Osteopathische Medizin最新文献

Metabolic flexibility is the ability of the metabolism to efficiently adapt to the food supply and energy requirements. It is ensured by healthy mitochondria and a balanced hormone system, and it is important for osteopaths as it is essential for the healthy interplay of bodily functions. A loss of metabolic flexibility leads to insulin resistance and is linked to many conditions that we treat in practice on a daily basis. By means of lifestyle advice, osteopaths can increase the effect of their treatments. An adapted lifestyle prevents the circulation of pro-inflammatory cytokines and obesogenic and pathogenic concentrations of certain hormones, leading to improved self-healing powers.

Based on a prospective study, we show that lifestyle counseling by osteopaths, accompanied by lifestyle coaches, has positive effects on metabolic flexibility and thus on metabolic health. We osteopaths can ensure a healthy metabolism and are well advised to point out the health-promoting effects of carbohydrate restriction and fasting to our patients.

A common feature of methodological quality checklists is that studies in which some or all participants are not blinded are downgraded. Blinding in RCTs („randomized controlled trials“) has been postulated as a criterion for methodological quality for decades, without studies having provided sufficiently robust results in this context. The results of a meta-epidemiological study impressively question the current practice.

Background – Research results show that functional somatic disorders are subject to biological, psychological and behavioural influences. In the field of osteopathy, the symptom burden of patients has not been sufficiently studied from a multidimensional perspective.

Methods – As part of a questionnaire study with two runs, patients in the osteopathic teaching practice of OSD Berlin were surveyed. Based on the first run (n = 121), the frequency of fulfilled cut-off criteria for anxiety and depression (HADS-D) was calculated and the distribution to the severity levels of chronic pain (CPG) was determined. For the second run (n = 167), average values for biopsychosocial stress (KPD-38) were calculated. Screening for somatic stress disorder according DSM-V was performed by using cut-off criteria for SSS-8 and SSD-12. Moreover, a correlation test was carried out between selected psychosocial, behavioural and physical scales as well as the duration of symptoms and the age.

Results – The current physical complaints persisted for an average of about 5.6 years (median – 3 years). The study participants most often feel severely to very severely impaired by fatigue or lack of energy (29.4 %), followed by back pain (28.2 %) and pain in the extremities (17.4 %). 12.6 % of the study participants met the criteria for somatic stress disorder. Significant correlations were shown between factors of the psychosocial or behavioural dimension and the physical impairment dimension. Furthermore, 22,3 % of the first run showed a clear anxiety issue and the anxiety cut-off-criteria were met more frequently with an increasing degree of pain chronification.

Conclusion – The results indicate that the patients in the osteopathic teaching practice mainly suffer from chronic complaints that manifest themselves on a physical as well as on a psychosocial and behavioural level, and that there are clear connections across these levels.