Pseudoscience: A skeleton in osteopathy's closet?

Thomson, Oliver P.; Martini, Carlo

doi:10.1016/j.ijosm.2024.100716

Cited by 4 publications

(2 citation statements)

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“…The process of classification, hierarchization, marginalization, and rejection of different epistemologies is termed epistemicide [ 4 ]. In the context of manual therapy, colonial legacies may still manifest in various ways, including the dominance of Western models of assessment and treatment, marginalization of holistic and culturally responsive approaches, and lack of representation and recognition of diverse practitioners and patients [ 8 , 62 , 63 ]. Additionally, educational institutions and professional organizations supporting this ideology should become more responsible for ethically addressing these legacies within manual therapy curricula and standards of practice, promoting genuine diversity, equity, and social justice.…”

Section: Resultsmentioning

confidence: 99%

“…Some authors in the COP professions advocate breaking down professional boundaries in manual therapy which would be artificially upheld by professional ideologies, and instead promote a form of ‘agnostic’ person-centered and evidence-informed MSK care [ 8 , 62 , 63 ]. We feel that such a Eurocentric view of knowledge production to guide patient care, which openly dismisses any other origin of knowledge, such as Indigenous, aligns perfectly with an epistemicide agenda reported in other areas of healthcare [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

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Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy

Zegarra-Parodi,

D’Alessandro,

Baroni

et al. 2024

Healthcare

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Background: Chiropractic, osteopathy, and physiotherapy (COP) professionals regulated outside the United States traditionally incorporate hands-on procedures aligned with their historical principles to guide patient care. However, some authors in COP research advocate a pan-professional, evidence-informed, patient-centered approach to musculoskeletal care, emphasizing hands-off management of patients through education and exercise therapy. The extent to which non-Western sociocultural beliefs about body representations in health and disease, including Indigenous beliefs, could influence the patient–practitioner dyad and affect the interpretation of pillars of evidence-informed practice, such as patient-centered care and patient expectations, remains unknown. Methods: our perspective paper combines the best available evidence with expert insights and unique viewpoints to address gaps in the scientific literature and inform an interdisciplinary readership. Results: A COP pan-professional approach tends to marginalize approaches, such as prevention-oriented clinical scenarios traditionally advocated by osteopathic practitioners for patients with non-Western sociocultural health assumptions. The Cynefin framework was introduced as a decision-making tool to aid clinicians in managing complex clinical scenarios and promoting evidence-informed, patient-centered, and culturally sensitive care. Conclusion: Epistemological flexibility is historically rooted in osteopathic care, due to his Indigenous roots. It is imperative to reintroduce conceptual and operative clinical frameworks that better address contemporary health needs, promote inclusion and equality in healthcare, and enhance the quality of manual therapy services beyond COP’s Western-centered perspective.

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