Osteopathy: Italian professional profile. A professional commentary by a group of experts of the European community of practice

Cerritelli, Francesco; Lunghi, Christian; Esteves, Jorge E.; Vaucher, Paul; Dun, Patrick L.S. van; Alvarez, Gerard; Biberschick, M.; Wagner, Agathe; Merdy, O.; Ménard, Mathieu; Tavernier, P.; Clouzeau, C. .; Risch, A.; Ruffini, Nuria; Nunes, Alexandre; Santiago, Rui José; Marett, P. Janvrin; Grech, Reuben; Thomson, Oliver P.

doi:10.1016/j.ijosm.2021.03.004

Cited by 13 publications

(8 citation statements)

References 34 publications

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“…These results mark the holistic nature of the osteopathic approach, but at the same time requires a deeper understanding of the relationship between SD and the patient's health processes. These present study's findings are in line with the vision reported in a recently published professional commentary [80] and a narrative review [69]: the participant's point of view appeared to be quickly informed by the renovated concept for SD proposed in the decision-making radar plot and algorithm based on structure/function/environment models renovation for a person-centered osteopathic approach [69] Participants consider SD as a gateway to the complexity of the patient [48]. A neuro-myofascial active area that might act as an osteopath-patient interface to transmit the biological and physiological effects of touch, as reported by Baroni and coauthors [59].…”

Section: Discussionsupporting

confidence: 93%

“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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Section: Discussionsupporting

confidence: 93%

“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

Self Cite

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“…Osteopathy is a very young healthcare profession in Italy, where the first generation of professional osteopaths is still in practice, teaching, and at the head of OEIs [ 37 ]. Tradition, with an emphasis on the role of the osteopath and their “listening, seeing hands” [ 38 ] is still one of the main features that characterise the way many professionals feel about themselves [ 39 ]. In confirmation of this, although Italian osteopaths are in favour of EBP, they lack basic skills in EBP and rarely engage in EBP activities [ 40 ], thus, maintaining above all a hands-on operator-dependent clinical approach [ 41 ], which is supported by some evidence [ 20 , 21 , 22 ], but at the same time has shown scientific fragilities in terms of reliability and validity considering the complexity of the phenomenon involved [ 7 , 42 , 43 , 44 , 45 , 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths

Bergna¹,

Galli²,

Todisco³

et al. 2022

Healthcare

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The Italian government has started the regulatory process of osteopathy to include it among the healthcare professions mentioning terms, such as “perceptual palpation” and “somatic dysfunction” within the professional profile. ‘Palpatory findings’ are one of the multidimensional aspects that can inform osteopathic clinical reasoning. The non-regulated educational system has led to heterogenic professionals working in Italy, thus, the aim of this study was to investigate how Italian experts use palpatory findings in their clinical practice. A total of 12 experts were selected to participate in four virtual focus groups. A qualitative inductive approach with a constructivist paradigm was chosen to describe the results. The themes that emerged were: osteopathic identity; evaluation; osteopathic diagnosis; and sharing with different recipients. Participants agreed on the peculiarity and distinctiveness of osteopathic palpation, but there was some disagreement on the clinical significance of the findings, highlighting a complex multidimensional approach to diagnosis and treatment. The results seem to reflect the history of the profession in Italy, which has evolved quickly, leading professionals to seek new paradigms blending tradition and scientific evidence. The authors suggest further investigation to verify the state of art among osteopaths not involved in research or a broader consensus of the results.

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“…The concept of the professional profile is conceived as the set of distinctive features and skills that allow the identification of a professional in a specific field of knowledge (Cerritelli et al, 2021). Within online education, a pedagogical model has been forged that is characterized by its flexibility and openness, which adapts to students' individual experiences and focuses on developing highly relevant professional competencies in the current market labor (Van Der Vleuten and Schuwirth, 2005;Jackson and Wilton, 2016).…”

Section: Teacher Training In Virtual Spacesmentioning

confidence: 99%

Analyzing the teaching profile and competency-based training in online education: a case study of Ecuadorian professors

Castro Castillo,

Cárdenas-Cobo,

Soldevilla

et al. 2024

Front. Educ.

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In the global landscape of education, the online modality has emerged as indispensable for extending access to academic training. This study delves into the teaching profile and competency-based training in online education within the context of Ecuador, a developing nation in South America. Employing a qualitative and exploratory approach, an exhaustive documentary review was conducted, followed by a comparative analysis of gathered information. The documentary review encompassed a meticulous examination of academic literature, governmental policies, and curricula pertaining to online education in Ecuador, with emphasis on selecting pertinent and representative sources. Through the comparative analysis, discernible patterns, similarities, differences, and trends regarding the teaching profile and competency-based training in Ecuadorian online education were identified. The findings present a comprehensive portrayal of how these dimensions have been addressed within Ecuador, thereby serving as a benchmark for future research endeavors. Moreover, they contribute to the advancement and enhancement of online academic programs not only within Ecuador but also in analogous contexts globally. Furthermore, the results offer valuable retrospective insights into the evolution of online education in Ecuador, shedding light on areas of strength and opportunities for refinement within this educational paradigm.

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Osteopathy: Italian professional profile. A professional commentary by a group of experts of the European community of practice

Cited by 13 publications

References 34 publications

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

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

Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths

Analyzing the teaching profile and competency-based training in online education: a case study of Ecuadorian professors

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