International Journal of Osteopathic Medicine最新文献

{"title":"Osteopathic manipulative treatment for pediatric Long-COVID headache: A case report","authors":"Samantha E. Danto ,&nbsp;Jay B. Danto","doi":"10.1016/j.ijosm.2023.100702","DOIUrl":"10.1016/j.ijosm.2023.100702","url":null,"abstract":"<div><h3>Background</h3><p>SARS-CoV-2 is a disease with global impact, and in the United States alone, approximately 20 % of children have had SARS-CoV-2. Long-COVID affects a significant number of children and adults with an incidence reported as high as 57 % for a SARS-CoV-2 sequelae. Currently, a gold standard treatment has not been identified for long-COVID. There have been pathologic mechanisms of action proposed for long-COVID, but this is complicated by the wide variety of symptom manifestations.</p></div><div><h3>Objectives</h3><p>The goal of this case report is to demonstrate and discuss the application of osteopathic manipulative treatment (OMT) and osteopathic principles and practices (OPP) in a patient with long-COVID headache.</p></div><div><h3>Clinical features</h3><p>In our case report we describe a child with long-COVID headache of 12-months duration with high somatic dysfunction burden found on cranial osteopathic structural examination.</p></div><div><h3>Intervention and outcomes</h3><p>OMT was utilized to treat a patient with long-COVID headache and may have resulted in its resolution.</p></div><div><h3>Conclusions</h3><p>This case suggests that OMT and OPP may play a role in the treatment of patients with long-COVID headache.</p></div><div><h3>Implications for practice</h3><p></p><ul><li><span>•</span><span><p>Our case report highlights OPP as a potential treatment option that may be complimentary to other treatments for pediatric patients experiencing long-COVID headache.</p></span></li><li><span>•</span><span><p>Our case report emphasizes the significance of individualized treatment plans, as osteopaths provide in a tailored fashion to each patient based upon their unique history and physical exam findings.</p></span></li><li><span>•</span><span><p>Our case report utilizing OMT promotes a non-pharmacological intervention and fosters opportunities for interprofessional collaboration.</p></span></li><li><span>•</span><span><p>Our case report sparks interest in further research and clinical trials to investigate the efficacy of OMT in pediatric long-COVID cases and its potential application in a broader range of post-viral syndromes.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100702"},"PeriodicalIF":1.9,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138630336","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 tailored training based on students’ and teachers’ needs to improve palpation skills: A quantitative part of a mixed-method study","authors":"Carolina Lavazza ,&nbsp;Giacomo Zangoni ,&nbsp;Federico Sozzi ,&nbsp;Alessandra Abenavoli ,&nbsp;Matteo Barenghi","doi":"10.1016/j.ijosm.2023.100703","DOIUrl":"10.1016/j.ijosm.2023.100703","url":null,"abstract":"<div><h3>Background</h3><p>Palpation is a fundamental and complex skill for manual practitioners, it is a very difficult task to teach and to learn. Trials suggest that training might increase the reliability of palpation in detection of bony landmarks, nevertheless the poor dependability of the examined tests suggests that teaching methods must be reviewed. Different training methodologies have been implemented to improve learning experience of manual therapists, but none of them were based on students' and teachers’ suggestions.</p></div><div><h3>Objectives</h3><p>This study aims to find an efficient training, tailored on students' needs, that improve students’ palpatory skills.</p></div><div><h3>Design</h3><p>Mixed-method study.</p></div><div><h3>Methods</h3><p>this study was divided in four phases, two quantitative and two qualitative. Pelvis asymmetries were evaluated by 112 students from the Accademia Italiana di Medicina Osteopatica osteopathic Institute using two bony landmarks: the greater trochanter<span> (GT) and the posterior superior iliac spine. The volunteers had a hidden wedge of 2 cm under their heel using a randomization process. Nine students and three teachers were interviewed to explore their lived learning experiences. A tailored training of 1 h was implemented based on their suggestions. Students were then randomly divided into three training groups: tailored training, P.A.L.P.A.T.E. and no training. A second data collection was performed. Students were re-evaluated, asked to make another assessment on another volunteer. Two students and one teacher were then re-interviewed to assess if the tailored training met their expectations. A generalized linear model was used to analyze the data.</span></p></div><div><h3>Results</h3><p>76 students completed the trial. Generally, correct detections of higher landmarks increased from the first to the second data collection, except for 5th year students who decreased their performances. Tailored training achieved the best results with a correct detection of the great trochanter by 69% of students and for posterior superior iliac spine by 78% of students. The generalized linear model showed a strong association between correct detection of PSIS and training type (p-value = 0.009) and over time (p-value = 0.01) but no association with year of school (p-value = 0.434). No association between year of study (p-value = 0.228), training types (p-value = 0.267) and correct GT detection over time (p-value = 0.529) was found.</p></div><div><h3>Conclusions</h3><p>Tailored training was shown to be effective and useful in the improvement of students’ performance, especially for posterior superior iliac spine. Interest levels played an important role in correct detection.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100703"},"PeriodicalIF":1.9,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138630339","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":"Perceptions of Australian osteopaths on the use of telehealth for patient care: Barriers and enablers for implementation","authors":"Sandra Grace ,&nbsp;Roger Engel ,&nbsp;Chanelle Mastronardo ,&nbsp;Lee Muddle ,&nbsp;Michael Fleischmann ,&nbsp;Brett Vaughan ,&nbsp;Azharuddin Fazalbhoy","doi":"10.1016/j.ijosm.2023.100696","DOIUrl":"10.1016/j.ijosm.2023.100696","url":null,"abstract":"<div><h3>Background</h3><p>Telehealth is increasingly becoming a significant strategy for the delivery of healthcare in Australia in a wide range of professions. Recent physical distancing requirements were a catalyst for professions such as osteopathy (where the dominant care model is manual therapy) to make significant changes to adapt their approach for telehealth platforms.</p></div><div><h3>Objective</h3><p>To explore the perceptions of Australian osteopaths’ use of telehealth for patient care, and the associated barriers and enablers of its implementation.</p></div><div><h3>Methods</h3><p>The Theoretical Domains Framework informed the development of semi-structured interviews which were conducted with osteopaths. Transcriptions were analysed thematically.</p></div><div><h3>Results</h3><p>Nine osteopaths participated in semi-structured interviews. They described their beliefs about osteopathy and the challenge telehealth has posed to their professional identity as healthcare providers. Osteopaths described uses ranging from simply staying connected with patients, through to innovative ways to assess and teach patients how to self-treat and self-manage their conditions.</p></div><div><h3>Conclusion</h3><p>Enablers for the use of telehealth by participating osteopaths were face-to-face practice restrictions imposed during the pandemic lockdown and acknowledgement of the potential for telehealth to offer convenient and beneficial care, particularly for patients with limited access. Participating osteopaths who saw their value and self-worth as healthcare providers of manual therapy, and a lack of training in telehealth platforms, were major barriers to its uptake in osteopathic practice.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100696"},"PeriodicalIF":1.9,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1746068923000408/pdfft?md5=b14684bac15d3e7c6991449f8ab414b0&pid=1-s2.0-S1746068923000408-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138630486","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":"Interrater agreement and reliability of a palpation method for locating C1 transverse process in the cervical spine","authors":"Ana Paula Antunes Ferreira ,&nbsp;Maria Letizia Moraes Maddaluno ,&nbsp;Ana Christina Certain Curi ,&nbsp;Arthur de Sá Ferreira","doi":"10.1016/j.ijosm.2023.100699","DOIUrl":"10.1016/j.ijosm.2023.100699","url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the agreement and interrater reliability of a palpation method for locating the C1 transverse processes (C1TP) and the association between personal characteristics with the observed agreement.</p></div><div><h3>Methods</h3><p><span>Single-blinded, inter-rater reliability study. Ninety-nine participants (58 women, age 44 ± 10 years, body mass index 26.1 ± 4.3 kg/m</span>²<span>, neck disability index<span> = 8.4 ± 7.3 points) were enrolled in this study. Two raters blinded to each other's assessment performed the palpation for locating the C1TP and marked it with invisible ultra-violet ink. A research assistant measured the distance between the skin marks labeled as C1TP. The association between sex, age, body mass index, neck pain intensity and disability on the interrater agreement was verified using a point-serial correlation coefficient.</span></span></p></div><div><h3>Results</h3><p>Absolute and percent agreement for the right and left body sides were 90/99 (90.9 %, 95%CI 83.4 to 95.8) and 96/99 (97.0 %, 95%CI [91.4 to 99.4]), respectively. Interrater reliability was excellent for both right (Gwet's AC1 0.883, 95%CI [0.881 to 0.885]) and left body sides (Gwet's AC1 0.894, 95%CI [0.894 to 0.896]). After adjustment for multiple comparisons, no statistical evidence of correlation was observed for age, sex, body mass index, and NDI with the agreement for location of C1TP (r = −0.206 or lower, adjusted P-value = 0.328 or higher).</p></div><div><h3>Conclusions</h3><p>The palpatory method for the location of C1TP has excellent interrater agreement and reliability. Age, sex, body mass index, and disability show weak-to-negligible correlation with the agreement for location of C1TP.</p></div><div><h3>Implication for practice</h3><p></p><ul><li><span>•</span><span><p>A palpation method should be accurate and reliable for being introduced in clinical and laboratory settings</p></span></li><li><span>•</span><span><p>This is the first study to report interrater reliability results for locating C1 and the reliability is excellent</p></span></li><li><span>•</span><span><p>The result of our study increases our confidence in recommending the location of C1 in clinical practices when performing mobility tests for C0–C1–C2, the great nerve occipital palpation, as a start landmark for suboccipital muscle palpation and when applying direct manual procedures to restore mobility in C1–C2 segments as muscle energy technique, high-velocity low amplitude (HVLA) manipulation and mobilization with movement techniques</p></span></li><li><span>•</span><span><p>These results benefit the manual therapist's education process as palpatory skills and surface anatomy<span> are core subjects in manual therapy education, including osteopathy, despite the lack of validation of most palpation methods</span></p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100699"},"PeriodicalIF":1.9,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138576050","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":"Advancing osteopathic education in Canada: New offerings, new direction","authors":"M. Noy","doi":"10.1016/j.ijosm.2023.100697","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100697","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"1389 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is wrong with osteopathy? A response to Thomson and MacMillan","authors":"David A. Nicholls","doi":"10.1016/j.ijosm.2023.100694","DOIUrl":"10.1016/j.ijosm.2023.100694","url":null,"abstract":"<div><p>Thomson and MacMillan's paper <span><em>What's wrong with </em><em>osteopathy</em><em>?</em></span><span><span> has understandably caused some consternation within the profession. In this commentary I want to support the intent of their argument, but also suggest they do not go far enough. Western healthcare is entering a post-professional era which will profoundly affect every profession's identity and social purpose. The effects of late capitalism on the </span>atomisation of the body, the unbundling of goodness and expertise, and the transformative effects of digital technologies are not commonly discussed issues in osteopathy, but they are becoming central concerns for any profession looking to adapt to future healthcare. In this essay, I briefly outline the challenges of post-professionalism and explore some of the reactions we have already seen in other professions like physiotherapy. Four response archetypes are identified: watching and waiting, a modern heritage approach, professional renaissance, and hybrid professionalism that, I argue, lies behind Thomson and MacMillan's proposition. All four of these approaches are shown to have significant limitations, so the paper ends with some suggestions for a direction that might be a better way forward for osteopathy.</span></p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100694"},"PeriodicalIF":1.9,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135455211","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":"Combating Modern DO Stigmatization","authors":"A. Cooney ,&nbsp;L. Vega ,&nbsp;B.J. Goodwin ,&nbsp;J. Adams ,&nbsp;F. Mangrola ,&nbsp;L.P. Mslis ,&nbsp;L.P. Do","doi":"10.1016/j.ijosm.2023.100691","DOIUrl":"10.1016/j.ijosm.2023.100691","url":null,"abstract":"<div><p><span><span>In the age of social media, the qualifications and capabilities of osteopathic professionals have been brought into question on a national scale due to the lack of awareness and misconceptions held by many Americans with social platforms. This article investigates the misperceptions behind the recent media coverage of osteopathic physicians. This article highlights the history of </span>osteopathic medicine, as well as the education and training physicians receive. Additionally, this paper offers suggestions on how to combat the stigma in </span>everyday life.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100691"},"PeriodicalIF":1.9,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153973","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":"Saying it doesn't make it so - a reply to Espírito Santo et al","authors":"Oliver P. Thomson,&nbsp;Andrew MacMillan","doi":"10.1016/j.ijosm.2023.100693","DOIUrl":"10.1016/j.ijosm.2023.100693","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100693"},"PeriodicalIF":1.9,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965478","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":"Letter to the Editor: Underlining there is nothing wrong with osteopathy","authors":"João Espírito Santo,&nbsp;João Moita,&nbsp;Buno Campos,&nbsp;Alexandre Nunes","doi":"10.1016/j.ijosm.2023.100692","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100692","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100692"},"PeriodicalIF":1.9,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875609","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 biopsychosocial approach as a part of an osteopathic intervention in the management of chronic prostatitis/chronic pelvic pain: A case report","authors":"Jacob Marten Switters","doi":"10.1016/j.ijosm.2023.100690","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100690","url":null,"abstract":"<div><h3>Introduction</h3><p>The aetiology behind chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) remains unknown, which makes treatment challenging, while the diagnostic uncertainty related to CP/CPPS creates confusion and frustration for both patients and clinicians. As CP/CPSS may be persuaded by nociplastic pain mechanism and is associated with psychosocial and lifestyle factors, interventions should address biopsychosocial factors in combination with the treatment of the biomechanical impairments.</p></div><div><h3>Case description</h3><p>This is a case study of a 71-year-old man diagnosed with CP/CPPS who was referred to the osteopathic clinic by his urologist. His main complaint was a constant dull aching pain in the urethra and right groin that had started almost 10 years previously. The patient was treated six times over a time period of 5 months using a multimodal osteopathic approach.</p></div><div><h3>Outcomes</h3><p>The osteopathic intervention significantly decreased the numeric pain rating scale score, improved quality of life and reduced pain and dysfunction as measured with the National Institutes of Health chronic prostatitis symptom index.</p></div><div><h3>Discussion</h3><p>As CP/CPPS may be a nociplastic pain syndrome, and a multimodal osteopathic approach may therefore be needed that includes treatment of the biomechanical impairments with osteopathic manipulative treatment while also addressing various biopsychosocial factors via education, dietary modifications, advice about physical activity, breathing exercises, sleep and stress management.</p></div><div><h3>Conclusions</h3><p>Application of the biopsychosocial model in addition to a biomedical osteopathic model seems to be a beneficial intervention strategy to improve quality of life, pain and dysfunction in a patient with CP/CPPS.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100690"},"PeriodicalIF":1.9,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875110","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}