Pub Date : 2025-06-16DOI: 10.1016/j.ijosm.2025.100775
Gemma Victoria Espí-López
{"title":"Response to letter to the Editor “Repositioning menstrual pain management: Multidisciplinary collaboration and cultural sensitivity as key priorities” about the article “Conesa-Albaladejo, M., Espí-López, G. V., Martínez-Graullera, E., & Arnal-Gómez, A. (2025). Potential effects of combining osteopathic manual therapy and menstrual awareness on pain and associated symptoms in women with primary dysmenorrhea: A randomized clinical trial. International Journal of Osteopathic Medicine, 56, 100761”","authors":"Gemma Victoria Espí-López","doi":"10.1016/j.ijosm.2025.100775","DOIUrl":"10.1016/j.ijosm.2025.100775","url":null,"abstract":"","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"58 ","pages":"Article 100775"},"PeriodicalIF":1.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907310","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 : 2025-06-13DOI: 10.1016/j.ijosm.2025.100773
Nicholas Tripodi , Amy Lawton , Daniel Corcoran , Jack Feehan
Osteopathic care has been a part of the healthcare landscape for many years, and whilst diverse in its practice, in many world regions it has a predominant focus on musculoskeletal care. Despite the extensive history of osteopathy, the paradigms, principles and modes of effect that occur within its delivery lack consensus. Of the proposed modes of effect, many are based on specific and local phenomena that lack robust evidence supporting their proposed mechanisms. Recent research has promoted a shift away from exclusively explaining clinical outcomes through specific effects but rather, conceptualising these outcomes through the interplay of specific, non-specific and contextual effects. An improved understanding of this interplay is critical for osteopathy and, indeed, all other professions involved in musculoskeletal care. Reconceptualising the effects involved in clinical interventions will contribute to improved health outcomes through the facilitation of person-centred care and the adoption of the biopsychosocial model of healthcare.
{"title":"Understanding specific, contextual and non-specific effects in osteopathy","authors":"Nicholas Tripodi , Amy Lawton , Daniel Corcoran , Jack Feehan","doi":"10.1016/j.ijosm.2025.100773","DOIUrl":"10.1016/j.ijosm.2025.100773","url":null,"abstract":"<div><div>Osteopathic care has been a part of the healthcare landscape for many years, and whilst diverse in its practice, in many world regions it has a predominant focus on musculoskeletal care. Despite the extensive history of osteopathy, the paradigms, principles and modes of effect that occur within its delivery lack consensus. Of the proposed modes of effect, many are based on specific and local phenomena that lack robust evidence supporting their proposed mechanisms. Recent research has promoted a shift away from exclusively explaining clinical outcomes through specific effects but rather, conceptualising these outcomes through the interplay of specific, non-specific and contextual effects. An improved understanding of this interplay is critical for osteopathy and, indeed, all other professions involved in musculoskeletal care. Reconceptualising the effects involved in clinical interventions will contribute to improved health outcomes through the facilitation of person-centred care and the adoption of the biopsychosocial model of healthcare.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100773"},"PeriodicalIF":1.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313293","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 : 2025-06-04DOI: 10.1016/j.ijosm.2025.100772
N. Verhaeghe , P.L.S. van Dun , L. Annemans
Objective
The profile and clinical presentation of people consulting osteopaths in Belgium has been studied and reported before. Information on employment aspects of such individuals is lacking. The aim was to contribute to filling this gap.
Methods
The study had a retrospective cross-sectional observational design. The study population included employed Dutch-speaking members, aged 18–65, of a large Health Insurance Fund in Belgium who had visited an osteopath at least once in the period January 1, 2019 and December 31, 2019. Data collection occurred through a digital self-reported instrument to be filled out once. Participation in the study was entirely voluntary. Descriptive, between-group and a multivariate logistic regression analyses were performed.
Results
The study population included 955 individuals with 70 % being female. Thirty-one per cent reported work absence (mean: 37.5 ± 62.5 days) in a 12 months’ time period due to the complaint for which they consulted an osteopath. The main reason for work absence included non-specific low back pain (21.9 %). Respondents indicating the osteopath as the first care professional they consulted had significantly fewer work absence days compared to those who first consulted another health care professional (27.9 ± 52.2 vs. 41.5 ± 66.1 days, p < .01).
Conclusion
This is the first study examining employment-related characteristics of individuals seeking osteopathic care. The findings must be cautiously interpreted, but they give a first impression of what the effect of osteopathic care on employment may be. This impact needs to be further examined applying study designs that allow conclusions about the causal or non-causal relationship between osteopathic care and employment outcomes.
{"title":"Employment characteristics of individuals who received osteopathic care: a retrospective cross-sectional observational study","authors":"N. Verhaeghe , P.L.S. van Dun , L. Annemans","doi":"10.1016/j.ijosm.2025.100772","DOIUrl":"10.1016/j.ijosm.2025.100772","url":null,"abstract":"<div><h3>Objective</h3><div>The profile and clinical presentation of people consulting osteopaths in Belgium has been studied and reported before. Information on employment aspects of such individuals is lacking. The aim was to contribute to filling this gap.</div></div><div><h3>Methods</h3><div>The study had a retrospective cross-sectional observational design. The study population included employed Dutch-speaking members, aged 18–65, of a large Health Insurance Fund in Belgium who had visited an osteopath at least once in the period January 1, 2019 and December 31, 2019. Data collection occurred through a digital self-reported instrument to be filled out once. Participation in the study was entirely voluntary. Descriptive, between-group and a multivariate logistic regression analyses were performed.</div></div><div><h3>Results</h3><div>The study population included 955 individuals with 70 % being female. Thirty-one per cent reported work absence (mean: 37.5 ± 62.5 days) in a 12 months’ time period due to the complaint for which they consulted an osteopath. The main reason for work absence included non-specific low back pain (21.9 %). Respondents indicating the osteopath as the first care professional they consulted had significantly fewer work absence days compared to those who first consulted another health care professional (27.9 ± 52.2 vs. 41.5 ± 66.1 days, p < .01).</div></div><div><h3>Conclusion</h3><div>This is the first study examining employment-related characteristics of individuals seeking osteopathic care. The findings must be cautiously interpreted, but they give a first impression of what the effect of osteopathic care on employment may be. This impact needs to be further examined applying study designs that allow conclusions about the causal or non-causal relationship between osteopathic care and employment outcomes.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100772"},"PeriodicalIF":1.1,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313290","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 : 2025-05-28DOI: 10.1016/j.ijosm.2025.100769
Roger Engel , Katie Willy , Elise Fuller
Introduction
Inflammatory conditions of the lactating breast (ICLB) are responsible for many cases of early weaning. Patients with ICLB seek care from osteopaths with treatment often including osteopathic manual therapy (OMT) and therapeutic ultrasound (TUS). The aim of this case series is to measure change in inflammatory symptoms following OMT and TUS in patients with ICLB.
Methods
This case series includes women 18–40 years who attended a private mastitis clinic between April and October 2024. The primary outcome measure was the Breast Inflammatory Symptom Severity Index (BISSI). The BISSI was administered at baseline (pre-treatment), immediately post-treatment, 1, 2, 3, 7 and 14 days. All patients received OMT and TUS. Number of treatment sessions, other treatments and adverse events within the 14-day period were recorded.
Results
11 women were included in this case series. There was a sustained reduction in BISSI scores across the entire cohort over 14 days (average score: 28.5 at baseline; 0.6 at 14 days). There was a 41 % reduction from baseline to immediately post-initial treatment (28.5–16.7), a 64 % reduction by 1 day (28.5–10.4) and an 80 % reduction by day 2 (28.5–5.6). The average number of treatment sessions was 1.5 with most of the treatments occurring within the first 2 days. No adverse events were reported following OMT or TUS.
Discussion
A combination of OMT and TUS appears to be safe and beneficial to women with ICLB. Our finding of a 40 % reduction in symptoms immediately post-initial treatment warrants further investigation.
{"title":"Osteopathic intervention for inflammatory conditions of the lactating breast: a case series","authors":"Roger Engel , Katie Willy , Elise Fuller","doi":"10.1016/j.ijosm.2025.100769","DOIUrl":"10.1016/j.ijosm.2025.100769","url":null,"abstract":"<div><h3>Introduction</h3><div>Inflammatory conditions of the lactating breast (ICLB) are responsible for many cases of early weaning. Patients with ICLB seek care from osteopaths with treatment often including osteopathic manual therapy (OMT) and therapeutic ultrasound (TUS). The aim of this case series is to measure change in inflammatory symptoms following OMT and TUS in patients with ICLB.</div></div><div><h3>Methods</h3><div>This case series includes women 18–40 years who attended a private mastitis clinic between April and October 2024. The primary outcome measure was the Breast Inflammatory Symptom Severity Index (BISSI). The BISSI was administered at baseline (pre-treatment), immediately post-treatment, 1, 2, 3, 7 and 14 days. All patients received OMT and TUS. Number of treatment sessions, other treatments and adverse events within the 14-day period were recorded.</div></div><div><h3>Results</h3><div>11 women were included in this case series. There was a sustained reduction in BISSI scores across the entire cohort over 14 days (average score: 28.5 at baseline; 0.6 at 14 days). There was a 41 % reduction from baseline to immediately post-initial treatment (28.5–16.7), a 64 % reduction by 1 day (28.5–10.4) and an 80 % reduction by day 2 (28.5–5.6). The average number of treatment sessions was 1.5 with most of the treatments occurring within the first 2 days. No adverse events were reported following OMT or TUS.</div></div><div><h3>Discussion</h3><div>A combination of OMT and TUS appears to be safe and beneficial to women with ICLB. Our finding of a 40 % reduction in symptoms immediately post-initial treatment warrants further investigation.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100769"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563996","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 : 2025-05-28DOI: 10.1016/j.ijosm.2025.100770
Seçilay Güneş , Şeyda Şahinkaya , Sude Yamak , Sude Kaplan , Ali Rıza Sarıkaya , Osman Enes Demirhan , Irem Kar , Şehim Kutlay
Background
Forward head posture (FHP) is a common postural disorder in patients with neck pain. Despite the intuitive assumption that FHP determines neck pain characteristics, its effect on neck pain and cervical muscle morphology is unclear.
Objectives
To evaluate whether FHP affects cervical muscle morphology and neck pain-related disability among young adults.
Methods
Young adults with chronic neck pain older than 18 years were divided into 2 groups according to craniovertebral angle (CVA): those with FHP (≤49°) and those without. Neck pain severity and disability were evaluated with a numeric rating scale (NRS) and the neck disability index (NDI). Semispinalis capitis and sternocleidomastoid muscle thicknesses were measured via ultrasonography.
Results
Twenty-one females and 31 males were evaluated. The mean ages of those with and without FHP were 19.9 ± 1.1 and 20.0 ± 1.1 years, respectively. The incidence of FHP was significantly greater in females (73 %) (p < 0.001). The normalized muscle thickness for body weight of both the semispinalis capitis and sternocleidomastoid muscle, the NRS pain score, and the NDI were similar between the groups. CVA was weakly negatively correlated with pain but was not correlated with cervical muscle thickness or disability. There was a weak negative correlation between semispinalis capitis muscle thickness and the NRS pain scores.
Conclusions
The frequency of FHP is greater in females. The presence of FHP was unrelated to neck pain severity or cervical muscle thickness and disability in individuals with chronic neck pain. There was a mild negative correlation between extensor muscle thickness and neck pain regardless of FHP.
{"title":"Relationship of forward head posture with cervical muscle thickness and neck pain-related disability among young adults: a cross-sectional study","authors":"Seçilay Güneş , Şeyda Şahinkaya , Sude Yamak , Sude Kaplan , Ali Rıza Sarıkaya , Osman Enes Demirhan , Irem Kar , Şehim Kutlay","doi":"10.1016/j.ijosm.2025.100770","DOIUrl":"10.1016/j.ijosm.2025.100770","url":null,"abstract":"<div><h3>Background</h3><div>Forward head posture (FHP) is a common postural disorder in patients with neck pain. Despite the intuitive assumption that FHP determines neck pain characteristics, its effect on neck pain and cervical muscle morphology is unclear.</div></div><div><h3>Objectives</h3><div>To evaluate whether FHP affects cervical muscle morphology and neck pain-related disability among young adults.</div></div><div><h3>Methods</h3><div>Young adults with chronic neck pain older than 18 years were divided into 2 groups according to craniovertebral angle (CVA): those with FHP (≤49°) and those without. Neck pain severity and disability were evaluated with a numeric rating scale (NRS) and the neck disability index (NDI). Semispinalis capitis and sternocleidomastoid muscle thicknesses were measured via ultrasonography.</div></div><div><h3>Results</h3><div>Twenty-one females and 31 males were evaluated. The mean ages of those with and without FHP were 19.9 ± 1.1 and 20.0 ± 1.1 years, respectively. The incidence of FHP was significantly greater in females (73 %) (p < 0.001). The normalized muscle thickness for body weight of both the semispinalis capitis and sternocleidomastoid muscle, the NRS pain score, and the NDI were similar between the groups. CVA was weakly negatively correlated with pain but was not correlated with cervical muscle thickness or disability. There was a weak negative correlation between semispinalis capitis muscle thickness and the NRS pain scores.</div></div><div><h3>Conclusions</h3><div>The frequency of FHP is greater in females. The presence of FHP was unrelated to neck pain severity or cervical muscle thickness and disability in individuals with chronic neck pain. There was a mild negative correlation between extensor muscle thickness and neck pain regardless of FHP.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100770"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212468","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 : 2025-05-24DOI: 10.1016/j.ijosm.2025.100768
Heidi R. Bowman , Brian D. Schwartz , Mark E. Payton , Christopher M. LaFontano
Objective
To determine whether there is a correlation between the frequency with which osteopathic manipulative techniques are taught in preclinical osteopathic medical school years one and two and the prevalence of student use during years three and four. The secondary objective was to determine the students’ reported comfort and perception of ease and safety when using osteopathic manipulative treatment (OMT).
Methods
Third- and fourth-year OMT patient encounter logs for the classes of 2020–2022 were retrospectively reviewed for the students' technique of choice. These techniques were compared to how frequently that technique was taught in the preclinical curriculum. Survey data was collected from the class of 2025 third-year students upon completion of their family medicine rotation evaluating factors that influence students’ use of certain OMT techniques while on third- and fourth-year rotations.
Results
Final analysis included 20,149 OMT logs and ninety-six student surveys. The logs indicated that Muscle Energy (ME) was the most used technique among the classes. Muscle energy is also the most frequently taught in the preclinical curriculum. The data show ease of use and confidence were significantly correlated to students’ use of osteopathic techniques during clinical rotations. There was a strong correlation of consistency (0.72-0.98) among the different classes and all pairwise correlations were statistically significant.
Conclusion
The use of osteopathic techniques during third and fourth-year clinical rotations is directly related to their confidence and ease of performing the technique. Correlations exist between curricular frequency and students’ confidence, indicating the importance of preclinical curriculum and hands-on lab time.
{"title":"A retrospective analysis of osteopathic manipulative treatment techniques used by 3rd and 4th year medical students","authors":"Heidi R. Bowman , Brian D. Schwartz , Mark E. Payton , Christopher M. LaFontano","doi":"10.1016/j.ijosm.2025.100768","DOIUrl":"10.1016/j.ijosm.2025.100768","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether there is a correlation between the frequency with which osteopathic manipulative techniques are taught in preclinical osteopathic medical school years one and two and the prevalence of student use during years three and four. The secondary objective was to determine the students’ reported comfort and perception of ease and safety when using osteopathic manipulative treatment (OMT).</div></div><div><h3>Methods</h3><div>Third- and fourth-year OMT patient encounter logs for the classes of 2020–2022 were retrospectively reviewed for the students' technique of choice. These techniques were compared to how frequently that technique was taught in the preclinical curriculum. Survey data was collected from the class of 2025 third-year students upon completion of their family medicine rotation evaluating factors that influence students’ use of certain OMT techniques while on third- and fourth-year rotations.</div></div><div><h3>Results</h3><div>Final analysis included 20,149 OMT logs and ninety-six student surveys. The logs indicated that Muscle Energy (ME) was the most used technique among the classes. Muscle energy is also the most frequently taught in the preclinical curriculum. The data show ease of use and confidence were significantly correlated to students’ use of osteopathic techniques during clinical rotations. There was a strong correlation of consistency (0.72-0.98) among the different classes and all pairwise correlations were statistically significant.</div></div><div><h3>Conclusion</h3><div>The use of osteopathic techniques during third and fourth-year clinical rotations is directly related to their confidence and ease of performing the technique. Correlations exist between curricular frequency and students’ confidence, indicating the importance of preclinical curriculum and hands-on lab time.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100768"},"PeriodicalIF":1.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623785","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 : 2025-05-14DOI: 10.1016/j.ijosm.2025.100763
Ramon Cases-Solé , David Varillas-Delgado , Marta Astals-Vizcaino , Victoria Aldecoa-Bilbao , Óscar García-Algar
Objective
To explore the potential impact of Osteopathic Manipulative Treatment (OMT) on Health-Related Quality of Life (HRQoL) on internationally adopted children with fetal alcohol spectrum disorder (FASD).
Methods
Twelve children with FASD adopted from Eastern European countries were recruited in this prospective observational study. HRQoL was collected using the Kidscreen-52 questionnaire. The participants followed a six-month intervention plan that included 4 bi-weekly OMT sessions and 4 monthly OMT sessions.
Results
Significant differences were detected in the pre-post intervention values (p = 0.001), interaction by group (p = 0.048), in the results of four dimensions (Moods & Emotions, p = 0.008, Self-Perception, p = 0.016, School Environment, p = 0.008 and Social Acceptance, p = 0.017) and in the overall assessment for parents’ version (p = 0.002). A mild adverse effect (pain/discomfort) was reported by one participant (8.3 % of the total sample) after one session.
Conclusion
This study shows that a six-month OMT intervention is a feasible personalized intervention for children and adolescents with FASD coming from international adoption. The study suggests that measuring instruments can detect changes in HRQoL over time, pointing out the need to develop a specific HRQoL assessment instrument for children with FASD to be applied in future studies. Even though promising significant changes were observed, these were most likely not only due to OMT, and further studies are required before assuming these could be due to osteopathic care.
{"title":"Potential impact of an osteopathic intervention for internationally adopted children with fetal alcohol spectrum disorder (FASD); a prospective case series","authors":"Ramon Cases-Solé , David Varillas-Delgado , Marta Astals-Vizcaino , Victoria Aldecoa-Bilbao , Óscar García-Algar","doi":"10.1016/j.ijosm.2025.100763","DOIUrl":"10.1016/j.ijosm.2025.100763","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the potential impact of Osteopathic Manipulative Treatment (OMT) on Health-Related Quality of Life (HRQoL) on internationally adopted children with fetal alcohol spectrum disorder (FASD).</div></div><div><h3>Methods</h3><div>Twelve children with FASD adopted from Eastern European countries were recruited in this prospective observational study. HRQoL was collected using the Kidscreen-52 questionnaire. The participants followed a six-month intervention plan that included 4 bi-weekly OMT sessions and 4 monthly OMT sessions.</div></div><div><h3><em>Results</em></h3><div>Significant differences were detected in the pre-post intervention values (p = 0.001), interaction by group (p = 0.048), in the results of four dimensions (Moods & Emotions, p = 0.008, Self-Perception, p = 0.016, School Environment, p = 0.008 and Social Acceptance, p = 0.017) and in the overall assessment for parents’ version (p = 0.002). A mild adverse effect (pain/discomfort) was reported by one participant (8.3 % of the total sample) after one session.</div></div><div><h3><em>Conclusion</em></h3><div>This study shows that a six-month OMT intervention is a feasible personalized intervention for children and adolescents with FASD coming from international adoption. The study suggests that measuring instruments can detect changes in HRQoL over time, pointing out the need to develop a specific HRQoL assessment instrument for children with FASD to be applied in future studies. Even though promising significant changes were observed, these were most likely not only due to OMT, and further studies are required before assuming these could be due to osteopathic care.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100763"},"PeriodicalIF":1.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313291","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 : 2025-05-08DOI: 10.1016/j.ijosm.2025.100766
Joseph Peters , Grant Runnels , Alexa Lauinger , Tanner Murphy , Abbey Griffith , Turner Slicho
Objective
To determine the clinical utility of osteopathic manipulative treatments (OMT) and related manual therapies for improving gastrointestinal distress in patients with neurological disorders (ND).
Methods
A database search through PubMed, Embase, Scopus, and Ovid was conducted to identify randomized and non-randomized clinical trials that analyzed the effects of OMT and related manual therapies on gut health in patients with ND. Two independent reviewers screened articles for inclusion and extracted information related to participant characteristics, intervention details, outcome measures, and significant outcomes. Methodological quality of eligible studies was assessed using the Standard Quality Assessment Criteria.
Results
Twelve studies (nine randomized controlled trials, two pre-post trials, and one non-randomized controlled trial) with a total of 516 individuals with ND were analyzed. All twelve studies showed improvements in symptoms of gastrointestinal distress following OMT and related treatments. Findings may be limited by methodological variability (i.e., heterogenous disability types, treatment modalities) and language exclusions.
Conclusion
Evidence suggests that OMT and related treatments are effective interventions for improving symptoms of gastrointestinal distress like constipation and abdominal pain. Future randomized controlled trials should examine the dose-response of OMT and microbiome changes associated with these treatments.
{"title":"A review of osteopathic and related manipulative treatments for improving symptoms of gastrointestinal distress in neurological disorders","authors":"Joseph Peters , Grant Runnels , Alexa Lauinger , Tanner Murphy , Abbey Griffith , Turner Slicho","doi":"10.1016/j.ijosm.2025.100766","DOIUrl":"10.1016/j.ijosm.2025.100766","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the clinical utility of osteopathic manipulative treatments (OMT) and related manual therapies for improving gastrointestinal distress in patients with neurological disorders (ND).</div></div><div><h3>Methods</h3><div>A database search through PubMed, Embase, Scopus, and Ovid was conducted to identify randomized and non-randomized clinical trials that analyzed the effects of OMT and related manual therapies on gut health in patients with ND. Two independent reviewers screened articles for inclusion and extracted information related to participant characteristics, intervention details, outcome measures, and significant outcomes. Methodological quality of eligible studies was assessed using the Standard Quality Assessment Criteria.</div></div><div><h3>Results</h3><div>Twelve studies (nine randomized controlled trials, two pre-post trials, and one non-randomized controlled trial) with a total of 516 individuals with ND were analyzed. All twelve studies showed improvements in symptoms of gastrointestinal distress following OMT and related treatments. Findings may be limited by methodological variability (i.e., heterogenous disability types, treatment modalities) and language exclusions.</div></div><div><h3>Conclusion</h3><div>Evidence suggests that OMT and related treatments are effective interventions for improving symptoms of gastrointestinal distress like constipation and abdominal pain. Future randomized controlled trials should examine the dose-response of OMT and microbiome changes associated with these treatments.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"57 ","pages":"Article 100766"},"PeriodicalIF":1.1,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099670","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}
Surgical scars often lead to pain and can impact function. The osteopathic approach could be a valuable care option, especially for patients who have not fully recovered their health after a reasonable recovery period, but the mechanisms of action remain unknown.
Objective
This study aims to describe how osteopathic interventions, guided by emerging models, can support the improvement of a patient's condition related to the consequences of thoracic surgeries.
Case description
A 56-year-old woman who underwent two thoracic cardiac surgeries (at 15 and 55 years old) post-endocarditis suffered, since the last surgery, from severe functional limitations (reduced respiratory amplitude, severe pain in the sternal region, difficulty lying on her back and stomach, lack of endurance when walking, poor sleep quality, limitations in daily activities) and presented with postural disturbances potentially related to these symptoms. There were hypoesthesias and sensitivity signs suggestive of pain catastrophizing.
Outcomes
Following initial evaluation, the patient received 4 one-hour osteopathic treatments. Four out of nine indicators of the Medical Outcome Study Short Form-60 (MOS SF-36) have improved: estimation of general health status, level of pain, general health indicator, and physical functioning. Pain decreased from 7 to 3/10 and walking distance increased to over 1.6 km.
Conclusion
Although post-surgical osteopathic interventions often involve scar tissue work to recover local tissue mobility or primarily musculoskeletal maneuvers, in this case, the interventions were guided by multiple models—including interoception, the biopsychosocial framework, and a patient-centered approach—to align with the patient's condition and recovery potential.
{"title":"Effects of osteopathic treatments in a patient who underwent two cardiac surgeries - A case report","authors":"Andrée Aubin , Joëlle Bekhazi , Alexandra Fortin , Anilyn Paradis , Chantal Morin","doi":"10.1016/j.ijosm.2025.100765","DOIUrl":"10.1016/j.ijosm.2025.100765","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgical scars often lead to pain and can impact function. The osteopathic approach could be a valuable care option, especially for patients who have not fully recovered their health after a reasonable recovery period, but the mechanisms of action remain unknown.</div></div><div><h3>Objective</h3><div>This study aims to describe how osteopathic interventions, guided by emerging models, can support the improvement of a patient's condition related to the consequences of thoracic surgeries.</div></div><div><h3>Case description</h3><div>A 56-year-old woman who underwent two thoracic cardiac surgeries (at 15 and 55 years old) post-endocarditis suffered, since the last surgery, from severe functional limitations (reduced respiratory amplitude, severe pain in the sternal region, difficulty lying on her back and stomach, lack of endurance when walking, poor sleep quality, limitations in daily activities) and presented with postural disturbances potentially related to these symptoms. There were hypoesthesias and sensitivity signs suggestive of pain catastrophizing.</div></div><div><h3>Outcomes</h3><div>Following initial evaluation, the patient received 4 one-hour osteopathic treatments. Four out of nine indicators of the Medical Outcome Study Short Form-60 (MOS SF-36) have improved: estimation of general health status, level of pain, general health indicator, and physical functioning. Pain decreased from 7 to 3/10 and walking distance increased to over 1.6 km.</div></div><div><h3>Conclusion</h3><div>Although post-surgical osteopathic interventions often involve scar tissue work to recover local tissue mobility or primarily musculoskeletal maneuvers, in this case, the interventions were guided by multiple models—including interoception, the biopsychosocial framework, and a patient-centered approach—to align with the patient's condition and recovery potential.</div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"56 ","pages":"Article 100765"},"PeriodicalIF":1.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090470","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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