Osteopathic Models Integration Radar Plot: A Proposed Framework for Osteopathic Diagnostic Clinical Reasoning

Castagna, Carmine; Consorti, Giacomo; Turinetto, Matteo; Lunghi, Christian

doi:10.1016/j.echu.2021.09.001

Cited by 16 publications

(24 citation statements)

References 61 publications

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“…As reported in a recently published commentary [ 38 , 39 ] and review [ 40 ], PAOA should be regarded as a strategy for integrating passive approaches in osteopathy with more patient-centered care and improving interprofessional collaborations. PAOA could allow patients to improve daily movements that they feel unable to perform appropriately because of their symptoms (i.e., comparative signs or familiar symptoms).…”

Section: Discussionmentioning

confidence: 99%

Patient Active Approaches in Osteopathic Practice: A Scoping Review

Lunghi¹,

Baroni²,

Amodio

et al. 2022

Healthcare

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Background: In the field of manual therapies there is a growing interest in moving from passive hands-on approaches to patient active approaches. In the osteopathic field there are both active and passive methods described as integrated in the process of care. However, this prospective linkage has not been formally explored and is not well shared in the community of practice. The present review aims to appraise the relevant literature on the functioning and principles of Patient active osteopathic approaches (PAOAs) and explore a prospective model for selecting the different types of PAOA, highlighting their integration into patient management strategies. Methods: A scoping review was conducted to analyze the relevant literature on the functioning and the different principles of PAOA and to obtain a comprehensive perspective on the phenomenon. Results: The eligible articles provide insights into the mechanisms of functioning and principles of application of active approaches to be integrated with hands-on approaches. These results provide new insights into the relevance of PAOA to clinical practice. Conclusions: The proposal, emerging from the review, may promote discussions in the community of practice and provide a road map for research towards achieving an evidence-based structure for PAOA.

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Section: Discussionmentioning

confidence: 99%

Patient Active Approaches in Osteopathic Practice: A Scoping Review

Lunghi¹,

Baroni²,

Amodio

et al. 2022

Healthcare

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“…Both whole body and segmental strategies are tailored to patients’ needs and individual responsiveness to the different types of osteopathic touch administered on regions of interest for both patients and osteopaths, i.e., SD. According to the structure/function models, the aim is to improve postural control, modulate autonomic neural overload, improve gastrointestinal function, breathing patterns, drainage and supply of body fluids, control stress components and augment reaction to biopsychosocial stressors [ 50 , 51 ]. Symptom-based approaches are considered in the treatment plan, i.e., administering appropriate techniques according to research studies conducted in a similar clinical context, not necessarily focusing osteopathic touch on SD.…”

Section: Discussionmentioning

confidence: 99%

“…The differences in duration between 15 min to 1 h could be related to the different focus of the osteopathic intervention administered in the studies included in this review, i.e., a complex person-centred osteopathic intervention requires assessing regions of interest in the osteopathic patient dyadic relationship [ 24 ]. The shared decision-making process, which is based on verbal and non-verbal communication (i.e., on proximity and touch) usually takes a considerable amount of time [ 51 ]. Conversely, the administration of a single technique or a standardised approach is faster.…”

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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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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“…A choropleth map [ 37 ] and radar plot [ 38 ] were used to compare the IRA across countries, research institutes, and authors in HD/PD.…”

Section: Methodsmentioning

confidence: 99%

Authors who contributed most to the fields of hemodialysis and peritoneal dialysis since 2011 using the hT-index: Bibliometric analysis

et al. 2022

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Background: The h-index does not take into account the full citation list of a researcher to evaluate individual research achievements (IRAs). As a generalization of the h-index, the hT-index takes all citations into account to evaluate IRAs. Compared to other bibliometric indices, it is unclear whether the hT-index is more closely associated with the h-index. We utilized articles published on hemodialysis and peritoneal dialysis (HD/PD) to validate the hT-index as a measure of the most significant contributions to HD/PD.Methods: Using keywords involving HD/PD in titles, subject areas, and abstracts since 2011, we obtained 7702 abstracts and their associated metadata (e.g., citations, authors, research institutes, countries of origin). In total, 4752 first or corresponding authors with hT-indices >0 were evaluated. To present the author's IRA, the following 4 visualizations were used: radar, Sankey, impact beam plot, and choropleth map to investigate whether the hT-index was more closely associated with the h-index than other indices (e.g., g-/x-indices and author impact factors), whether the United States still dominates the majority of publications concerning PD/HD, and whether there was any difference in research features between 2 prolific authors.Results: In HD/PD articles, we observed that (a) the hT-index was closer to and associated with the h-index; (b1) the United States (37.15), China (34.63), and Japan (28.09) had the highest hT-index; (b2) Sun Yat Sen University (Chian) earned the highest hT-index (=20.02) among research institutes; (c1) the authors with the highest hT-indices (=15.64 and 14.39, respectively) were David W Johnson (Australia) and Andrew Davenport (UK); and (c2) their research focuses on PD and HD, respectively. Conclusion:The hT-index was demonstrated to be appropriate for assessing IRAs along with visualizations. The hT-index is recommended in future bibliometric analyses of IRAs as a complement to the h-index.

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Osteopathic Models Integration Radar Plot: A Proposed Framework for Osteopathic Diagnostic Clinical Reasoning

Cited by 16 publications

References 61 publications

Patient Active Approaches in Osteopathic Practice: A Scoping Review

Patient Active Approaches in Osteopathic Practice: A Scoping Review

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

Authors who contributed most to the fields of hemodialysis and peritoneal dialysis since 2011 using the hT-index: Bibliometric analysis

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