Posts by: Patrick van Dun

The use of visceral techniques in Australian osteopathic practice: a descriptive cross-sectional study

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Background Visceral techniques have taken their place in the established osteopathic treatment approaches, however, very little research exists on their use in clinical settings in Australia. This study reports on the prevalence, enablers of and barriers to visceral technique use by registered osteopaths currently practising in Australia utilising a nationally representative database from the Osteopathy Research and Innovation Network (ORION) … ABSTRACT

Most common infant health concerns in osteopathic practices in Germany. A survey (part one of the OSTINF-Study)

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In Germany, more parents have been seeking help from osteopaths for their infants and children in recent years. This implies an increasing demand of reliable evidence regarding the effectiveness of osteopathic intervention for this group. The objective of this survey was to identify the ‘typical’ (most common) health concerns of parents when presenting their infants (age 0–12 months) in pediatric osteopathic practices … ABSTRACT

Patient-centered care or osteopathic manipulative treatment as mediators of clinical outcomes in patients with chronic low back pain

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Patient-centered care is often considered a characteristic of osteopathic medicine, in addition to the use of osteopathic manipulative treatment (OMT) in such musculoskeletal conditions as low back pain. This study aimed to determine if patient-centered care or OMT are mediators of the clinical outcomes of osteopathic medicine in patients with chronic low back pain … MORE

Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain – a mixed methods systematic review

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Clinical practice guidelines commonly recommend adopting a biopsychosocial (BPS) framework by practitioners managing musculoskeletal pain. However, it remains unclear how osteopaths implement a BPS framework in the management of musculoskeletal pain. Hence, the objective of this review was to systematically appraise the literature on the current practices, barriers and facilitators experienced by osteopaths in implementing a BPS framework of care when managing people with musculoskeletal pain … MORE

The Importance of the Posterolateral Area of the Diaphragm Muscle for Palpation and for the Treatment of Manual Osteopathic Medicine

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The eupneic act in healthy subjects involves a coordinated combination of functional anatomy and neurological activation. Neurologically, a central pattern generator, the components of which are distributed between the brainstem and the spinal cord, are hypothesized to drive the process and are modeled mathematically. A functionally anatomical approach is easier to understand although just as complex. Osteopathic manipulative treatment (OMT) is part of osteopathic medicine, which has many manual techniques to approach the human body, trying to improve the patient’s homeostatic response … ABSTRACT

Person-centered versus body-centered approaches in osteopathic care for chronic pain conditions

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We read with great interest the recently published study by Coste et al. The authors reported no benefit of osteopathic treatment in a sample of patients with fibromyalgia (FM) and, therefore, concluded that its use was not recommended. We argue that their findings were expected given their lack of rationale for evaluating the benefits of a single therapeutic approach in the care of individuals with this chronic pain syndrome … MORE

Reporting results in manual therapy clinical trials: A need for improvement

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The number of randomized clinical trials (RCTs) for manual therapy (MT) has increased exponentially in recent years but the quality of reporting is heterogeneous. The objective of this methodological review was to assess the quality of the reporting of results in RCTs manual therapy, both in the text and in the graphs … ABSTRACT

Cost comparison of osteopathic manipulative treatment for patients with chronic low back pain

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Chronic low back pain (cLBP) is the second leading cause of disability in the United States, with significant physical and financial implications. Development of a multifaceted treatment plan that is cost effective and optimizes patients’ ability to function on a daily basis is critical. To date, there have been no published prospective studies comparing the cost of osteopathic manipulative treatment to that of standard care for patients with cLBP. The objectives of this study were to contrast the cost for standard of care treatment (SCT) for cLBP with standard of care plus osteopathic manipulative treatment (SCT + OMT) … MORE

The rationale for including osteopathic manipulative treatment in the management of infections: a hermeneutic review

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As the prevalence of drug-resistant infections continues to outpace the development of new antibiotics, we must explore all reasonable options for enhancing the effectiveness of existing anti-infectives. The emergence of novel pathogens without initial drug treatments or vaccines, typified by the severe acute respiratory syndrome coronavirus-2 pandemic, further underscores the need for non-pharmacologic adjunctive measures for infection management. Osteopathic manipulative treatment (OMT) may represent such an adjunct … ABSTRACT

Osteopaths’ Perspectives on Patient Adherence to Self-Management Strategies: A Qualitative Content Analysis

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Self-management strategies (SMS) have been found to positively affect healthcare outcomes. However, clinicians often encounter patients with differing levels of adherence to SMS, making it an imperative to recognise and manage the factors underpinning patient adherence to such strategies. To this end, this study explored practitioner-perceived barriers and enablers that affect patient adherence to SMS … ABSTRACT

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