Pub Date : 2025-09-08DOI: 10.1016/j.ijosm.2025.100786
Júlia G. Parada , Elirez B. da Silva , Ana Paula Fernandes , Guilhermo B. Portugal
Objective
Evaluate the effectiveness of osteopathic manipulative treatment on primary pelvic pain.
Methods
In May 2024, a systematic review was carried out in the MEDLINE, BVS, SciELO, PEDro, SCOPUS, Web of Science, Science Direct, CINAHL, Cochrane and Osteopathic Research databases. The inclusion criteria followed the PICOS strategy, including patients with cyclical or chronic primary pelvic pain, who underwent pragmatic OMT in comparison to another type of therapeutic resource and/or placebo, with pain measured as an outcome. For this review, only randomized controlled clinical trials evaluating the effect of osteopathic manipulative treatment on primary pelvic pain were selected.
Results
1157 studies were found; 5 studies were selected for this systematic review. Among them, 2 were women with primary dysmenorrhea, 2 with people with irritable bowel syndrome and 1 with men with chronic prostatitis. We analyzed the methodological quality and the risk of bias through the Jadad Scale and the Revised Cochrane risk-of-bias tool for randomized trials - RoB 2 respectively. We used the Grading of Recommendations Assessment, Development and Evaluation Approach - GRADE tool to assess the level of evidence. The meta-analysis of five studies, with six comparisons, showed that of the 204 participants, 109 who received OMT significantly decreased primary pelvic pain by -1.09 [95%CI = -1.79 to - 0.39] (p =0021).
Conclusion
Considering the results found in this meta-analysis, it is possible to conclude that osteopathic manipulative treatment can be effective in reducing cyclical or chronic primary pelvic pain and may be a new conservative treatment option. However, further studies are needed to improve the level of evidence.
{"title":"Effect of osteopathic manipulative treatment on primary pelvic pain - A systematic review with meta-analysis","authors":"Júlia G. Parada , Elirez B. da Silva , Ana Paula Fernandes , Guilhermo B. Portugal","doi":"10.1016/j.ijosm.2025.100786","DOIUrl":"10.1016/j.ijosm.2025.100786","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate the effectiveness of osteopathic manipulative treatment on primary pelvic pain.</div></div><div><h3>Methods</h3><div>In May 2024, a systematic review was carried out in the MEDLINE, BVS, SciELO, PEDro, SCOPUS, Web of Science, Science Direct, CINAHL, Cochrane and Osteopathic Research databases. The inclusion criteria followed the PICOS strategy, including patients with cyclical or chronic primary pelvic pain, who underwent pragmatic OMT in comparison to another type of therapeutic resource and/or placebo, with pain measured as an outcome. For this review, only randomized controlled clinical trials evaluating the effect of osteopathic manipulative treatment on primary pelvic pain were selected.</div></div><div><h3>Results</h3><div>1157 studies were found; 5 studies were selected for this systematic review. Among them, 2 were women with primary dysmenorrhea, 2 with people with irritable bowel syndrome and 1 with men with chronic prostatitis. We analyzed the methodological quality and the risk of bias through the Jadad Scale and the Revised Cochrane risk-of-bias tool for randomized trials - RoB 2 respectively. We used the Grading of Recommendations Assessment, Development and Evaluation Approach - GRADE tool to assess the level of evidence. The meta-analysis of five studies, with six comparisons, showed that of the 204 participants, 109 who received OMT significantly decreased primary pelvic pain by -1.09 [95%CI = -1.79 to - 0.39] (p =0021).</div></div><div><h3>Conclusion</h3><div>Considering the results found in this meta-analysis, it is possible to conclude that osteopathic manipulative treatment can be effective in reducing cyclical or chronic primary pelvic pain and may be a new conservative treatment option. However, further studies are needed to improve the level of evidence.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100786"},"PeriodicalIF":1.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-05DOI: 10.1016/j.ijosm.2025.100785
Garrett B. Gianneschi , Sarthak Patel , Patrick Hinfey
Introduction
Chest pain (CP) is a common and challenging complaint in the emergency department (ED), often requiring rapid assessment to rule out serious conditions. While medication-based treatments are frequently used, there is a growing need for alternative therapies, particularly for non-cardiac chest pain. The sternal brace, an osteopathic manipulative technique, may serve as an adjunctive therapy for chest pain in the ED.
Objective
This prospective observational cohort study aimed to explore the effect of the sternal brace maneuver in reducing CP of any etiology in ED patients.
Methods
Data were reanalyzed from 34 adult patients presenting with CP at Newark Beth Israel ED. The Numerical Rating Scale (NRS) was used to measure pain levels before and after the maneuver. Patients were classified as responders if their NRS decreased.
Results
In 34 patients presenting with CP, the maneuver led to a statistically significant average reduction in pain of 1.32 points (18.5 %) (z = 3.124; p = 0.0009; alpha = 0.01; confidence interval = 1.047). 38.2 % (13/34) were classified as responders, experiencing an average NRS decrease of 3.7 points (64.0 %). The remaining 61.8 % (21/34) were non-responders. Subgroup analysis showed decrease in noncardiac CP was 1.5 points (21.3 %), while cardiac CP decreased 0.9 points (12.7 %). No major adverse outcomes were observed.
Conclusion
This small study suggests the sternal brace provides modest effectiveness in pain reduction in ED patients with a chief complaint of CP.
胸痛（CP）是急诊科（ED）常见且具有挑战性的主诉，通常需要快速评估以排除严重情况。虽然经常使用药物治疗，但越来越需要替代疗法，特别是对非心源性胸痛。胸骨支具是一种骨科手法，可以作为ED胸痛的辅助治疗方法。目的：本前瞻性观察队列研究旨在探讨胸骨支具手法在降低任何病因的ED患者CP中的作用。方法对34例在纽瓦克贝斯以色列急诊科就诊的CP成年患者的数据进行再分析。采用数值评定量表（NRS）测量手法前后的疼痛水平。如果患者的NRS下降，则将其归类为应答者。结果34例CP患者的疼痛平均减轻1.32点（18.5%），差异有统计学意义（z = 3.124, p = 0.0009, alpha = 0.01，可信区间= 1.047）。38.2%（13/34）被归为应答者，NRS平均下降3.7点（64.0%）。其余61.8%（21/34）无应答。亚组分析显示，非心脏CP下降1.5点（21.3%），心脏CP下降0.9点（12.7%）。未观察到主要不良结果。结论：这项小型研究表明，胸骨支具对以CP为主诉的ED患者疼痛减轻有一定效果。
{"title":"A prospective observational cohort study of a standardized osteopathic maneuver for chest pain relief","authors":"Garrett B. Gianneschi , Sarthak Patel , Patrick Hinfey","doi":"10.1016/j.ijosm.2025.100785","DOIUrl":"10.1016/j.ijosm.2025.100785","url":null,"abstract":"<div><h3>Introduction</h3><div>Chest pain (CP) is a common and challenging complaint in the emergency department (ED), often requiring rapid assessment to rule out serious conditions. While medication-based treatments are frequently used, there is a growing need for alternative therapies, particularly for non-cardiac chest pain. The sternal brace, an osteopathic manipulative technique, may serve as an adjunctive therapy for chest pain in the ED.</div></div><div><h3>Objective</h3><div>This prospective observational cohort study aimed to explore the effect of the sternal brace maneuver in reducing CP of any etiology in ED patients.</div></div><div><h3>Methods</h3><div>Data were reanalyzed from 34 adult patients presenting with CP at Newark Beth Israel ED. The Numerical Rating Scale (NRS) was used to measure pain levels before and after the maneuver. Patients were classified as responders if their NRS decreased.</div></div><div><h3>Results</h3><div>In 34 patients presenting with CP, the maneuver led to a statistically significant average reduction in pain of 1.32 points (18.5 %) (z = 3.124; p = 0.0009; alpha = 0.01; confidence interval = 1.047). 38.2 % (13/34) were classified as responders, experiencing an average NRS decrease of 3.7 points (64.0 %). The remaining 61.8 % (21/34) were non-responders. Subgroup analysis showed decrease in noncardiac CP was 1.5 points (21.3 %), while cardiac CP decreased 0.9 points (12.7 %). No major adverse outcomes were observed.</div></div><div><h3>Conclusion</h3><div>This small study suggests the sternal brace provides modest effectiveness in pain reduction in ED patients with a chief complaint of CP.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100785"},"PeriodicalIF":1.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-04DOI: 10.1016/j.ijosm.2025.100784
Corey J. Luebbering , Jane C. Johnson , Sara AminiRad-Hall , Gwyn Kelley-Franklin , Brian F. Degenhardt
Background
Because the practice of osteopathic manipulative medicine (OMM) put practitioners at risk of contracting COVID-19, they had to adjust treatment practices for active COVID-19 cases and local restrictions or regulations.
Objective
To assess practitioner environment when treating COVID-19 patients with OMM and the general impact of the pandemic on the practice of OMM.
Methods
In October 2020 and March 2022, we distributed surveys to DO-Touch.NET members. Both surveys included 11 questions about treating patients with active COVID-19 and practice changes caused by the pandemic. The second survey also included 4 questions about treating long COVID and 1 question about practice changes in the previous 6 months.
Results
Of 206 responses, 40 reported local restrictions or regulations prevented use of OMM for patients with active COVID-19, but 57 performed OMM on these patients, mostly through outpatient services. Main reasons for not treating COVID-19 patients were lack of opportunity, local protocol restrictions, and personal health concerns. Of 71 responses for the second survey, 48 treated patients with long COVID, primarily in the outpatient setting. The main reason for not treating these patients was lack of opportunity. The most frequently reported practice changes included adoption of universal COVID precautions and screening for COVID.
Conclusion
Study results suggested the COVID-19 pandemic had an immediate, worldwide impact on the practice of OMM by reducing available services to patients with active COVID-19. Although the effectiveness of OMM for treating COVID-19 or long COVID remains unknown, these results may be useful to prepare for future pandemics.
{"title":"Effects of the COVID-19 pandemic on the practice of osteopathic manipulative medicine: A survey study","authors":"Corey J. Luebbering , Jane C. Johnson , Sara AminiRad-Hall , Gwyn Kelley-Franklin , Brian F. Degenhardt","doi":"10.1016/j.ijosm.2025.100784","DOIUrl":"10.1016/j.ijosm.2025.100784","url":null,"abstract":"<div><h3>Background</h3><div>Because the practice of osteopathic manipulative medicine (OMM) put practitioners at risk of contracting COVID-19, they had to adjust treatment practices for active COVID-19 cases and local restrictions or regulations.</div></div><div><h3>Objective</h3><div>To assess practitioner environment when treating COVID-19 patients with OMM and the general impact of the pandemic on the practice of OMM.</div></div><div><h3>Methods</h3><div>In October 2020 and March 2022, we distributed surveys to DO-Touch.NET members. Both surveys included 11 questions about treating patients with active COVID-19 and practice changes caused by the pandemic. The second survey also included 4 questions about treating long COVID and 1 question about practice changes in the previous 6 months.</div></div><div><h3>Results</h3><div>Of 206 responses, 40 reported local restrictions or regulations prevented use of OMM for patients with active COVID-19, but 57 performed OMM on these patients, mostly through outpatient services. Main reasons for not treating COVID-19 patients were lack of opportunity, local protocol restrictions, and personal health concerns. Of 71 responses for the second survey, 48 treated patients with long COVID, primarily in the outpatient setting. The main reason for not treating these patients was lack of opportunity. The most frequently reported practice changes included adoption of universal COVID precautions and screening for COVID.</div></div><div><h3>Conclusion</h3><div>Study results suggested the COVID-19 pandemic had an immediate, worldwide impact on the practice of OMM by reducing available services to patients with active COVID-19. Although the effectiveness of OMM for treating COVID-19 or long COVID remains unknown, these results may be useful to prepare for future pandemics.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100784"},"PeriodicalIF":1.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-11DOI: 10.1016/j.ijosm.2025.100782
John J. Fraser , Elaine Lonnemann
Background
Manual therapy is frequently used in the treatment of cervical-spine conditions. Due to the critical neurovascular structures in the cervical region, there are potential risks associated.
Methods
The PearlDiver Patient Record Database was used to evaluate a cohort of patients with cervical-spine conditions between 2007 and 2011 using International Classification of Disease codes (721.x, 722.x, 723.x, 739.1). Current Procedural Terminology codes were used to identify Manual Therapy Techniques (97140), Osteopathic Manipulation (98925–98927), and Chiropractic Manipulation (98940–98942). Medical encounters for Vertebral-Basilar Artery Syndrome or Transient Ischemic Attack (ICD-9435.x), Carotid or Vertebral Artery Dissection (ICD-9443.21 & 443.24), Cerebral Artery Thrombosis or Embolus (ICD-9434.x), or Arterial Occlusion with or without Cerebral Infarct (ICD-9433.x) were assessed the same day, 14-days, 30-days, and 90-days following treatment exposure. For each event, prevalence ratios (PR) and 95 % confidence intervals (CI) were calculated comparing those receiving manual therapy to those not.
Results
4,781,968 unique patients (15.9 %) were diagnosed with a cervical-spine condition, with 2,477,117 (51.8 %) of these patients provided MT from 2007 to 2011. Patients provided MT had an 11 % increased prevalence of arterial occlusion observed within 90-days post-intervention (PR: 1.11 95 % CI 1.02–1.21, NNT Harm: 27,762) and a 11–45 % lower prevalence of being diagnosed with a neurovascular complication 30-days (PR: 0.89, 95 % CI 0.84–0.95), 14-days (PR = 0.82, 95 % CI 0.76–0.88), and the same day (PR: 0.55, 95 % CI 0.52–0.59) following treatment compared to patients not treated with MT.
Conclusion
This study presents population-level statistics on the occurrence of neurovascular complication after MT for cervical-spine conditions.
Level of evidence
Treatment, level 2a.
背景：手工疗法常用于治疗颈椎疾病。由于关键的神经血管结构在颈椎区域，有潜在的风险相关。方法采用PearlDiver患者记录数据库，使用国际疾病分类代码（International Classification of Disease codes, 721）对2007年至2011年间的一组颈椎疾病患者进行评估。x, 722。x, 723。x 739.1)。使用现行程序术语代码来识别手工治疗技术（97140）、整骨疗法（98925-98927）和捏脊疗法（98940-98942）。椎-基底动脉综合征或短暂性脑缺血发作的医学遭遇（ICD-9435）。x)，颈动脉或椎动脉夹层（ICD-9443.21和443.24），脑动脉血栓形成或栓子（ICD-9434）。x)，或动脉闭塞伴或不伴脑梗死（ICD-9433.x）在治疗暴露后的当天、14天、30天和90天进行评估。对于每个事件，计算接受手工治疗的患者与未接受手工治疗的患者的患病率比（PR）和95%置信区间（CI）。结果2007 - 2011年有4,781,968例特殊患者（15.9%）被诊断为颈椎疾病，其中2,477,117例（51.8%）患者接受了MT治疗。接受MT治疗的患者在干预后90天内观察到的动脉闭塞患病率增加了11% (PR: 1.11 95% CI 1.02-1.21， NNT危害：27,762)，30天（PR: 0.89, 95% CI 0.84-0.95）， 14天（PR = 0.82, 95% CI 0.76-0.88）和同一天（PR: 0.76-0.88）被诊断为神经血管并发症的患病率降低了11 - 45%。0.55, 95% CI 0.52-0.59)。结论本研究对颈椎疾病行MT后神经血管并发症的发生率进行了人群水平的统计。证据水平：治疗，2a级。
{"title":"Association of neurovascular events with cervical manual therapy: A cohort study","authors":"John J. Fraser , Elaine Lonnemann","doi":"10.1016/j.ijosm.2025.100782","DOIUrl":"10.1016/j.ijosm.2025.100782","url":null,"abstract":"<div><h3>Background</h3><div>Manual therapy is frequently used in the treatment of cervical-spine conditions. Due to the critical neurovascular structures in the cervical region, there are potential risks associated.</div></div><div><h3>Methods</h3><div>The PearlDiver Patient Record Database was used to evaluate a cohort of patients with cervical-spine conditions between 2007 and 2011 using International Classification of Disease codes (721.x, 722.x, 723.x, 739.1). Current Procedural Terminology codes were used to identify Manual Therapy Techniques (97140), Osteopathic Manipulation (98925–98927), and Chiropractic Manipulation (98940–98942). Medical encounters for Vertebral-Basilar Artery Syndrome or Transient Ischemic Attack (ICD-9435.x), Carotid or Vertebral Artery Dissection (ICD-9443.21 & 443.24), Cerebral Artery Thrombosis or Embolus (ICD-9434.x), or Arterial Occlusion with or without Cerebral Infarct (ICD-9433.x) were assessed the same day, 14-days, 30-days, and 90-days following treatment exposure. For each event, prevalence ratios (PR) and 95 % confidence intervals (CI) were calculated comparing those receiving manual therapy to those not.</div></div><div><h3>Results</h3><div>4,781,968 unique patients (15.9 %) were diagnosed with a cervical-spine condition, with 2,477,117 (51.8 %) of these patients provided MT from 2007 to 2011. Patients provided MT had an 11 % increased prevalence of arterial occlusion observed within 90-days post-intervention (PR: 1.11 95 % CI 1.02–1.21, NNT Harm: 27,762) and a 11–45 % lower prevalence of being diagnosed with a neurovascular complication 30-days (PR: 0.89, 95 % CI 0.84–0.95), 14-days (PR = 0.82, 95 % CI 0.76–0.88), and the same day (PR: 0.55, 95 % CI 0.52–0.59) following treatment compared to patients not treated with MT.</div></div><div><h3>Conclusion</h3><div>This study presents population-level statistics on the occurrence of neurovascular complication after MT for cervical-spine conditions.</div></div><div><h3>Level of evidence</h3><div>Treatment, level 2a.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100782"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-06DOI: 10.1016/j.ijosm.2025.100781
Jérémie Mattatia, Axel Leplat, Sara Saiz
This publication presents the case of a 25-year-old French high-level sprinter. He was referred for left gonalgia (knee pain), which had appeared during training a few weeks earlier and for which there was no clear traumatic cause. The athlete's medical team initially thought that he had suffered damage to his infrapatellar tendon. Despite implementing a combination of physiotherapy and allopathic medicine, the pain persisted and ultimately led to a state of disability. During the initial osteopathic consultation, the clinical examination was not very informative and did not reveal any pathognomonic signs. However, it appeared that the patient had external rotation of the tibia below the femur on the left, firmly maintained by a clear asymmetry of tone between the biceps femoris and the other left hamstrings. In the search for an aetiology, this asymmetry was explored with the sprinter's physical training staff. The athlete and his team of physical trainers determined that he was approaching curved trajectories with the left foot a little too wide open, causing shearing of the knee joint complex. Remediation of the running movements subsequently resolved the pain. The authors advocate for greater emphasis on functional diagnosis in osteopathic treatment.
{"title":"Specific osteopathic diagnosis of unilateral knee pain in an elite sprinter: a case report","authors":"Jérémie Mattatia, Axel Leplat, Sara Saiz","doi":"10.1016/j.ijosm.2025.100781","DOIUrl":"10.1016/j.ijosm.2025.100781","url":null,"abstract":"<div><div>This publication presents the case of a 25-year-old French high-level sprinter. He was referred for left gonalgia (knee pain), which had appeared during training a few weeks earlier and for which there was no clear traumatic cause. The athlete's medical team initially thought that he had suffered damage to his infrapatellar tendon. Despite implementing a combination of physiotherapy and allopathic medicine, the pain persisted and ultimately led to a state of disability. During the initial osteopathic consultation, the clinical examination was not very informative and did not reveal any pathognomonic signs. However, it appeared that the patient had external rotation of the tibia below the femur on the left, firmly maintained by a clear asymmetry of tone between the biceps femoris and the other left hamstrings. In the search for an aetiology, this asymmetry was explored with the sprinter's physical training staff. The athlete and his team of physical trainers determined that he was approaching curved trajectories with the left foot a little too wide open, causing shearing of the knee joint complex. Remediation of the running movements subsequently resolved the pain. The authors advocate for greater emphasis on functional diagnosis in osteopathic treatment.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100781"},"PeriodicalIF":1.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-28DOI: 10.1016/j.ijosm.2025.100779
Shamona Eaves , Amie Steel
Current initiatives to support osteopathic clinicians’ endeavours to increase their research engagement are lacking. Following investigation of current mentorship programs run by professional, health, and academic institutions in addition to available literature, Osteopathy Australia established a formal mentorship program to support and facilitate the research interests of osteopaths in Australia. This manuscript describes the development of this program, including criteria for both mentors and mentees, the participant matching process, mentor and mentee training, the role of the organisation, and plans for program evaluation. The program is expected to promote research culture in osteopathy by building research engagement among osteopaths and enhancing networking and research collaboration opportunities between osteopaths and established health researchers across Australia. Implementation and evaluation of the voluntary program will occur between 2023 and 2024. Feedback received from participants is expected to be incorporated into changes in ongoing rounds to ensure continuous quality improvement of the program.
{"title":"Development of a research mentorship program for Australian osteopaths","authors":"Shamona Eaves , Amie Steel","doi":"10.1016/j.ijosm.2025.100779","DOIUrl":"10.1016/j.ijosm.2025.100779","url":null,"abstract":"<div><div>Current initiatives to support osteopathic clinicians’ endeavours to increase their research engagement are lacking. Following investigation of current mentorship programs run by professional, health, and academic institutions in addition to available literature, Osteopathy Australia established a formal mentorship program to support and facilitate the research interests of osteopaths in Australia. This manuscript describes the development of this program, including criteria for both mentors and mentees, the participant matching process, mentor and mentee training, the role of the organisation, and plans for program evaluation. The program is expected to promote research culture in osteopathy by building research engagement among osteopaths and enhancing networking and research collaboration opportunities between osteopaths and established health researchers across Australia. Implementation and evaluation of the voluntary program will occur between 2023 and 2024. Feedback received from participants is expected to be incorporated into changes in ongoing rounds to ensure continuous quality improvement of the program.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100779"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-18DOI: 10.1016/j.ijosm.2025.100778
André Ingebrigtsen , Robert Froud , Jo Andreas Gundersen
Background:
Low back pain is the highest contributor to years lived with disability. Many patients experience symptoms lasting over 12 weeks, often without a specific pathology. It remains unclear whether one type of exercise is superior for treating chronic non-specific low back pain (CNSLBP), and few trials have explored whether the exercise setting influences outcomes.
Objective:
To compare the effects of home exercise programmes (HEP) and supervised exercise therapy (SE) on functional disability in adults with CNSLBP.
Method:
MEDLINE, Embase and PEDro were searched for randomised controlled trials (RCTs) evaluating adults (18–65 years) with CNSLBP lasting more than 12 weeks. Trials had to compare SE and HEP effects on functional disability. Databases were searched from inception to January 17th, 2023. Quality was assessed with Cochrane Risk of Bias 2.0 tool (RoB2). A narrative synthesis was conducted.
Results:
Database search resulted in 2310 hits. 119 were screened in full text, and seven RCTs were included in this review. Most trials were of low quality, scoring either “high risk” or “some concerns” on RoB2. SE was more effective than HEP in four trials, with Cohen’s d effect sizes ranging from near-medium to very large ( to 1.12) and statistical significance varying from non-significant (i.e. 0.05) to strong (i.e. 0.01).
Conclusions:
There is some evidence that supervised exercise may be more effective than home exercise for improving functional disability in adults with CNSLBP. However, the quality of the trials was low. Higher quality trials are needed to establish definitive conclusions.
{"title":"Comparing the effects of home exercise programmes and supervised exercise therapy on functional disability in adults with chronic non-specific low back pain. A Systematic Review of Randomised Controlled Trials","authors":"André Ingebrigtsen , Robert Froud , Jo Andreas Gundersen","doi":"10.1016/j.ijosm.2025.100778","DOIUrl":"10.1016/j.ijosm.2025.100778","url":null,"abstract":"<div><h3>Background:</h3><div>Low back pain is the highest contributor to years lived with disability. Many patients experience symptoms lasting over 12 weeks, often without a specific pathology. It remains unclear whether one type of exercise is superior for treating chronic non-specific low back pain (CNSLBP), and few trials have explored whether the exercise setting influences outcomes.</div></div><div><h3>Objective:</h3><div>To compare the effects of home exercise programmes (HEP) and supervised exercise therapy (SE) on functional disability in adults with CNSLBP.</div></div><div><h3>Method:</h3><div>MEDLINE, Embase and PEDro were searched for randomised controlled trials (RCTs) evaluating adults (18–65 years) with CNSLBP lasting more than 12 weeks. Trials had to compare SE and HEP effects on functional disability. Databases were searched from inception to January 17<sup>th</sup>, 2023. Quality was assessed with Cochrane Risk of Bias 2.0 tool (RoB2). A narrative synthesis was conducted.</div></div><div><h3>Results:</h3><div>Database search resulted in 2310 hits. 119 were screened in full text, and seven RCTs were included in this review. Most trials were of low quality, scoring either “high risk” or “some concerns” on RoB2. SE was more effective than HEP in four trials, with Cohen’s d effect sizes ranging from near-medium to very large (<span><math><mrow><mi>d</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>43</mn></mrow></math></span> to 1.12) and statistical significance varying from non-significant (i.e. <span><math><mo>></mo></math></span> 0.05) to strong (i.e. <span><math><mo><</mo></math></span> 0.01).</div></div><div><h3>Conclusions:</h3><div>There is some evidence that supervised exercise may be more effective than home exercise for improving functional disability in adults with CNSLBP. However, the quality of the trials was low. Higher quality trials are needed to establish definitive conclusions.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100778"},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.ijosm.2025.100777
Jasemin Todri, Orges Lena, Carolina Vázquez-Villa, Juan Martínez-Fuentes, Alberto Ciferri, María Antonia Murcia-González
Objective
To compare the effectiveness of three manual therapy protocols (Jones, Lewit, and Chaitow) with a sham group in terms of pain pressure threshold and intensity.
Participants
Fifty-two physiotherapy bachelor students with neck pain lasting more than 3 days were recruited.
Outcomes: Pain was assessed with Numerical Rating Scale and Pressure Algometer, while cervical range of motion was evaluated with the Baiobit Inertial sensor.
Intervention
An investigator, independent of the assessment and randomization, conducted all the interventions and sham procedures. Specifically, the Jones group received pincer palpation with a 1-min duration of ischemic compression, followed by 90 s of the no-pain Strain-Counterstrain technique. The Lewit group underwent flat palpation for 1 min, accompanied by 40 s of intermittent compression and post-isometric relaxation. The Chaitow group received deep palpation for 1 min, followed by the pressure release position lasting 20 s to 1 min, concluding with the muscle energy technique. The Sham group received only flat palpation and a 3-min homolateral muscle shortening position.
Results
Effects for all three techniques (Chaitow/Lewit/Jones) when comparing them to sham were not significant on pain intensity (−0.96/−1.01/−0.63) or on pressure threshold (−0.5/−0.4/−0.19). No adverse events or undesirable effects were observed during the study.
Conclusion
Immediate effects on pain intensity and pressure threshold are not directly attributable to any of the three tested trigger techniques.
{"title":"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","authors":"Jasemin Todri, Orges Lena, Carolina Vázquez-Villa, Juan Martínez-Fuentes, Alberto Ciferri, María Antonia Murcia-González","doi":"10.1016/j.ijosm.2025.100777","DOIUrl":"10.1016/j.ijosm.2025.100777","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effectiveness of three manual therapy protocols (Jones, Lewit, and Chaitow) with a sham group in terms of pain pressure threshold and intensity.</div></div><div><h3>Participants</h3><div>Fifty-two physiotherapy bachelor students with neck pain lasting more than 3 days were recruited.</div><div>Outcomes: Pain was assessed with Numerical Rating Scale and Pressure Algometer, while cervical range of motion was evaluated with the Baiobit Inertial sensor.</div></div><div><h3>Intervention</h3><div>An investigator, independent of the assessment and randomization, conducted all the interventions and sham procedures. Specifically, the Jones group received pincer palpation with a 1-min duration of ischemic compression, followed by 90 s of the no-pain Strain-Counterstrain technique. The Lewit group underwent flat palpation for 1 min, accompanied by 40 s of intermittent compression and post-isometric relaxation. The Chaitow group received deep palpation for 1 min, followed by the pressure release position lasting 20 s to 1 min, concluding with the muscle energy technique. The Sham group received only flat palpation and a 3-min homolateral muscle shortening position.</div></div><div><h3>Results</h3><div>Effects for all three techniques (Chaitow/Lewit/Jones) when comparing them to sham were not significant on pain intensity (−0.96/−1.01/−0.63) or on pressure threshold (−0.5/−0.4/−0.19). No adverse events or undesirable effects were observed during the study.</div></div><div><h3>Conclusion</h3><div>Immediate effects on pain intensity and pressure threshold are not directly attributable to any of the three tested trigger techniques.</div></div><div><h3>Clinical trial registration number id</h3><div>NCT05265468.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100777"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-24DOI: 10.1016/j.ijosm.2025.100776
Jerry Draper-Rodi , Payal Sood , Carol Fawkes
{"title":"Exploring scholarship in osteopathic education: A qualitative study of faculty perspectives at a United Kingdon institution","authors":"Jerry Draper-Rodi , Payal Sood , Carol Fawkes","doi":"10.1016/j.ijosm.2025.100776","DOIUrl":"10.1016/j.ijosm.2025.100776","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100776"},"PeriodicalIF":1.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-16DOI: 10.1016/j.ijosm.2025.100774
Hakim Mhadhbi , Jerry Draper Rodi , Giacomo Consorti , Ana Paula Antunes Ferreira , Lluís M. Horta , Sandra Rinne , Paul Vaucher , Mathieu Ménard
Background
Artificial intelligence (AI) is increasingly being integrated into healthcare education and research, yet little is known about how AI is perceived within osteopathy. To the best of our knowledge, this is the first cross-sectional study to examine AI perspectives specifically among osteopathic educators and researchers, providing fresh insights into technology adoption within this healthcare discipline.
Methods
A cross-sectional survey was conducted between December 2023 and February 2024 among osteopathic educators and/or researchers through snowball sampling. The survey collected data on AI-related knowledge, usage in educational and research contexts, attitudes toward AI, perceived risks, and necessities challenges. Principal Component Analysis (PCA) was used to validate the structure of the survey. Demographic factors such as age, gender, occupation, and academic qualifications were analysed in relation to scores.
Results
190 respondents from 18 countries completed the survey. Participants demonstrated positive attitudes toward the role of AI in education and research, but acknowledged limited proficiency in its use. Usage of AI was higher among younger, male participants, with AI primarily used for personal organisation and research. Concerns about AI included risks of bias, over-reliance on technology, and potential replacement of human judgment. Participants with educational roles expressed fewer concerns about AI's risks compared to those outside of education. Knowledge of AI was not correlated with demographic factors, but attitudes and concerns about risks varied with age.
Conclusion
Osteopathic educators and researchers view AI as a beneficial tool for teaching and research, but face challenges in its effective implementation due to concerns about technology replacing human expertise and biases. Training, institutional support, and ethical guidelines are essential to foster the responsible integration of AI in osteopathy.
Implications for practice
●
AI is underutilised in osteopathic education and research despite positive attitudes towards its potential.
●
Educators are less concerned about AI risks, positioning them as key facilitators of responsible assimilation.
●
Institutional policies should provide clear AI usage guidelines while addressing ethical and validity concerns.
●
AI should support, not replace, human expertise, ensuring critical thinking remains central in education and research.
{"title":"Osteopathy educators' and researchers’ perspectives on artificial intelligence in academia: A cross-sectional study","authors":"Hakim Mhadhbi , Jerry Draper Rodi , Giacomo Consorti , Ana Paula Antunes Ferreira , Lluís M. Horta , Sandra Rinne , Paul Vaucher , Mathieu Ménard","doi":"10.1016/j.ijosm.2025.100774","DOIUrl":"10.1016/j.ijosm.2025.100774","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) is increasingly being integrated into healthcare education and research, yet little is known about how AI is perceived within osteopathy. To the best of our knowledge, this is the first cross-sectional study to examine AI perspectives specifically among osteopathic educators and researchers, providing fresh insights into technology adoption within this healthcare discipline.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted between December 2023 and February 2024 among osteopathic educators and/or researchers through snowball sampling. The survey collected data on AI-related knowledge, usage in educational and research contexts, attitudes toward AI, perceived risks, and necessities challenges. Principal Component Analysis (PCA) was used to validate the structure of the survey. Demographic factors such as age, gender, occupation, and academic qualifications were analysed in relation to scores.</div></div><div><h3>Results</h3><div>190 respondents from 18 countries completed the survey. Participants demonstrated positive attitudes toward the role of AI in education and research, but acknowledged limited proficiency in its use. Usage of AI was higher among younger, male participants, with AI primarily used for personal organisation and research. Concerns about AI included risks of bias, over-reliance on technology, and potential replacement of human judgment. Participants with educational roles expressed fewer concerns about AI's risks compared to those outside of education. Knowledge of AI was not correlated with demographic factors, but attitudes and concerns about risks varied with age.</div></div><div><h3>Conclusion</h3><div>Osteopathic educators and researchers view AI as a beneficial tool for teaching and research, but face challenges in its effective implementation due to concerns about technology replacing human expertise and biases. Training, institutional support, and ethical guidelines are essential to foster the responsible integration of AI in osteopathy.</div></div><div><h3>Implications for practice</h3><div><ul><li><span>●</span><span><div>AI is underutilised in osteopathic education and research despite positive attitudes towards its potential.</div></span></li><li><span>●</span><span><div>Educators are less concerned about AI risks, positioning them as key facilitators of responsible assimilation.</div></span></li><li><span>●</span><span><div>Institutional policies should provide clear AI usage guidelines while addressing ethical and validity concerns.</div></span></li><li><span>●</span><span><div>AI should support, not replace, human expertise, ensuring critical thinking remains central in education and research.</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100774"},"PeriodicalIF":1.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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