News update – Page 48 – COME collaboration

Modeled Osteopathic Manipulative Treatments: A Review of Their in Vitro Effects on Fibroblast Tissue Preparations

24 August 2015 | By Patrick van Dun | 0 Comments

24 August 2015

Modeled Osteopathic Manipulative Treatments: A Review of Their in Vitro Effects on Fibroblast Tissue Preparations

A key osteopathic tenet involves the body’s ability to self-heal. Osteopathic manipulative treatment (OMT) has been evolved to improve this healing capacity. The authors’ in vitro work has focused on modeling 2 common OMT modalities: myofascial release (MFR) and counterstrain. Their studies have evaluated the effects of these modalities on wound healing, cytokine secretion, and muscle repair. The key components of the host response to mechanical forces are fibroblasts, which are the main fascial cells that respond to different types of strain by secreting anti-inflammatory chemicals and growth factors, thus improving wound healing and muscle repair processes. The purpose of this review is to discuss the cellular and molecular mechanisms by which MFR and other OMT modalities work, in particular, the role of strained fibroblasts in inflammation, wound healing, and muscle repair and regeneration … MORE

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Accuracy of Anterior Superior Iliac Spine Symmetry Assessment by Routine Structural Examination

24 August 2015 | By Patrick van Dun | 0 Comments

24 August 2015

Accuracy of Anterior Superior Iliac Spine Symmetry Assessment by Routine Structural Examination

Assessment of the anterior superior iliac spine (ASIS) is a key component in generating the pelvic diagnosis of somatic dysfunction, but studies have shown poor reliability between examiners. The objective of this study was to assess the influence of homogeneous training, years of experience, and eye dominance on the percentage of correctness, sensitivity, and specificity of ASIS evaluation … ABSTRACT

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Osteopathic Manipulative Therapy in Women With Postpartum Low Back Pain and Disability: A Pragmatic Randomized Controlled Trial

17 July 2015 (updated 12 September 2015) | By Patrick van Dun | 0 Comments

17 July 2015

Osteopathic Manipulative Therapy in Women With Postpartum Low Back Pain and Disability: A Pragmatic Randomized Controlled Trial

Persistent low back pain (LBP) is a common complaint among women during and after pregnancy, and its effects on quality of life can be disabling. The objective of this study was to evaluate the effectiveness of osteopathic manipulative therapy (OMTh; manipulative care provided by foreign-trained osteopaths) in women with persistent LBP and functional disability after childbirth … MORE

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A global view of osteopathic practice – mirror or echo chamber?

17 July 2015 | By Patrick van Dun | 0 Comments

17 July 2015

A global view of osteopathic practice – mirror or echo chamber?

The Osteopathic International Alliance (OIA) released a report in 2013 entitled, ‘Osteopathy and osteopathic medicine. A global view of practice, patients, education and the contribution to healthcare delivery’. The report was widely circulated by the statutory regulator in New Zealand. It is said to be a representative document by the OIA. Two osteopathic professional streams were identified – osteopathic physicians (and surgeons) and osteopaths. Other than by ancestry, it is apparent that these two streams are not comparable. The claim of a shared ‘core practice’ between the streams is not upheld by the data, which also appear to indicate a dichotomy between a claim of evidence-based practice and the nature of practice itself … ABSTRACT

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Paraspinal Muscle Spindle Response to Intervertebral Fixation and Segmental Thrust Level During Spinal Manipulation in an Animal Model

17 July 2015 (updated 17 July 2015) | By Patrick van Dun | 0 Comments

17 July 2015

Paraspinal Muscle Spindle Response to Intervertebral Fixation and Segmental Thrust Level During Spinal Manipulation in an Animal Model

Intervertebral motion is commonly assessed by manual therapy practitioners during clinical evaluation and treatment. Mechanoreceptor activity elicited during spinal manipulation has been theorized as a potential mechanism of its efficacy. The degree to which intervertebral fixation and segmental thrust level alter paraspinal muscle spindle activity during high velocity low amplitude spinal manipulation (HVLA-SM) is unclear. The objective of this study was to determine whether intervertebral facet joint fixation and segmental thrust level alter paraspinal muscle spindle activity during simulated spinal manipulation … ABSTRACT

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Atlanto-axial facet displacement during rotational high-velocity low-amplitude thrust: An in vitro 3D kinematic analysis

17 July 2015 | By Patrick van Dun | 0 Comments

17 July 2015

Atlanto-axial facet displacement during rotational high-velocity low-amplitude thrust: An in vitro 3D kinematic analysis

Very little is known about the kinematics of the upper cervical spine in particular during manual techniques. In fact no data about displacement of the atlanto-axial joint during High-Velocity Low-Amplitude (HVLA) thrust are available. Knowing the precise kinematics of these vertebrae might allow a better comprehension of such important technique and possible vital structures involvement. A Zebris CMS20 ultrasound-based motion tracking system was adopted. Twenty fresh human cervical specimens were used in this study. Facet joint displacements of C1 relative to C2 were analysed during three consecutive HVLA thrusts into rotation. Displacement during the thrust and the maximum displacement reached with the manoeuvre were analysed … ABSTRACT

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Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis

17 July 2015 | By Patrick van Dun | 0 Comments

17 July 2015

Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis

Temporomandibular joint disorder (TMD) requires a complex diagnostic and therapeutic approach, which usually involves a multidisciplinary management. Among these treatments, musculoskeletal manual techniques are used to improve health and healing. The objective of ties systematic review with meta-analysis was to assess the effectiveness of musculoskeletal manual approach in temporomandibular joint disorder patients … ABSTRACT

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Osteopaths’ clinical reasoning during consultation with patients experiencing acute low back pain: A qualitative case study approach

17 July 2015 (updated 17 July 2015) | By Patrick van Dun | 0 Comments

17 July 2015

Osteopaths’ clinical reasoning during consultation with patients experiencing acute low back pain: A qualitative case study approach

The clinical reasoning strategies employed in healthcare have been well established in a wide range of health professions. Currently, there is little literature pertaining to the diagnostic process of osteopaths and the clinical reasoning strategies utilised in osteopathy. The aim of this study was to investigate the processes of clinical reasoning utilised by osteopaths in the diagnostic hypothesis generation for patients with acute low back pain … ABSTRACT

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Knowing Hands Converse With An Expressive Body – An Experience of Osteopathic Touch

17 July 2015 | By Patrick van Dun | 0 Comments

17 July 2015

Knowing Hands Converse With An Expressive Body – An Experience of Osteopathic Touch

Touch is the process by which one person physically contacts another individual and as such plays an integral role in osteopathic practice. Osteopathic practitioners use touch in almost every aspect of care including examination, diagnosis and treatment. Although touch is intrinsic to osteopathic practice, there has been no published research to date that qualifies the experience of osteopathic touch within a treatment session. The aim of this phenomenological study was to examine and describe the patient’s experience of touch during a consultation with an osteopathic practitioner … ABSTRACT

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Variations in the Diagnosis and Treatment of Somatic Dysfunction Between 4 Osteopathic Residency Programs

23 June 2015 | By Patrick van Dun | 0 Comments

23 June 2015

Variations in the Diagnosis and Treatment of Somatic Dysfunction Between 4 Osteopathic Residency Programs

The American Osteopathic Association requires the integration of osteopathic principles and practice in all specialty residency training programs that it accredits, but the 4 residencies with the most integration of osteopathic manipulative medicine (OMM) have differences in training and emphasis on OMM as a primary treatment modality. The objective of this study was to study differences in OMM use for spinal pain between the neuro-musculoskeletal medicine/OMM (NMM/OMM), the family practice/osteopathic manipulative treatment (FP/OMT), the integrated FP/OMT and NMM/OMM (FP/NMM), and the internal medicine and NMM/OMM (IM/NMM) specialty residency training programs … ABSTRACT

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