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Response to the Letter to the Editor regarding “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial” (Int J Osteopath Med. 2025;58:100777) 关于“三种不同的上斜方肌触发点技术对颈椎疼痛学生疼痛强度和压力阈值的直接影响:一项随机临床试验”的致编辑的回复(Int J osteopathic Med. 2025;58:10 00777)
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-26 DOI: 10.1016/j.ijosm.2025.100804
Jasemin Todri, Orges Lena, Carolina Vázquez-Villa, Juan Martínez-Fuentes, Alberto Ciferri, María Antonia Murcia-González
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引用次数: 0
Immediate effects of osteopathic manipulative therapy on thoracoabdominal mobility, respiratory muscle strength and pulmonary function in healthy men: Preliminary crossover trial 骨科手法治疗对健康男性胸腹活动度、呼吸肌力量和肺功能的直接影响:初步交叉试验
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-26 DOI: 10.1016/j.ijosm.2025.100803
Julio Zago , Tatiana Rondinel , Bruna Urueña , Fellipe Amatuzzi , Rogério Queiroz , Leonardo Nascimento , Gerson Cipriano , Graziella F.B. Cipriano

Background

Isolated high-velocity and low-amplitude techniques have been shown to be effective in improving joint mobility, supporting the gain of respiratory muscle strength and pulmonary function. However, it is not yet known if osteopathic manipulative therapy can improve these variables.

Objectives

Evaluate the feasibility of a clinical trial and the immediate effects of osteopathic manipulative therapy on thoracoabdominal mobility and its repercussions on respiratory muscle strength and pulmonary function.

Design

This is a preliminary crossover trial.

Methods

Twelve healthy men were allocated to the order of interventions into two groups: osteopathic manipulative therapy group and sham group. Osteopathic manipulative therapy was composed of high-velocity and low-amplitude techniques in cervicothoracic spine transition, thoracic and thoracolumbar spine transition, and myofascial release in cervical fascia and diaphragm. The sham group received simulated treatment. One session was performed at each group. The variables were evaluated pre and post interventions.

Results

There was a significant increase in thoracoabdominal mobility axillary of 7.73 [5.37; 10.08], xiphoid of 4.66 [3.24; 6.07] and abdominal of 4.42 [3.17; 5.68] centimeters in osteopathic manipulative therapy group when compared to sham. We observed an increase of 46.13 [28.06; 64.19] in maximum inspiratory pressure, 29.91 [17.78; 42.04] centimeters of water in maximum expiratory pressure, 0.41 [0.18; 0.65] in forced expiratory volume in the first second and 0.35 [0.05; 0.65] liters in forced vital capacity in the osteopathic manipulative therapy group when compared to the sham group.

Conclusions

Osteopathic manipulative therapy increased thoracoabdominal mobility, respiratory muscle strength and pulmonary function in healthy men.
孤立的高速和低振幅技术已被证明可以有效地改善关节活动,支持呼吸肌力量和肺功能的增加。然而,目前尚不清楚整骨疗法是否可以改善这些变量。目的评价整骨手法治疗胸腹活动度的临床试验可行性及对呼吸肌力和肺功能的影响。这是一个初步的交叉试验。方法将12名健康男性按干预顺序分为整骨手法治疗组和假手术组。整骨手法治疗包括颈胸椎过渡、胸椎和胸腰椎过渡、颈筋膜和横膈膜肌筋膜松解的高速和低振幅手法。假手术组接受模拟治疗。每组进行一次治疗。在干预前后对变量进行评估。结果胸腹活动度显著增高,腋窝为7.73 [5.37;10.08],剑突为4.66 [3.24;6.07]腹部4.42 [3.17];整骨手法治疗组与假手术组比较,长5.68]cm。我们观察到增加了46.13 [28.06;64.19]最大吸气压力29.91 [17.78];42.04]厘米水的最大呼气压,0.41 [0.18;第1秒用力呼气量为0.65,第2秒用力呼气量为0.35 [0.05];与假手术组相比,整骨手法治疗组的用力肺活量减少0.65]升。结论顺势手法治疗可提高健康男性胸腹活动度、呼吸肌力和肺功能。
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引用次数: 0
Combination of craniosacral therapy, clinical hypnosis, and therapeutic exercise for fibromyalgia: A case report 颅骶疗法联合临床催眠及运动治疗纤维肌痛1例
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-12 DOI: 10.1016/j.ijosm.2025.100801
Parinita Anand Kusnur , Sahana HN , Mark P. Jensen , Dharmanand Balebail Gopalakrishna , Reepa Avichal Ughreja , Debasis Behera , Prem Venkatesan

Background

Fibromyalgia (FM) is a condition characterized by widespread chronic pain, sleep disturbance, excessive fatigue, and cognitive and psychological dysfunction. The most common treatments for FM include patient education, pharmacotherapy, and non-pharmacological treatments such as therapeutic exercise. Complementary and alternative therapies (CAT) have begun to take precedence over more traditional pharmacological treatments due to their modest and associated adverse effects. Craniosacral therapy (CST) and clinical hypnosis are two CATs that have demonstrated beneficial effects on pain and other symptoms such as sleep quality, fatigue, and cognitive and psychological dysfunction in individuals with FM.

Case presentation

This report describes the case of a patient with FM, presenting primary complaints of sleep disturbance, pain, breathing difficulty, and fatigue. A combination treatment plan, which included CST, clinical hypnosis, and exercise therapy was administered for 8 weeks. The outcomes measured included sleep quality, pain pressure threshold, quality of life, and breathing dysfunction, pre- and post-treatment.

Conclusions

The results of the current case report supported the potential benefits of an integrative approach to the treatment of FM, involving both CAT and traditionally accepted FM treatments like therapeutic exercise, that can be provided by a physical therapist.
纤维肌痛(FM)是一种以广泛的慢性疼痛、睡眠障碍、过度疲劳、认知和心理功能障碍为特征的疾病。FM最常见的治疗方法包括患者教育、药物治疗和非药物治疗,如治疗性运动。补充和替代疗法(CAT)已经开始优先于传统的药物治疗,由于其适度和相关的副作用。颅骶疗法(CST)和临床催眠是两种cat,已被证明对FM患者的疼痛和其他症状(如睡眠质量、疲劳、认知和心理功能障碍)有有益的影响。病例报告一例FM患者,主诉为睡眠障碍、疼痛、呼吸困难和疲劳。采用CST、临床催眠、运动疗法联合治疗,疗程8周。测量的结果包括治疗前后的睡眠质量、疼痛压力阈值、生活质量和呼吸功能障碍。当前病例报告的结果支持综合方法治疗FM的潜在益处,包括CAT和传统上接受的FM治疗,如理疗师可以提供的治疗性运动。
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引用次数: 0
Efficacy of myofascial unwinding and myofascial release on somatic symptoms in patients with non-specific chronic low back pain – A study protocol for a single-blinded randomized clinical trial 肌筋膜展开和肌筋膜释放对非特异性慢性腰痛患者躯体症状的疗效——一项单盲随机临床试验的研究方案
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-12 DOI: 10.1016/j.ijosm.2025.100799
Sourabh Kumar, Manu Goyal, Aditi Popli, Rohan Kumar Sahu, Devendra Kumar Dhruv, Kanu Goyal

Objective

We outline a protocol to determine the comparative efficacy of Myofascial Unwinding (MFU) and Myofascial Release (MFR) versus conventional physiotherapy on somatic symptoms, pain, and quality of life (QOL) in non-specific chronic low back pain (NSCLBP) patients.

Methods

NSCLBP patients with mild to moderate somatic symptoms will be recruited. The study design is a two-arm, single-blinded randomized clinical trial, spanning 4 weeks with a total of 12 sessions. The soft tissue mobilization (STM) group (Group 1) will receive MFU and MFR only, while the conventional physiotherapy group (Group 2) will receive structured exercises and electrophysical modality. Somatic symptoms, pain, and QOL will be evaluated with the Patient Health Questionnaire-15 (PHQ-15), Numeric Pain Rating Scale (NPRS), and Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF) respectively at baseline and the end of 4 weeks from baseline.

Results

The statistical analysis will be performed to determine within and between-group differences and outcomes will be displayed in tables and charts.

Conclusion

To date, evidence for the beneficial effects of STM on somatic symptoms in individuals with NSCLBP is lacking. Thus, the outcomes of this research will offer baseline data on efficacy and challenges in implementing this treatment regimen.
目的:我们概述了一项方案,以确定肌筋膜松解(MFU)和肌筋膜松解(MFR)与常规物理治疗对非特异性慢性腰痛(NSCLBP)患者躯体症状、疼痛和生活质量(QOL)的比较疗效。方法招募有轻至中度躯体症状的单侧高血压患者。研究设计为双组、单盲随机临床试验,为期4周,共12个疗程。软组织活动(STM)组(第一组)只接受MFU和MFR治疗,而传统物理治疗组(第二组)将接受有组织的锻炼和电物理治疗。躯体症状、疼痛和生活质量将分别在基线和4周后用患者健康问卷-15 (PHQ-15)、数字疼痛评定量表(NPRS)和生活质量享受和满意度问卷简表(Q-LES-Q-SF)进行评估。结果通过统计分析确定组内和组间差异,并以表格和图表的形式显示结果。结论迄今为止,尚缺乏证据表明STM对NSCLBP患者的躯体症状有有益作用。因此,这项研究的结果将为实施这种治疗方案的有效性和挑战提供基线数据。
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引用次数: 0
Letter to Editor Regarding Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial 关于三种不同的上斜方肌触发点技术对颈椎疼痛学生疼痛强度和压力阈值的直接影响:一项随机临床试验
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-12 DOI: 10.1016/j.ijosm.2025.100790
Parth Aphale, Himanshu Shekhar, Shashank Dokania
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引用次数: 0
The metaverse as a pedagogical clinic: Re-envisioning human presence, empathy, and touch in digital care training 作为教学诊所的虚拟世界:在数字护理培训中重新设想人类的存在、同理心和触摸
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-11 DOI: 10.1016/j.ijosm.2025.100800
Riza Amalia
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引用次数: 0
Corrigendum to “Exploring scholarship in osteopathic education: A qualitative study of faculty perspectives at a United Kingdon institution” [Int. J. Osteopath. Med. 57 100776 (2025) DOI: 10.1016/j.ijosm.2025.100776] “探索整骨疗法教育中的学术研究:一项英国机构教师观点的定性研究”的勘误表[Int.]j .的后背。[m] . 57 100776 (2025) DOI: 10.1016/ j.j josm.2025.100776]
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-08 DOI: 10.1016/j.ijosm.2025.100798
Jerry Draper-Rodi , Payal Sood , Carol Fawkes
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引用次数: 0
Reclaiming the body: The mental health imperative of embodied learning in physiotherapy education 回收身体:物理治疗教育中体现学习的心理健康必要性
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-10-31 DOI: 10.1016/j.ijosm.2025.100796
Bagus Dwi Cahyono , Apriana Rahmawati , Ronal Surya Aditya , Nurul Huda , Evy Aristawati , Riza Amalia , Dhian Kartikasari
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引用次数: 0
Response to the letter to the editor: Reclaiming the body: The mental health imperative of embodied learning in physiotherapy education 回复给编辑的信:收回身体:物理治疗教育中体现学习的心理健康必要性
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-10-31 DOI: 10.1016/j.ijosm.2025.100797
Laura Eccott , Andrea Moulson , Karen Atkinson , Salvatore Livatino , Jeremy Lewis , Mindy Cairns
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引用次数: 0
The outcome of a short course of osteopathy for older adults with chronic musculoskeletal (MSK) pain. A single-arm, prospective feasibility study 老年人慢性肌肉骨骼(MSK)疼痛的短期骨科治疗的结果。单臂前瞻性可行性研究
IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-10-30 DOI: 10.1016/j.ijosm.2025.100795
Daniel Orchard , Dominic Bolt , Thomas Pinna , Gabriel Antoni-Pineda

Introduction

With an ageing population and limited efficacy of analgesics, alternative strategies for managing chronic musculoskeletal (MSK) pain in older adults are required. Osteopathy is frequently used by people aged 65 and over and may offer a viable non-pharmacological approach.

Objective

To evaluate the feasibility and acceptability of a 12-week course of osteopathy in older adults with chronic MSK pain.

Methods

A single-arm, prospective, pre–post feasibility study was conducted with twenty participants aged 65+. Feasibility was examined across treatment delivery, study procedures, and methodological processes. Acceptability was assessed using patient-reported experience measures of care quality, treatment satisfaction, and likelihood of recommendation. Secondary outcomes explored potential effects on pain, physical function, quality of life, mental wellbeing, and loneliness, using the Symptom Severity Scale, PSFS, MSK-HQ, SWEMWBS, and UCLA Loneliness Scale, respectively. Data were also used to inform sample size calculations for a definitive future trial.

Results

The intervention demonstrated adequate feasibility and acceptability, with high satisfaction ratings and attrition within acceptable thresholds. Improvements were observed in physical function and quality of life. Sample size calculations indicated that 46 participants would be required in the intervention arm to detect a clinically meaningful MSK-HQ difference in subsequent studies.

Conclusion

A short course of osteopathy for older adults with chronic MSK pain appears feasible and acceptable, with early evidence suggesting benefits in function and quality of life. A larger trial is warranted to confirm these findings and assess clinical effectiveness.

Implications for practice

  • A short course of osteopathy showed good feasibility and acceptability for older adults with chronic musculoskeletal pain.
  • Six sessions of osteopathy may improve quality of life and function at 3-months when assessed using the MSK-HQ and PSFS.
  • Osteopathy, alongside pain education, exercise and self-care, may improve quality of life in older adults with chronic pain.
随着人口老龄化和镇痛药的疗效有限,老年人慢性肌肉骨骼(MSK)疼痛的治疗需要替代策略。65岁及以上的老年人经常使用整骨疗法,这可能是一种可行的非药物治疗方法。目的评价老年人慢性MSK疼痛12周整骨疗法的可行性和可接受性。方法对20名年龄在65岁以上的患者进行单臂、前瞻性、前后可行性研究。可行性在治疗交付、研究程序和方法学过程中进行了检查。可接受性评估采用患者报告的护理质量、治疗满意度和推荐可能性的经验措施。次要结局分别使用症状严重程度量表、PSFS、MSK-HQ、SWEMWBS和UCLA孤独量表,探讨对疼痛、身体功能、生活质量、心理健康和孤独感的潜在影响。数据也被用于确定未来试验的样本量计算。结果干预具有充分的可行性和可接受性,满意度高,损失率在可接受的阈值范围内。观察到身体功能和生活质量的改善。样本量计算表明,干预组需要46名参与者才能在随后的研究中发现有临床意义的MSK-HQ差异。结论:对于老年慢性MSK疼痛患者,短期骨疗似乎是可行和可接受的,早期证据表明其在功能和生活质量方面的益处。有必要进行更大规模的试验来证实这些发现并评估临床有效性。对实践的启示•短期整骨疗法对慢性肌肉骨骼疼痛的老年人显示出良好的可行性和可接受性。•当使用MSK-HQ和PSFS进行评估时,6次整骨治疗可以改善3个月时的生活质量和功能。•整骨疗法与疼痛教育、锻炼和自我护理一起,可以改善患有慢性疼痛的老年人的生活质量。
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引用次数: 0
期刊
International Journal of Osteopathic Medicine
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