International Journal of Osteopathic Medicine最新文献

{"title":"Comparison of affected lumbar proprioception due to different injuries with healthy controls: An observational study","authors":"Sule Simsek ,&nbsp;Feyza Altindal ,&nbsp;Bilal Kilicarslan","doi":"10.1016/j.ijosm.2023.100662","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100662","url":null,"abstract":"<div><h3>Background</h3><p>There is limited evidence about spinal proprioception deficiency due to different injuries.</p></div><div><h3>Objective</h3><p>To compare spinal proprioception in patients with Lumbal Spinal Stenosis (LSS) and healthy controls. Secondary objective is to investigate the effect of pain intensity and Thoracolumbar fascia (TLF) flexibility on spinal proprioception deficiency.</p></div><div><h3>Design</h3><p>Cross-sectional and healthy controlled study.</p></div><div><h3>Setting</h3><p>This study was conducted in a state hospital.</p></div><div><h3>Methods</h3><p>Ninety participants (mean age: 46.98 ± 12.94 years) were grouped as: Healthy control (n = 30) (Group I), chronic low back pain due to LSS (n = 30) (Group II) and undergoing surgery due to LSS (n = 30) (Group III). Lumbar repositioning error (RE) was defined as reproducing a target position (neutral lumbo-pelvic posture) after tasks. Tasks were: 30° forward bending and 15° backward bending in sitting and standing.</p></div><div><h3>Primary outcome measures</h3><p>RE, pain intensity and TLF flexibility were assesed with iphone tilt-meter app, VAS and goniometric platform, respectively.</p></div><div><h3>Participants</h3><p>Sixty patients with LSS and 30 healthy controls.</p></div><div><h3>Results</h3><p>RE scores of Group II and Group III were significantly higher than Group I (p &lt; 0.001). Group III had lower VAS scores (p &lt; 0.001) than Group II, except during standing with backward bending task. TLF flexibility was not differed between Group II and Group III (p˃0.05). There was no significant association between VAS and RE scores in Group II and Group III (p˃0.05).</p></div><div><h3>Conclussion</h3><p>Individuals with LSS and healthy controls have different lumbar proprioception sense. TLF flexibility did not differ, due to different injury, in patients with LSS compared to healthy controls.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49903329","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 extent and quality of evidence for osteopathic education: A scoping review","authors":"Andrew MacMillan ,&nbsp;Patrick Gauthier ,&nbsp;Luciane Alberto ,&nbsp;Arabella Gaunt ,&nbsp;Rachel Ives ,&nbsp;Chris Williams ,&nbsp;Dr Jerry Draper-Rodi","doi":"10.1016/j.ijosm.2023.100663","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100663","url":null,"abstract":"<div><h3>Objectives</h3><p>Standards of osteopathic training and regulation differ by geographical location, and little is known regarding the evidence base for education within osteopathy. This review is the first to chart and appraise the osteopathic pedagogical literature and presents recommendations for further research and practice.</p></div><div><h3>Methods</h3><p>A scoping review was conducted using the Arksey and O'Malley framework. A search was conducted of EBSCO, OVID (Embase, Medline), CINAHL, Psycinfo, Open Grey, ProQuest and ERIC databases, to identify research related to osteopathic education. Review, selection, data extraction, characterization and Risk of Bias was performed by two independent reviewers and results were summarised using Critical Interpretive Synthesis.</p></div><div><h3>Results</h3><p>The search identified 66 research papers published from 2002 to 2022. The included papers varied in terms of purpose, methodology, and detail of reporting. The returns were grouped into five categories Teaching, Assessment, Clinical education and preparedness for practice, Curriculum and Miscellaneous. The evidence is generally of robust methodological quality, with bias rated as 29 Low, 26 Moderate, and 11 High. However, most of the methodological designs would traditionally be considered low on the hierarchy of evidence, with 19 commentary articles and the only Randomised Controlled Trial being rated High risk of bias.</p></div><div><h3>Conclusions</h3><p>The evidence regarding what is taught is underdeveloped and enhancing consensus regarding benchmarking of osteopathic education and minimum competencies is needed. Active learning was an area highlighted as preferred by learners as was self-directed study. This may also integrate more practical learning aids and electronic or online learning.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49903331","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":"To the editor, we would like to inform readers of the International Journal of Osteopathic Medicine about the development and availability of a new specialized bibliographic database focused on osteopathic literature","authors":"Helge Franke","doi":"10.1016/j.ijosm.2023.100664","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100664","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49903326","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 profile of French osteopaths: A cross-sectional survey","authors":"Agathe Wagner ,&nbsp;Mathieu Ménard ,&nbsp;Erwann Jacquot ,&nbsp;Gianni Marangelli ,&nbsp;Olivier Merdy ,&nbsp;Cyril Clouzeau ,&nbsp;Paola Tavernier ,&nbsp;Johan Verbeeck ,&nbsp;Paul Vaucher ,&nbsp;Jorge E. Esteves ,&nbsp;Francesco Cerritelli ,&nbsp;Patrick LS. van Dun","doi":"10.1016/j.ijosm.2023.100672","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100672","url":null,"abstract":"<div><h3>Background</h3><p>Osteopathy is not a health profession in France but it was regulated in 2007. However, the profession is very popular, and the number of osteopaths is the largest in Europe. Since there is limited published data on the profile and characteristics of osteopaths practising in France, this study aimed to survey the current situation of osteopathic practitioners in France.</p></div><div><h3>Methods</h3><p>A voluntary online-based survey was distributed to French osteopaths between March and July 2022. This survey consisted of 52 questions adapted from the original French version of the validated Benelux Osteosurvey.</p></div><div><h3>Results</h3><p>A total of 1461 osteopaths responded to the study, of which 785 (53.73%) were female. The majority of respondents were aged between 30 and 39 years (50.65%), had full-time training (89.73%), during 5 years (67.15%), were self-employed (99.59%), advertised themselves exclusively as osteopaths (90.35%) and showed a solid professional identity. The median number of consultations per week was 21–25, and nearly one-third of respondents (31.42%) reported having other professional activities outside their clinical practice as an osteopath. Osteopaths in France manage acute and chronic complaints in all body areas but mainly in the spine.</p></div><div><h3>Conclusions</h3><p>This study provides a first overview of the current profile of osteopathic practitioners in France since 2012. At present, it constitutes a new informative report of their characteristics and provides several perspectives on the profession's development in terms of status and training.</p></div><div><h3>Implications for practice</h3><p></p><ul><li><span>●</span><span><p>The majority of respondents were aged between 30 and 39 years, had undergone a full-time five-year training, advertised themselves exclusively as osteopaths and manifested a strong osteopathic identity.</p></span></li><li><span>●</span><span><p>Most reported being self-employed, and managing acute and chronic complaints located in all body areas, but mainly the spine.</p></span></li><li><span>●</span><span><p>Respondents expressed a strong desire for a greater integration of osteopathy into the French health system, especially through better collaboration with other healthcare professionals.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49903330","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":"Power and capital: In osteopathy","authors":"Andrew MacMillan","doi":"10.1016/j.ijosm.2023.100685","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100685","url":null,"abstract":"<div><p>This paper is an exploration regarding how power is used and enacted within osteopathy, a UK healthcare profession. Bourdieu's theory of capital and a Foucauldian lens are used to view and critique the sociocultural norms within osteopathy and specifically address issues of inequality and oppression of non-dominant social groups within the UK osteopathic context. The UK osteopathic profession is largely, White, heterosexual and non-disabled. The people who use osteopathic services are typically also, White, non-disabled and have higher levels of social and financial capital. This paper discusses potential reasons and implications of this exclusion. This exploration identifies gaps in the literature and results in the recommendations for further research, including with people from marginalised groups regarding how participation can be enhanced and the need for enhanced quantitative data collection regarding learners, practicing osteopaths and service user characteristics and experiences.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875607","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 manipulative treatment in improving symptoms and quality of life in patients with Graves’ ophthalmopathy: A case report","authors":"Quyen Luong ,&nbsp;Matthew Evitts ,&nbsp;Katrina C. Rakowsky","doi":"10.1016/j.ijosm.2023.100677","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100677","url":null,"abstract":"<div><h3>Background</h3><p>Graves' Disease (GD) is an autoimmune disorder, with ∼50% of GD patients developing Graves’ Ophthalmopathy (GO). Common presentations include lid retraction, exophthalmos, disfigurement, ocular pain, and pressure. Treatment of GD depends on disease severity, ranging from artificial tears to ocular surgeries. Patients with GO symptoms experience a decreased quality of life (QoL) and could benefit from additional treatment options.</p></div><div><h3>Objective</h3><p>This case report describes the use of osteopathic manipulative treatment (OMT) as an adjunct to standard care for a patient with symptomatic GO, and measurement of treatment response with a standardized QoL assessment tool.</p></div><div><h3>Clinical features</h3><p>Clinical evaluation of a patient with GO showed clinical activity score to be 4 with oppressive feeling behind globes, hyperemia, and eyelid edema. Corneal displacement measured by Hertel exophthalmometer indicated increased proptosis. CT scan showed enlarged extraocular muscles bilaterally, with signs of edema in retrobulbar fat. Visual acuity and optic nerves were within normal limits.</p></div><div><h3>Intervention and outcomes</h3><p>This case report demonstrates the use of OMT in long-term reduction of ocular pain and pressure by relieving orbital myofascial tension along with improving ocular circulation, in a patient with GO. Using the European Group On Graves’ Orbitopathy QoL questionnaire, the patient noted better quality of life (93, 81.3 for pretreatment visual and appearance scores, respectively, and 100, 87.5 for post-treatment visual and appearance scores, respectively) and perceived reduced exophthalmos.</p></div><div><h3>Conclusions</h3><p>Providing OMT as a cost effective, non-invasive treatment option for GO symptoms could meet a significant need for GO patients and warrants further study.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875107","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 there really nothing wrong with osteopathy? A reply to van Dun","authors":"Oliver P. Thomson,&nbsp;Andrew MacMillan","doi":"10.1016/j.ijosm.2023.100683","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100683","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875106","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":"Effects of combined taping of quadriceps and hamstring muscles on pain and disability in patients with knee osteoarthritis: Randomized assessor-blinded controlled study","authors":"Yassmin Essam Mohamed ,&nbsp;Dina Samy Abd-Alkareem ,&nbsp;Alaa-Eldin Abd-Alhakem Balbaa ,&nbsp;Magdolin Mishel Samy ,&nbsp;Reda Sayed Ashour","doi":"10.1016/j.ijosm.2023.100681","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100681","url":null,"abstract":"<div><h3>Background</h3><p>The ability of patients suffering from knee osteoarthritis to carry on routine daily activities is a significantly valuable target.</p></div><div><h3>Objectives</h3><p>This study aimed to assess the effect of quadriceps and hamstring taping using kinesio tape on knee pain, function and range of motion (ROM) in patients suffering from knee osteoarthritis.</p></div><div><h3>Methods</h3><p>Twenty-four patients, ages ranging between 50 and 70 years, diagnosed with chronic knee osteoarthritis were randomly allocated into two equal groups. Group (A) received kinesio tape on quadriceps and hamstring muscles in addition to conventional exercises while, group (B) received solely conventional exercises. Pain, knee flexion ROM and function were assessed using the visual analogue scale (VAS), the universal goniometer and Western Ontario and McMaster Universities Osteoarthritis Scale (WOMAC) respectively. Both groups were assessed before and after four weeks of treatment.</p></div><div><h3>Results</h3><p>Mixed Design Multivariate Analysis of Variance (MANOVA) revealed non-significant differences between groups in pain, ROM and WOMAC (P &gt; 0.05) post-treatment. Additionally, pairwise tests revealed significant reduction of VAS and WOMAC with significant increase in ROM (P &lt; 0.05) for group (A) post-treatment. While group (B) showed significant reduction of VAS and WOMAC (P &lt; 0.05) with non-significant change in ROM (P = 0.109) post-treatment.</p></div><div><h3>Conclusion</h3><p>Quadriceps and hamstring taping in addition to conventional exercises has no more effect than conventional exercises alone for decreasing pain and disability and increasing ROM in patients suffering from chronic knee osteoarthritis.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875112","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":"Making sense of cranial osteopathy: An interpretative phenomenological analysis","authors":"Amanda Banton ,&nbsp;Steven Vogel ,&nbsp;Geraldine Lee-Treweek","doi":"10.1016/j.ijosm.2023.100673","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100673","url":null,"abstract":"<div><h3>Objective</h3><p>This study arose from a praxial problem: how best to communicate with patients about the mechanism of cranial osteopathy. The research question was rooted in the phenomenological concept of ‘sense-making’, and was expressed as: ‘What sense do osteopaths and their patients make of the phenomenon of cranial osteopathy?’</p></div><div><h3>Method</h3><p>Interpretative Phenomenological Analysis (IPA) was used to explore the ‘lived experience’ and embedded sense-making of pairs of osteopaths and patients. Four Fellows of the Sutherland Cranial College of Osteopathy (SCCO) participated, as did one patient of each. The osteopath participants were experienced practitioners, and the patient participants had had positive experiences of cranial osteopathy. The participants were interviewed about their experience of the phenomenon of cranial osteopathy. The semi-structured interviews were audio-recorded, transcribed, and analysed. The analysis was audited alongside the use of a reflexive diary and an account of the theoretical ‘fore-structure’ of the principal investigator, in order to monitor influences on their hermeneutic analysis of the data.</p></div><div><h3>Results</h3><p>The IPA revealed that both patients and practitioners establish epistemological grounds for their sense-making about their embodied experience of cranial osteopathy (Theme 1: Making sense of sense-making), that they use embodied metaphor and linguistic meta-metaphor to understand their lived experience of cranial osteopathy (Theme 2: Metaphors for mechanisms), and that the mechanism of cranial osteopathy is considered by both patients and practitioners to arise in part from the therapeutic relationship (Theme 3: The meaningful osteopathic relationship).</p></div><div><h3>Conclusions</h3><p>The main outcome of the study is a hermeneutic model of cranial osteopathy, which posits that the shared, embodied therapeutic relationship facilitates a collaborative rapport which enables the osteopath and the patient to come to an understanding of the source of the patient's malady, and that this understanding is the causal context for the patient's lived experience of better health.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875061","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":"Manual therapy on the diaphragm is beneficial in reducing pain and improving shoulder mobility in subjects with rotator cuff injury: A randomized trial","authors":"Isidro Fernández-López ,&nbsp;David Peña-Otero ,&nbsp;María Eguillor-Mutiloa ,&nbsp;Carmen Bravo-Llatas ,&nbsp;María de los Ángeles Atín-Arratibel","doi":"10.1016/j.ijosm.2023.100682","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100682","url":null,"abstract":"<div><h3>Background</h3><p>Rotator cuff dysfunction is the main cause of shoulder pain. The shoulder and the diaphragm have an important relationship through the myofascial system and through its innervation.</p></div><div><h3>Objectives</h3><p>To analyse the effect of diaphragm manual therapy on the symptoms of patients with rotator cuff injury compared to manual treatment on shoulder muscles.</p></div><div><h3>Design</h3><p>A randomized, controlled, single-blind trial of 45 participants diagnosed with rotator cuff injury.</p></div><div><h3>Method</h3><p>The sample were divided into 3 groups of treatment.</p><p>1. Manual treatment over the shoulder by ischemic compression of myofascial trigger points (MTP) (Control/Shoulder group -SG-).</p><p>2. Diaphragm manual therapy techniques (Diaphragm group -DG-).</p><p>3. Active diaphragm mobilization by hypopressive gymnastic exercise (Breathing group -BG-).</p><p>Shoulder pain using a numerical rating scale (NRS), shoulder range of motion (ROM), and pressure pain threshold (PPT) were evaluated, and compared between groups.</p></div><div><h3>Results</h3><p>Both the SG and DG showed a clinically significant improvement, as well as a significant effect size, on the NRS in shoulder flexion and abduction movements. Regarding ROM improvement, only the SG obtained a significant effect size (abduction and external rotation). The PPT at the xiphoid process of the sternum showed a clinically significant improvement in the DG.</p></div><div><h3>Conclusion</h3><p>Indirect treatment of the shoulder through a protocol of manual therapy techniques on the diaphragm and intervention on MTP of the rotator cuff have been clinically effective in reducing pain on the NRS immediately, in flexion and abduction movements of the shoulder, and more effective compared to the intervention in the breathing group.</p></div><div><h3>Clinical trial registration number</h3><p>NCT03293329.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875065","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}