Models and theoretical frameworks for osteopathic care – A critical view and call for updates and research

Esteves, Jorge E.; Zegarra-Parodi, Rafael; Dun, Patrick van; Cerritelli, Francesco; Vaucher, Paul

doi:10.1016/j.ijosm.2020.01.003

Cited by 77 publications

(56 citation statements)

References 39 publications

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“…Osteopathy is considered a manual therapy discipline in which its therapeutic base has been traditionally embedded within a specific conceptual framework and principles [17][18][19]. However, several authors have questioned the validity, plausibility and utility of these traditional osteopathic models in the context of contemporary evidence-based healthcare [20][21][22][23]. Despite the passing of time, most of these osteopathic models have not been updated in response to the evidence, yielding to an uncritical development of the profession [23].…”

Section: Introductionmentioning

confidence: 99%

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

Alvarez

Justribo

Sundberg

et al. 2021

BMC Health Serv Res

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Background Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how Spanish osteopaths relate to EBP. Objectives The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context. Methods National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results A total of 567 osteopaths completed the survey which represents an approximate response rate of 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and that professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases. Conclusions Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP skills and use.

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Section: Introductionmentioning

confidence: 99%

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

Alvarez

Justribo

Sundberg

et al. 2021

BMC Health Serv Res

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“…Further, almost half of our sample received their highest quali cation at least six years before the survey, and in Spain, EBP has been only recently integrated into physiotherapy curricular [54]. Osteopathy also has been traditionally embedded in clinical models and frameworks conceived by a small number of individuals from when the discipline was attempting to establish itself, leading to an uncritical development of the profession [23].…”

Section: Use Ebpmentioning

confidence: 99%

“…Osteopathy is considered a manual therapy discipline in which its therapeutic base has been traditionally embedded within a speci c conceptual framework and principles [17][18][19]. However, several authors have questioned the validity, plausibility and utility of these traditional osteopathic models in the context of contemporary evidence-based healthcare [20][21][22][23]. Despite the passing of time, most of these osteopathic models have not been updated in response to the evidence, yielding to an uncritical development of the profession [23].…”

Section: Introductionmentioning

confidence: 99%

“…However, several authors have questioned the validity, plausibility and utility of these traditional osteopathic models in the context of contemporary evidence-based healthcare [20][21][22][23]. Despite the passing of time, most of these osteopathic models have not been updated in response to the evidence, yielding to an uncritical development of the profession [23].…”

Section: Introductionmentioning

confidence: 99%

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Attitudes, Skills and Use of Evidence-Based Practice Amongst Spanish Osteopaths: A Cross-Sectional Survey

Alvarez¹,

Justribo²,

Sundberg³

et al. 2020

Preprint

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Background: Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how EBP relates to osteopathy in Spain, and the attitudes, skills and utilisation of osteopaths.Objectives: The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context.Methods: National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results: A total of 567 osteopaths completed the survey which represents an estimated response rate of approximately 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases.Conclusions: Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP adhesion.

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“…This issue of the International Journal of Osteopathic Medicine continues to challenge and explore some of the conceptual models that underpin practice. We have been pleased to receive and publish additional correspondence [1][2][3] in response to Esteves et al's recent editorial [4] which provided an overview of some of the challenges to selected osteopathic conceptual models. They illustrated their concerns by considering somatic dysfunction and the "Five osteopathic models" and made salient the gap between osteopathic education and contemporary thinking in the scientific community.…”

mentioning

confidence: 99%

Continuing debates about models of practice

Vogel

2020

International Journal of Osteopathic Medicine

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Models and theoretical frameworks for osteopathic care – A critical view and call for updates and research

Cited by 77 publications

References 39 publications

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

Attitudes, Skills and Use of Evidence-Based Practice Amongst Spanish Osteopaths: A Cross-Sectional Survey

Continuing debates about models of practice

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