“I do it my way” - Italian osteopaths’ beliefs and attitudes about five osteopathic models: A qualitative study

Bettelli, Lorenzo; Pisa, Viviana; Formica, Andrea

doi:10.1016/j.ijosm.2020.10.009

Cited by 11 publications

(8 citation statements)

References 63 publications

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Section: Discussionmentioning

confidence: 99%

“…Concerning the different considerations of the concept of SD found in the included studies, it should be mentioned that, in 2020, authors from outside the U.S., i.e., the European, Australasian and Brazilian communities of practice, published their contributions to a debate about osteopathic conceptual models, including the concept of SD [ 26 , 27 , 28 , 29 , 30 , 42 , 43 , 44 , 45 , 46 ]. On one hand, Esteves et al mentioned SD as a non-relevant clinical entity [ 26 ]; on the other hand, different authors discussed updating the concept and renovating the old theoretical substrate, not necessarily removing it [ 27 , 29 , 30 , 42 , 43 , 44 , 45 , 46 , 47 ]. They claimed that it is possible to gain a conceptual osteopathic approach that uses SD as a reconditioned model by implementing new evidence-based knowledge, such as allostasis and interoception, involving (en) active model and strategies, integrating patient-centred communication, shared decision-making self-management, and educational coaching [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

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International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

Tramontano

Tamburella

Farra³

et al. 2021

Healthcare

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Background: Osteopathic manipulative treatment (OMT) is a patient-centred, whole-body intervention aimed at enhance the person’s self-regulation. OMT interventions are focused on somatic dysfunctions (SD) that can be defined as an altered regulative function associated with inflammatory signs palpable in the body framework in different body regions. The conceptual model that sustains SD, as well as its usefulness for the osteopathic profession, is still being discussed by the osteopathic community. Understanding the role and the application of SD is the aim of this scoping review. Methods: A literature search was carried out through the main biomedical databases: Pubmed (Medline), Cochrane, Central (Cochrane), Embase, PEDro and Scopus. Grey literature was considered via Google Scholar and the Osteopathic Research Web. The review was prepared by referring to the “Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews” (PRISMA-ScR). Results: A total of 37,279 records were identified through database searching and other sources. After the duplicates were removed, 27,023 titles and abstracts were screened. A total of 1495 full-text articles were assessed for eligibility. The qualitative synthesis included 280 studies. Conclusions: Treating SD is an important part of osteopathic practice that varies from country to country. SD should be considered as a clinical value that assists in the clinical assessment and guides the decision-making process of osteopathic practitioners. Further studies should be designed to better understand why and how to choose the different assessment and intervention modalities to approach SD and to evaluate new osteopathic models.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

Tramontano

Tamburella

Farra³

et al. 2021

Healthcare

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“…These structure-function models are used in combination to assess the relevance of somatic dysfunction (or palpatory findings, respectively), prioritize treatment approaches, and guide diagnosis and treatment ( Grace et al, 2016 ; Tamburella et al, 2019 ). However, the usefulness and plausibility of these models have been recently critically debated within the profession ( Alvarez et al, 2020 ; Bettelli et al, 2020 ; Esteves et al, 2020 ; Lunghi and Liem, 2020 ; Ménard et al, 2020 ; Nesi, 2020 ; Sampath and Fairs, 2020 ; Santiago et al, 2020 ; Steel et al, 2020a ).…”

Section: Osteopathymentioning

confidence: 99%

Osteopathy and Mental Health: An Embodied, Predictive, and Interoceptive Framework

Bohlen¹,

Shaw

Cerritelli

et al. 2021

Front. Psychol.

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Globally, mental and musculoskeletal disorders present with high prevalence, disease burden, and comorbidity. In order to improve the quality of care for patients with persistent physical and comorbid mental health conditions, person-centered care approaches addressing psychosocial factors are currently advocated. Central to successful person-centered care is a multidisciplinary collaboration between mental health and musculoskeletal specialists underpinned by a robust therapeutic alliance. Such a collaborative approach might be found in osteopathy, which is typically utilized to treat patients with musculoskeletal disorders but may arguably also benefit mental health outcomes. However, research and practice exploring the reputed effect of osteopathy on patients with mental health problems lack a robust framework. In this hypothesis and theory article, we build upon research from embodied cognition, predictive coding, interoception, and osteopathy to propose an embodied, predictive and interoceptive framework that underpins osteopathic person-centered care for individuals with persistent physical and comorbid mental health problems. Based on the premise that, for example, chronic pain and comorbid depression are underlined by overly precise predictions or imprecise sensory information, we hypothesize that osteopathic treatment may generate strong interoceptive prediction errors that update the generative model underpinning the experience of pain and depression. Thus, physical and mental symptoms may be reduced through active and perceptual inference. We discuss how these theoretical perspectives can inform future research into osteopathy and mental health to reduce the burden of comorbid psychological factors in patients with persistent physical symptoms and support person-centered multidisciplinary care in mental health.

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“…We would like to thank Esteves et al [1] for their remarkable work regarding the evolution of osteopathic as a profession. The diverse reflections [2][3][4][5][6][7][8] carried out on the basis of this article indicate the dynamism of the profession and recalled the diverse challenges concerning osteopathic model of care [1,6,9,10], professional identity [2,11,12], education [1,7,12] or research [1,7,[13][14][15]. Esteves et al highlighted the importance for osteopathic profession to fully embrace person-centred care (PCC) [1].…”

Section: Introductionmentioning

confidence: 99%

Should person-centredness care be an affordable goal in French osteopathic education?

Salmon¹,

Cretal²,

Gonzales-Bandres³

2022

International Journal of Osteopathic Medicine

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“I do it my way” - Italian osteopaths’ beliefs and attitudes about five osteopathic models: A qualitative study

Cited by 11 publications

References 63 publications

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

Osteopathy and Mental Health: An Embodied, Predictive, and Interoceptive Framework

Should person-centredness care be an affordable goal in French osteopathic education?

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