触摸在骨科临床接触中的作用--范围界定综述

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Alessio Gessa , Ian Greaves , Jerry Draper-Rodi
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引用次数: 0

摘要

目的本研究旨在对骨科临床诊疗过程中以评估和手法治疗干预为形式的触摸的作用、使用和效果的现有科学证据进行范围界定,以便对肌肉骨骼(MSK)治疗领域中手法治疗模式的使用提供最新的了解。研究的主要问题是 "在骨科临床诊疗过程中,触摸的作用是什么?"。研究方法进行了范围界定综述,包括在手法治疗领域有关触摸主题的各类研究;触摸的神经生理学;与触摸相关的环境因素和非特异性影响。从 2001 年到 2021 年 12 月,对 PubMed、Ovid Medline、Ovid Amed、Ovid Emcare 和 PEDro 进行了检索。结果45篇论文被收录其中;大部分现有文献都围绕着C-触觉纤维的作用及其在大脑中与手法治疗的相互作用;有证据表明,非特异性因素和环境因素对这种相互作用、患者与医师之间建立的沟通以及治疗效果产生了影响。然而,由于数据匮乏、证据质量不高以及方法上的缺陷,在解释研究结果时需要谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of touch in osteopathic clinical encounters – A scoping review

Objectives

This study aimed to scope the current scientific evidence about the role, use and effects of touch in the form of assessment and manual therapy intervention during osteopathic clinical encounters, in order to provide an up-to-date understanding of the use of hands-on modalities in the field of musculoskeletal (MSK) treatment. The primary research question was “what is the role of touch during osteopathic clinical encounters?”.

Methods

A scoping review was undertaken including all types of research on the topic of touch within the manual therapy world; the neurophysiology of touch; the contextual factors and non-specific effects connected to that. PubMed, Ovid Medline, Ovid Amed, Ovid Emcare and PEDro were searched from 2001 to December 2021. The search was then updated in August 2022.

Results

45 papers were included; much of the available literature revolved around the role of C-Tactile fibres and their interaction within the brain in relation to manual therapy; there is evidence about the non-specific and contextual factors’ influence in this interaction and the communication established between patient and practitioner, as well as treatment outcomes.

Conclusions

Touch can be considered a means through which osteopaths can interact with the patient as a person in a way that goes above and beyond their MSK presentation to enhance better general health and adaptation. However, paucity of data, low quality of evidence and methodological flaws warrant caution in the interpretation of the findings.

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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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