International Journal of Osteopathic Medicine最新文献

{"title":"An appraisal of neuroimmune changes and potential benefits of osteopathic manipulative treatment integration with therapeutic management of post COVID-19 condition: A literature review","authors":"Francesco Senigagliesi ,&nbsp;Stefania Scialla ,&nbsp;Marcello Luca Marasco","doi":"10.1016/j.ijosm.2024.100737","DOIUrl":"10.1016/j.ijosm.2024.100737","url":null,"abstract":"<div><div>The health challenge and the socio-economic burden that marked the COVID-19 pandemic have long been under control, although the World Health Organization (WHO) data paint a clear picture of the difficulties faced over the past four years. However, the reduction in the incidence and severity of SARS-CoV-2 infection has given way to the progressive appearance of clinical signs and symptoms related to COVID-19, which can persist for months following the resolution of the acute phase. This condition has been identified by WHO as “<em>post COVID-19 condition</em>” (PCC), and it currently represents one of the main health and social challenges to which the scientific community is called to respond. The best way to successfully manage patients affected by PCC still challenging. Recent evidence regarding the pathophysiological hypotheses underlying PCC nevertheless allows us to understand the mechanisms involved and to hypothesise a role for OMT in the therapeutic management of the PCC patient. This review aimed at evaluating the possible role of OMT as a complementary and integrative practice in favouring beneficial autonomic, haemodynamic and immune modifications potentially correlated to the pathogenesis of PCC.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100737"},"PeriodicalIF":1.1,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651967","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-informed approach of sighs in the scope of osteopathic practice","authors":"Axel Vicart,&nbsp;Agathe Wagner","doi":"10.1016/j.ijosm.2024.100736","DOIUrl":"10.1016/j.ijosm.2024.100736","url":null,"abstract":"<div><div>Osteopathic practice attaches great importance to the respiratory function in theoretical models, in the approach to respiratory disorders and in the use of breathing techniques for therapeutic purposes. The study of different parameters of breathing would be a way to deepen the application of breathing to osteopathic practice. In this respect, the sigh is a clinical element of interest.</div><div>The osteopathic grey literature is rich in examples of the use of sighing in an empirical framework with interpretations during the anamnesis, the diagnostic and the therapeutic phases. Osteopaths' empirical experiences of sighing should be compared with available experimental data to improve the quality of osteopathic care. We are not aware of any study specifically related to sighing in an osteopathic context, but the psycho-physiological data on sighing is growing.</div><div>This narrative review presents scientific data on the phenomenon of sighing. The physiological and pathophysiological conditions of sighing are presented in the context of the reasons for consultation encountered in osteopathic practice. The sigh as a diagnostic tool for various conditions is discussed. Therapeutic avenues explore how sighing could be an element in controlling the effects of osteopathic treatment, or an active element in the treatment itself. Finally, the place of the sigh as an element of communication within the consultation is described. In these different fields, the contribution of scientific data leads to several contradictions with the osteopathic empirical experience. This review describes avenues of future research needed to clarify the role that sighing might play in osteopathic practice.</div></div><div><h3>Implications for Practice</h3><div><ul><li><span>•</span><span><div>The sigh could be used in several clinical conditions for diagnostic purposes</div></span></li><li><span>•</span><span><div>The sigh syndrome, or sighing dyspnea, is a functional respiratory disorder</div></span></li><li><span>•</span><span><div>The sigh could be used for communication purposes within the consultation</div></span></li><li><span>•</span><span><div>The reliability of the sigh in osteopathic practice first would require a consensual definition and methods to evaluate it in a clinical context</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100736"},"PeriodicalIF":1.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651947","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":"Autonomic nervous system and viscera-related responses to manual therapy: A narrative overview","authors":"Murdi S. Alanazi ,&nbsp;Brian Degenhardt ,&nbsp;G. Franklin ,&nbsp;Eric Jacobson ,&nbsp;Sandy Fritz ,&nbsp;Norman Kettner ,&nbsp;Vaclav Kremen ,&nbsp;Laura Lipke ,&nbsp;William R. Reed","doi":"10.1016/j.ijosm.2024.100735","DOIUrl":"10.1016/j.ijosm.2024.100735","url":null,"abstract":"<div><h3>Background</h3><div>Manual therapy (MT) has long-held that it physiologically impacts autonomic nervous system (ANS) and viscera-related function. This narrative review is intended to serve as a consolidated interdisciplinary resource of original studies related to physiological effects of MT as it relates to the ANS for MT clinicians and researchers new to this MT-related topic.</div></div><div><h3>Objective</h3><div>This review seeks to identify ANS and viscera-related physiological responses to MT interventions using search terms commonly used by chiropractic, massage, osteopathic, physical therapy, and structural integration clinicians and to provide a quick reference resource of original MT-related studies investigating ANS effects.</div></div><div><h3>Methods</h3><div>For this interdisciplinary review, the search was limited to the largest and most commonly used database (PubMed) between years 2000 and 2024, with a focus on direct ANS-related physiological outcomes. Unlike systematic reviews, assessment of scientific rigor and potential bias of included articles was beyond the scope and purpose of the current work.</div></div><div><h3>Results</h3><div>Original MT-related studies provide mixed evidence with regards to immediate and/or short term ANS and/or viscera-related responses on blood pressure, heart rate variability, skin conductance/temperature, respiratory and lymphatic changes.</div></div><div><h3>Conclusions</h3><div>This review identified a large number of MT and ANS-related original research in PubMed. Careful study of original MT-related research is needed with particular attention focused on the standardization of MT methodological approaches, appropriate controls, study design, appropriate populations, MT techniques, and anatomical site delivery so as to design more rigorous studies in order to arrive at definitive conclusions regarding direct effects of MT on the ANS.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100735"},"PeriodicalIF":1.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651949","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":"Evaluating the Information Quality of YouTube Videos on Manual Medicine/Therapy","authors":"Enes Efe Is ,&nbsp;Elif Tarihci Cakmak ,&nbsp;Merve Damla Korkmaz","doi":"10.1016/j.ijosm.2024.100734","DOIUrl":"10.1016/j.ijosm.2024.100734","url":null,"abstract":"<div><h3>Objectives</h3><div>This study evaluates the educational quality and reliability of manual medicine/therapy-related YouTube videos to determine their suitability for information seekers and their potential use in manual therapy education.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis of 113 YouTube videos related to manual medicine/therapy was conducted. Video characteristics, including likes, dislikes, view count, duration, and speaker profile, were assessed. Popularity, educational quality, and reliability were evaluated using the Video Power Index (VPI), Global Quality Scale (GQS), Journal of the American Medical Association (JAMA) criteria, and modified DISCERN tool.</div></div><div><h3>Results</h3><div>No significant differences were found among speaker groups (physicians, physiotherapists, osteopaths &amp; chiropractors) in assessment parameters. Videos on “Manipulation” and “Mobilization/Stretching/Examination” received more likes and views than “General Information” videos. Video duration positively correlated with JAMA, GQS, and mDISCERN scores, indicating higher educational quality in longer videos. However, overall educational quality and reliability were moderate to weak.</div></div><div><h3>Conclusions</h3><div>The study underscores the need for content creators to enhance the educational quality of manual medicine/therapy videos. Practical application-oriented content is popular, and quality video resources can serve as a valuable complement to hands-on instruction in manual therapy education.</div></div><div><h3>Implications for practice</h3><div><ul><li><span>1.</span><span><div>This study provides a comprehensive evaluation of YouTube videos on manual medicine/therapy, highlighting no significant superiority in educational quality and reliability among videos from different professional speakers.</div></span></li><li><span>2.</span><span><div>This research fills a gap by offering a broad perspective on the educational value of these videos, which has not been explored in such depth previously.</div></span></li><li><span>3.</span><span><div>Despite moderate to weak overall educational quality and reliability, videos focusing on practical applications such as manipulation and mobilization/stretching/examination are more popular and frequently viewed. This suggests that such content might serve as an effective supplement to manual therapy training and also proves valuable in demonstrating to patients the procedures involved in manual therapy, enhancing their understanding and engagement with treatment protocols.</div></span></li><li><span>4.</span><span><div>Enhancing video content quality could significantly benefit manual therapy education by providing high-quality, reliable resources that complement traditional educational methods, especially in demonstrating practical techniques.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100734"},"PeriodicalIF":1.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651999","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 manual treatment in women with endometriosis: A scoping review on clinical symptoms, fertility and quality of life","authors":"Magalie De Strooper ,&nbsp;Len De Nys ,&nbsp;Lieselot Theys ,&nbsp;Alain Vermeersch ,&nbsp;Jörgen Quaghebeur","doi":"10.1016/j.ijosm.2024.100733","DOIUrl":"10.1016/j.ijosm.2024.100733","url":null,"abstract":"<div><h3>Background</h3><div>Endometriosis presents significant treatment challenges and economic burdens, necessitating the exploration of alternative therapies such as Osteopathic Manual Treatment (OMT) to potentially improve patient outcomes.</div></div><div><h3>Objective</h3><div>This scoping review aimed to systematically map existing research on the intervention effects of OMT's on clinical symptoms, fertility, and quality of life in women with endometriosis, and review the current quality of evidence regarding these outcomes.</div></div><div><h3>Design</h3><div>Databases, including PubMed, Web of Science, Cochrane Library, and others, were searched until July 31, 2024 following PRISMA-ScR guidelines. The methodological quality was evaluated using the Joanna Briggs Institute (JBI) and Newcastle-Ottawa Quality Assessment Scale (NOS).</div></div><div><h3>Results</h3><div>The review included thirteen studies revealing low-to-moderate quality evidence for OMT to increase pregnancy success rates and improve quality of life. There is limited evidence for improvements in clinical symptoms such as dyspareunia, and dysmenorrhea. Small sample sizes, methodological variability, and the lack of control groups in many studies limit the current evidence.</div></div><div><h3>Conclusion</h3><div>The synthesis discovered a body of evidence suggesting OMT's potential to improve a range of symptoms associated with endometriosis. However, the current evidence base has several methodological limitations, including small sample sizes, lack of control groups, and the predominance of observational study designs. These limitations mitigate the strength of the conclusions that can be drawn regarding OMT's efficacy; and highlights the imperative for well-designed randomized controlled trials that can offer more definitive evidence.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100733"},"PeriodicalIF":1.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572915","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 effectiveness of neuromuscular spinal manipulation- an updated systematic review and meta-analysis","authors":"Chi Ngai Lo ,&nbsp;Eric W. Tsang ,&nbsp;Shirley Pui Ching Ngai","doi":"10.1016/j.ijosm.2024.100731","DOIUrl":"10.1016/j.ijosm.2024.100731","url":null,"abstract":"<div><h3>Background</h3><div>Spinal manipulation has been increasingly researched over the past two decades for its potential to enhance motor function. In our review, we use the term Neuromuscular Spinal Manipulation (NSM) to specifically identify studies focused on the motor facilitation effects of spinal manipulation.</div></div><div><h3>Objective</h3><div>To evaluate the efficacy of NSM in increasing muscle strength among healthy individuals through a systematic review and meta-analysis.</div></div><div><h3>Design</h3><div>Systematic Review and Meta-Analysis.</div></div><div><h3>Methods</h3><div>Databases including PubMed Central, Virtual Health Library, Cochrane Library, OSTMED.DR, and Google Scholar were searched up to September 2023. Eligible studies were randomized controlled trials and crossover studies on adults aged 18–65, assessing high-velocity, low-amplitude thrusts and Maitland grade III or IV mobilizations. Exclusions were studies on patients with pain/pathology, peripheral joint interventions, instrumental mobilizations, or co-interventions. Quality was appraised using the PEDro scale, and evidence graded with the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. This review was registered with PROSPERO (CRD42022351923).</div></div><div><h3>Results</h3><div>Of 7308 records, 10 articles met inclusion criteria, with 8 undergoing meta-analysis. A significant pooled effect on isometric muscle strength was observed (standardized mean difference +0.95, 95 % CI + 0.62 to +1.29) between NSM and controls, with heterogeneity I2 = 38 %. A high level of GRADE recommendation was; proposed according to the quality of evidence.</div></div><div><h3>Conclusion</h3><div>NSM significantly enhances short-term isometric muscle strength in asymptomatic individuals, underscoring its potential clinical utility. Future research should aim to address the limitations noted, particularly regarding the long-term effects and underlying mechanisms of NSM.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100731"},"PeriodicalIF":1.1,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593188","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 treatment of a person with Arnold-Chiari malformation and Syringomyelia: A case report","authors":"Ramon Cases-Solé ,&nbsp;David Varillas-Delgado ,&nbsp;Ferran Trinidad-Cascudo ,&nbsp;Ma Carmen Pino-Tamayo ,&nbsp;Óscar García-Algar","doi":"10.1016/j.ijosm.2024.100730","DOIUrl":"10.1016/j.ijosm.2024.100730","url":null,"abstract":"<div><div>We present the case of a symptomatic patient diagnosed with Arnold Chiari I malformation (ACI) and Syringomyelia (S) who evolves favorably through an initial osteopathic treatment plan lasting 6 months and osteopathic maintenance treatment up to 36 months. The objectives of the treatment were to reduce pain and increase mobility of the shoulders and Scapular waist/Shoulder/Elbow/Wrist with a secondary objective to improve balance and coordination.</div><div>After the administration of 32 sessions of Osteopathic Manipulative Treatment (OMT) started in August 2020, applying an initial treatment plan of 6 sessions monthly the patient was asymptomatic with remission of pain and increased mobility in the shoulders and cervical spine and a normal neurological examination (including normal gait).</div><div>The main symptoms and relevant clinical findings were: functional impairment of the upper extremities that limited activities of daily living (ADLs) requiring assistance, headaches, cervical and dorsal spine pain in bilateral belt at T6 level, vertiginous sensation and gait instability. The patient was diagnosed with ACI and Syringomyelia in 2012. She received surgical and pharmacological treatment without clinical improvement and performed relaxation and breathing exercises on her own.</div><div>We present evidence of the beneficial effect of osteopathic treatment on the associated symptomatology in a case of ACI and Syringomyelia.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100730"},"PeriodicalIF":1.1,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572823","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":"Is visceral osteopathy therapy effective? A systematic review and meta-analysis","authors":"Luis Ceballos-Laita ,&nbsp;Edzard Ernst ,&nbsp;Andoni Carrasco-Uribarren ,&nbsp;Germán Esteban-Tarcaya ,&nbsp;Lucas Mamud-Meroni ,&nbsp;Sandra Jiménez-del-Barrio","doi":"10.1016/j.ijosm.2024.100729","DOIUrl":"10.1016/j.ijosm.2024.100729","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review with meta-analysis aims to evaluate the clinical effectiveness of visceral osteopathy (VO) in musculoskeletal and non-musculoskeletal disorders.</div></div><div><h3>Methods</h3><div>Two independent reviewers searched in PubMed, Physiotherapy Evidence Database, Cochrane Library, Scopus, and Web of Science databases in November 2023 and extracted data for randomized controlled trials evaluating the clinical effectiveness of VO. The risk of bias and the certainty of evidence were assessed using the Risk-of-Bias tool 2 and the GRADE Profile, respectively. Meta-analyses were conducted using random effect models using RevMan 5.4. software.</div></div><div><h3>Results</h3><div>Fifteen studies were included in the qualitative and seven in the quantitative synthesis. For musculoskeletal disorders, the qualitative and quantitative synthesis suggested that VO produces no statistically significant changes in any outcome variable for patients with low back pain, neck pain or urinary incontinence. For non-musculoskeletal conditions, the qualitative synthesis showed that VO was not effective for the treatment of irritable bowel syndrome, breast cancer, and very low weight preterm infants. Most of the studies were classified as high risk of bias and the certainty of evidence downgraded to low or very low.</div></div><div><h3>Conclusion</h3><div>VO did not show any benefit in any musculoskeletal or non-musculoskeletal condition.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100729"},"PeriodicalIF":1.1,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843257","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 skill priorities: Comparison views of osteopathy industry professionals and osteopathy students","authors":"Lee Muddle,&nbsp;Dr Cindy J. O’Malley,&nbsp;Ieva Stupans (Professor)","doi":"10.1016/j.ijosm.2024.100727","DOIUrl":"https://doi.org/10.1016/j.ijosm.2024.100727","url":null,"abstract":"<div><h3>Objective</h3><p>This paper investigates the perceptions, attitudes and experiences of osteopathy students who had opportunity to engage with differing curriculum interventions focused on patient communication, and compare these with those of industry professionals.</p></div><div><h3>Method</h3><p>Three different osteopathy student cohorts had opportunity to engage with different communication curriculum interventions. Using focus group discussions, perceptions, attitudes, and experiences about patient centred care were gathered and thematically analysed using a realist lens<strong>.</strong> Semi-structured interviews were conducted with industry professionals to capture their perceptions, attitudes and experiences about patient centred care and compared to those of the students.</p></div><div><h3>Results</h3><p>Cohorts with zero or one semester of advanced communication curriculum displayed underdeveloped concepts about the professional skill sets needed of an osteopath, patient-centred care and confidence and readiness for supervised clinical practise. In stark contrast, the one cohort who had opportunity to engage with the full communication curriculum i.e. introductory and advanced displayed views about patient centred care closely aligned with the views of industry professionals, demonstrated advanced ideas about skill sets of an osteopath, and were eager to commence supervised clinical practise.</p></div><div><h3>Conclusion</h3><p>An explicit and appropriately integrated curriculum appears to expedite student confidence and maturity to align more closely with industry professional views regarding the skill priorities needed of an osteopath.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"53 ","pages":"Article 100727"},"PeriodicalIF":1.9,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1746068924000208/pdfft?md5=28b716475d1a01ddd6a8203e46f243ff&pid=1-s2.0-S1746068924000208-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313631","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":"Perceived benefits and limitations of game-based simulation education by osteopathy students in early clinical training: A preliminary mixed methods study","authors":"Hakim Mhadhbi ,&nbsp;Lluis M. Horta ,&nbsp;Julian Ims ,&nbsp;Jerry Draper-Rodi ,&nbsp;Hazel Mansfield ,&nbsp;Robert Shaw ,&nbsp;Sandra Rinne ,&nbsp;Tricia Cleland Silva ,&nbsp;Eija Metsälä ,&nbsp;Mathieu Ménard","doi":"10.1016/j.ijosm.2024.100726","DOIUrl":"10.1016/j.ijosm.2024.100726","url":null,"abstract":"<div><h3>Background</h3><p>Game-based simulation education is becoming an integral component in healthcare programs. It is defined as any educational activity implying simulation procedures to recreate clinical scenarios. Previous studies have shown that simulation can improve patient safety by enhancing healthcare providers' competencies. However, few studies have investigated students' perceptions of simulation within osteopathic programs.</p></div><div><h3>Aim</h3><p>This study aimed to measure and compare Year three osteopathy students’ perceptions of a game-based simulation versus traditional clinical training.</p></div><div><h3>Methods</h3><p>Year three students at the end of their 12 weeks clinical training were invited to participate in this research project. This included filling out a Likert-based survey and semi-structured interviews. Three clinical training modalities were implemented and evaluated: a <em>demonstration clinic</em>, a <em>video-streamed demonstration clinic</em>, and a game-based simulation, the <em>clinical battle</em>.</p></div><div><h3>Results</h3><p>Sixty-seven Year three osteopathy students completed the surveys, and eight students were interviewed. The <em>clinical battle</em> was significantly felt as the most engaging, most useful to gain feedback, and least stressful of the three training modalities proposed (p &lt; 0.05). The <em>clinical battle</em> was also perceived as similar to a <em>demonstration clinic</em> in formulating a diagnosis and for reflective practice (p &gt; 0.05). The semi-structured interviews offered deep structured explanatory narratives drawn from thematic analyses. Five themes were identified: engagement, clinical reasoning improvement, stress, ideas for improving clinical training, and reflective practice and self-assessment.</p></div><div><h3>Conclusion</h3><p>The simulation-based training implemented in this study was positively perceived by students for their clinical education. Future research could focus on the effectiveness of game-based simulation versus traditional training on clinical competencies acquisition.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"53 ","pages":"Article 100726"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141278646","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}