;Christopher Pohlod","doi":"10.1016/j.ijosm.2024.100712","DOIUrl":"10.1016/j.ijosm.2024.100712","url":null,"abstract":"<div><p><em>Background:</em> Persistent and intractable hiccups are poorly understood and reduce the quality of life of afflicted patients. Hiccups lasting longer than 48 hours are defined as “persistent,” and those lasting longer than 30 days as “intractable.” Both persistent and intractable hiccups are rare diseases included in the National Organization for Rare Disorders (NORD) registry, with cases of intractable hiccups being extremely rare. There are limited effective treatment options currently available for both persistent and intractable hiccups.</p><p><em>Clinical features:</em> Reported here is the case of a 25-year-old female patient with a 7-year history of intractable hiccups that were successfully treated with osteopathic manipulative treatment (OMT). Her hiccups began in 2015, typically occurring in couplets, with upwards of 50 hiccups per day. In 2016, she was treated by her primary care physician for <em>H. pylori</em>, with no improvement. Referred to a gastroenterologist, she underwent an endoscopy that showed normal findings, and she was subsequently referred to a neurologist. A CT scan of the brain was performed and showed normal findings, prompting the neurologist to suggest muscle relaxants (which were refused at the time) and various breathing and relaxation techniques, including talk therapy. With the continued failure of these treatments, the patient attempted acupuncture without benefit. In early 2022, the patient decided to try the muscle relaxant baclofen and found no benefit after two months of treatment.</p><p><em>Intervention and outcomes:</em> In August 2022, osteopathic manipulative treatment (OMT) was administered over five sessions. After the third session, the patient noticed a complete absence of her typical hiccups but began experiencing frequent “micro” hiccups that produced little-to-no sound. After the fourth treatment and continuing past the fifth treatment, the patient has had a near complete cessation of her hiccups, about 1–2 “micro” hiccups per week. Follow up with the patient on May 1, 2023, confirmed the continued resolution of her intractable hiccups.</p><p><em>Conclusion:</em> In a 25-year-old female patient without prior or concurrent medical conditions, OMT techniques successfully treated intractable hiccups of a 7-year duration. This case supports a potential role for OMT in the care of intractable hiccups.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814204","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 25-year-old woman with 7 years of intractable hiccups treated with OMT – A case report","authors":"Derek E. Bowman, Christopher Pohlod","doi":"10.1016/j.ijosm.2024.100712","DOIUrl":"https://doi.org/10.1016/j.ijosm.2024.100712","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139874057","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 double facets of osteopathy's identity","authors":"Pierre-Luc L'Hermite","doi":"10.1016/j.ijosm.2024.100715","DOIUrl":"10.1016/j.ijosm.2024.100715","url":null,"abstract":"<div><p>Questions relating to osteopathic identity are likely to be characterised by double facets made up of both traditional and contemporary elements. The analysis conducted aims to be robust by presenting these components as elements able to dialogue. It is through Paul Ricoeur's concept that we propose as an approach: the idem identity concerns the elements that provide a certain temporal stability whilst the ipse identity embodies the variable aspects of the constitutive elements of osteopathy. Osteopathy's identity would thus be modelled by the association of these two regularly interacting influences insofar as they serve both issues: shaping a disciplinary specificity, and the requirements focused on the improvement of patient care.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139657784","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 effectiveness of manipulation in combination with exercise for patients with coccydynia: Six months follow-up of a randomized controlled trial","authors":"Osman Tufekci ,&nbsp;Kamil Yilmaz ,&nbsp;Hasan Gercek ,&nbsp;Bayram Sonmez Unuvar","doi":"10.1016/j.ijosm.2024.100711","DOIUrl":"10.1016/j.ijosm.2024.100711","url":null,"abstract":"<div><h3>Background</h3><p>Limited evidence exists concerning the long-term follow-up of pain management in individuals with coccydynia.</p></div><div><h3>Objective</h3><p>This study aimed to examine the effectiveness of combining manipulation and exercise as a treatment approach for patients with coccydynia, while also assessing its long-term outcomes.</p></div><div><h3>Design</h3><p>Six months follow-up of a randomized controlled trial.</p></div><div><h3>Setting</h3><p>This study was conducted in a private hospital.</p></div><div><h3>Methods</h3><p>The control group (n = 23) received exercise alone, while the experimental group (n = 23) received both exercise and manipulation. All participants performed exercises three days a week for four weeks, and the manipulation sessions were conducted once a week for a total of four sessions. Pain levels were assessed using the Visual Analog Scale (VAS), coccydynia symptoms were evaluated using the Paris questionnaire, and pain-related disability was measured with the Oswestry Disability Index (ODI).</p></div><div><h3>Participants</h3><p>Forty-six participants were enrolled in the study.</p></div><div><h3>Results</h3><p>No statistically significant differences were observed in the demographic characteristics between the two groups (p &gt; 0.05). However, participants in the manipulation group showed a statistically significant improvement in pain, symptoms, and ODI scores compared to the control group, both immediately after treatment and at the 6-month follow-up (p &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>This study demonstrates that the combination of exercise and intrarectal manipulation over a four-week period significantly reduced pain, coccydynia-related symptoms, and disability scores in chronic coccydynia patients. However, no therapeutic superiority was observed in the long-term follow-up of six months.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635587","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}