International Journal of Osteopathic Medicine最新文献

{"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}

{"title":"Spinal manipulation combined with exercise therapy could be more effective than exercise therapy alone for shoulder pain and disability: A systematic review and meta-analysis","authors":"Francisco Fleury Uchoa Santos-Júnior ,&nbsp;Denise Martineli Rossi ,&nbsp;Letícia Jonas de Freitas ,&nbsp;Jaqueline Martins ,&nbsp;Anamaria Siriani de Oliveira","doi":"10.1016/j.ijosm.2023.100688","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100688","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate whether exercise therapy associated with spinal manipulation is more effective than exercise therapy alone in patients with shoulder pain.</p></div><div><h3>Data sources</h3><p>Studies were identified by searching MEDLINE/PubMed, Embase, CENTRAL, PEDro, and clinical trial registers. Included studies were written in English without date restrictions.</p></div><div><h3>Study selection</h3><p>We selected controlled trial studies investigating thoracic, cervical, and cervicothoracic spinal manipulations and therapeutic exercises for patients with shoulder pain symptoms and dysfunction outcomes.</p></div><div><h3>Data extraction</h3><p>The study included six clinical trials with 431 participants. Low and very low-quality evidence suggests that the association of interventions can be effective for pain intensity in the first 2 weeks (mean difference [MD], −0.99; [confidence interval] CI, −1.61–0.38) and from the 4th to the 6th week (MD, −0.61; CI, −1.01 to 0.20), respectively. Furthermore, very low-quality evidence suggests that this association was effective in improving shoulder pain disability for up to 6 weeks (up to 2 weeks, standardized mean differences [SMD], −0.65; CI, −1.25 to −0.06; 4th through the 6th week SMD, −0.48; CI -0.71 to −0.26).</p></div><div><h3>Data synthesis</h3><p>Comparison of spinal manipulation plus exercises with only exercises for pain intensity and shoulder pain disability showed that: after two and four to six weeks after treatment, there was a significant mean difference between groups for pain intensity pain and disability. At 6 months, there was no difference between the groups neither for pain intensity nor for disability.</p></div><div><h3>Conclusion</h3><p>The association of spinal manipulation with strengthening and stretching exercises can be more effective than isolated exercises for shoulder pain intensity up to 2 weeks and disability within 6 months.</p></div><div><h3>Implications for practice</h3><p>Physical therapists may associate spinal manipulation with exercises for shoulder pain, which may improve pain intensity and disability, especially in the initial treatment phase.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100688"},"PeriodicalIF":1.9,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875109","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":"Application of high-velocity low-amplitude technique in cervicothoracic junction produces cardiovascular responses in subjects with C7-T1 dysfunction: Randomized crossover trial","authors":"Julio Zago ,&nbsp;Bruna Urueña Lopes de Souza ,&nbsp;Fellipe Amatuzzi ,&nbsp;Tatiana Zacarias Rondinel ,&nbsp;Rogério Queiroz ,&nbsp;Gerson Cipriano Jr. ,&nbsp;Graziela França Bernardelli Cipriano","doi":"10.1016/j.ijosm.2023.100686","DOIUrl":"https://doi.org/10.1016/j.ijosm.2023.100686","url":null,"abstract":"<div><h3>Background</h3><p>Neural structures of cardiac sympathetic and parasympathetic conduction emerge from the segments of the cervicothoracic spine. The application of high-velocity low-amplitude (HVLA) techniques at this segment can generate responses in heart rate (HR), blood pressure and sympathetic nervous activity of the skin. However, it is not known whether these responses occur in subjects with C7-T1 dysfunction.</p></div><div><h3>Objective</h3><p>To evaluate the effects of HVLA technique in cervicothoracic junction in HR, blood pressure and skin temperature (ST), in subjects with C7-T1 dysfunction.</p></div><div><h3>Design</h3><p>This is a randomized crossover trial.</p></div><div><h3>Methods</h3><p>Twelve male subjects were randomized into two groups: HVLA and Sham. HVLA group received a single manipulation technique for C7-T1 dysfunction, while the sham group received a simulated HVLA. HR, blood pressure and ST were measured pre, immediately after and 10 min after the application of the interventions.</p></div><div><h3>Results</h3><p>Immediately after the application of the interventions, an increase in HR, systolic blood pressure (SBP) and ST was observed, in addition to a reduction in diastolic blood pressure (DBP). Also, 10 min after, a significant reduction in SBP and DBP was observed in the HVLA group when compared to Sham group.</p></div><div><h3>Conclusion</h3><p>The application of a single HVLA technique in the cervicothoracic junction produced significative effects on HR, BP and ST in subjects with C7-T1 dysfunction.</p></div><div><h3>Implications for Practice</h3><p></p><ul><li><span>·</span><span><p>This study showed that a musculoskeletal technique has effect on autonomic nervous system, suggesting that there are still hidden mechanisms behind HVLA techniques.</p></span></li><li><span>·</span><span><p>HVLA techniques for cervicothoracic junction can generate changes in cardiovascular variables.</p></span></li><li><span>·</span><span><p>HVLA techniques did not cause adverse hypertensive peaks.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"50 ","pages":"Article 100686"},"PeriodicalIF":1.9,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875113","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":"Australian private health insurer attitudes towards osteopathy: A qualitative study","authors":"Roger Engel ,&nbsp;Sandra Grace ,&nbsp;Nicole Duncan ,&nbsp;Brooke Wade ,&nbsp;Josh Paterson-Allsop ,&nbsp;Bryce O'Hara ,&nbsp;Brett Vaughan","doi":"10.1016/j.ijosm.2023.100689","DOIUrl":"10.1016/j.ijosm.2023.100689","url":null,"abstract":"<div><h3>Background</h3><p>Australian osteopaths predominately work in private practice. The vast majority of patients who present to osteopaths fund their own care, with many receiving a rebate through their private health insurance cover. While there is little that describes the relationship between the Australian osteopathy profession and private health insurers, such information could provide an opportunity for insurers to improve coverage of osteopathy through enhanced benefits.</p></div><div><h3>Objectives</h3><p>To identify the extent of private health insurance cover available for osteopathy and to explore the attitudes of private health insurers towards the Australian osteopathy profession.</p></div><div><h3>Methods</h3><p>This qualitative study used: 1) content analysis of Australian private health insurers offerings for osteopathy, and 2) the Theoretical Domains Framework (TDF) to inform interviews with representatives from Australian private health insurers. The interviews were transcribed and coded with respect to the TDF.</p></div><div><h3>Results</h3><p>Of the 35 private health insurers in Australia, 33 offered benefits for osteopathy. Four interviews were conducted with representatives from the 10 largest private health insurers who provide benefits. Osteopathy represents a very small proportion of their services. The inclusion of osteopathic services is market driven. Private health insurance representatives had limited knowledge and understanding of osteopathy, however, they acknowledged the value that some of their members saw in receiving osteopathic care. Osteopathy is bundled with complementary and allied health services by 91.4% of insurers.</p></div><div><h3>Conclusion</h3><p>Osteopathy is included in the majority of Australian private health insurers’ offerings because the service value-adds to their products. Further research into the efficacy and cost-effectiveness of osteopathy as well as an educational campaign that provides private health insurers with information about the scope of osteopathy are needed to secure its ongoing inclusion in private health insurance in Australia.</p></div><div><h3>Implications for practice</h3><p></p><ul><li><span>•</span><span><p>Benefits for osteopathic treatment are covered by most private health insurers in Australia.</p></span></li><li><span>•</span><span><p>Osteopathy is viewed favourably by these insurers.</p></span></li><li><span>•</span><span><p>The findings from this research will inform strategies to secure the ongoing inclusion of benefits for osteopathic treatment by private health insurers in Australia.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"51 ","pages":"Article 100689"},"PeriodicalIF":1.9,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1746068923000330/pdfft?md5=a99af717d576701149e94113e3dcd416&pid=1-s2.0-S1746068923000330-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135434402","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}