Exploring lumbo-pelvic functional behaviour patterns during osteopathic motion tests: A biomechanical (en)active inference approach to movement analysis

Ménard, Mathieu; Couvertier, Marien; Awai, Lea; Esteves, Jorge E.; Bideau, Benoît; Vaucher, Paul

doi:10.1016/j.ijosm.2022.05.001

Cited by 1 publication

(1 citation statement)

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“…These results are also in line with the studies that underline how the use of these parameters focused on patients' perceptions would not only increase the reliability of palpatory findings [55,56] but also their relevance in the clinical decisionmaking process [59,[62][63][64][65]. Moreover, the results of a recently published observational study [66] highlighted an active inference perspective to solve the somatic dysfunction conundrum [24]: osteopaths might consider to collaborate with patients during functional testing to facilitate the emergence of the best adaptive movement patterns that better fit with the patient's needs. Contextually improving awareness about their pain during active motion and re-contextualising their sensory feedback and alter their generative model.…”

Section: Discussionsupporting

confidence: 88%

“What you feel under your hands”: exploring professionals’ perspective of somatic dysfunction in osteopathic clinical practice—a qualitative study

Arcuri¹,

Consorti²,

Tramontano

et al. 2022

Chiropr Man Therap

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Background Despite controversy regarding its validity and clinical usefulness, manual examination findings still have an important role for manipulative therapies. As an example, somatic dysfunction (SD) remains central to osteopathic practice.This study aims to explore the experienced osteopaths' attitudes concerning SD and its role in osteopathic practice. This qualitative research could contribute to building a consistent paradigm for manual intervention in all musculoskeletal manipulations. Methods A thematic analysis with grounded theory elements was used. Data were collected through semi-structured interviews carried out between February and April 2021. A purposive sample of twenty professional osteopaths with past experience in osteopathic care was chosen to reflect the phenomenon's variety. The data analysis was done inductively and in tandem with the recruiting to keep track of data saturation. Results Eleven osteopaths participated in the study. Three main themes emerged from the data analysis: (1) SD as a safe tissue-touch-based communication tool between operator and person complex adaptive health system; (2) The treatment of SD is shareable between osteopaths, other health professionals, and the patients involved in the therapeutic pathway improving body awareness and health; (3) The development of the SD concept in research and practice to better clarify osteopathic profession identity and definition. Conclusions A panel of expert osteopaths consider the concept of SD as a valuable tool integrated into the osteopathic evaluation and treatment process. The shared concept and clinical application of SD is informed by person-centered care concepts and from the fields of neuroscience, cognitive and complexity science. Our study reports a common need among osteopaths to develop an evidence-based framework of SD to allow the best development of the osteopathic profession.

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