{"title":"骨科诊疗范围内的叹息循证方法","authors":"Axel Vicart, Agathe Wagner","doi":"10.1016/j.ijosm.2024.100736","DOIUrl":null,"url":null,"abstract":"<div><div>Osteopathic practice attaches great importance to the respiratory function in theoretical models, in the approach to respiratory disorders and in the use of breathing techniques for therapeutic purposes. The study of different parameters of breathing would be a way to deepen the application of breathing to osteopathic practice. In this respect, the sigh is a clinical element of interest.</div><div>The osteopathic grey literature is rich in examples of the use of sighing in an empirical framework with interpretations during the anamnesis, the diagnostic and the therapeutic phases. Osteopaths' empirical experiences of sighing should be compared with available experimental data to improve the quality of osteopathic care. We are not aware of any study specifically related to sighing in an osteopathic context, but the psycho-physiological data on sighing is growing.</div><div>This narrative review presents scientific data on the phenomenon of sighing. The physiological and pathophysiological conditions of sighing are presented in the context of the reasons for consultation encountered in osteopathic practice. The sigh as a diagnostic tool for various conditions is discussed. Therapeutic avenues explore how sighing could be an element in controlling the effects of osteopathic treatment, or an active element in the treatment itself. Finally, the place of the sigh as an element of communication within the consultation is described. In these different fields, the contribution of scientific data leads to several contradictions with the osteopathic empirical experience. This review describes avenues of future research needed to clarify the role that sighing might play in osteopathic practice.</div></div><div><h3>Implications for Practice</h3><div><ul><li><span>•</span><span><div>The sigh could be used in several clinical conditions for diagnostic purposes</div></span></li><li><span>•</span><span><div>The sigh syndrome, or sighing dyspnea, is a functional respiratory disorder</div></span></li><li><span>•</span><span><div>The sigh could be used for communication purposes within the consultation</div></span></li><li><span>•</span><span><div>The reliability of the sigh in osteopathic practice first would require a consensual definition and methods to evaluate it in a clinical context</div></span></li></ul></div></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"54 ","pages":"Article 100736"},"PeriodicalIF":1.1000,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evidence-informed approach of sighs in the scope of osteopathic practice\",\"authors\":\"Axel Vicart, Agathe Wagner\",\"doi\":\"10.1016/j.ijosm.2024.100736\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Osteopathic practice attaches great importance to the respiratory function in theoretical models, in the approach to respiratory disorders and in the use of breathing techniques for therapeutic purposes. The study of different parameters of breathing would be a way to deepen the application of breathing to osteopathic practice. In this respect, the sigh is a clinical element of interest.</div><div>The osteopathic grey literature is rich in examples of the use of sighing in an empirical framework with interpretations during the anamnesis, the diagnostic and the therapeutic phases. Osteopaths' empirical experiences of sighing should be compared with available experimental data to improve the quality of osteopathic care. We are not aware of any study specifically related to sighing in an osteopathic context, but the psycho-physiological data on sighing is growing.</div><div>This narrative review presents scientific data on the phenomenon of sighing. The physiological and pathophysiological conditions of sighing are presented in the context of the reasons for consultation encountered in osteopathic practice. The sigh as a diagnostic tool for various conditions is discussed. Therapeutic avenues explore how sighing could be an element in controlling the effects of osteopathic treatment, or an active element in the treatment itself. Finally, the place of the sigh as an element of communication within the consultation is described. In these different fields, the contribution of scientific data leads to several contradictions with the osteopathic empirical experience. This review describes avenues of future research needed to clarify the role that sighing might play in osteopathic practice.</div></div><div><h3>Implications for Practice</h3><div><ul><li><span>•</span><span><div>The sigh could be used in several clinical conditions for diagnostic purposes</div></span></li><li><span>•</span><span><div>The sigh syndrome, or sighing dyspnea, is a functional respiratory disorder</div></span></li><li><span>•</span><span><div>The sigh could be used for communication purposes within the consultation</div></span></li><li><span>•</span><span><div>The reliability of the sigh in osteopathic practice first would require a consensual definition and methods to evaluate it in a clinical context</div></span></li></ul></div></div>\",\"PeriodicalId\":51068,\"journal\":{\"name\":\"International Journal of Osteopathic Medicine\",\"volume\":\"54 \",\"pages\":\"Article 100736\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-09-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Osteopathic Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1746068924000294\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Osteopathic Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1746068924000294","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Evidence-informed approach of sighs in the scope of osteopathic practice
Osteopathic practice attaches great importance to the respiratory function in theoretical models, in the approach to respiratory disorders and in the use of breathing techniques for therapeutic purposes. The study of different parameters of breathing would be a way to deepen the application of breathing to osteopathic practice. In this respect, the sigh is a clinical element of interest.
The osteopathic grey literature is rich in examples of the use of sighing in an empirical framework with interpretations during the anamnesis, the diagnostic and the therapeutic phases. Osteopaths' empirical experiences of sighing should be compared with available experimental data to improve the quality of osteopathic care. We are not aware of any study specifically related to sighing in an osteopathic context, but the psycho-physiological data on sighing is growing.
This narrative review presents scientific data on the phenomenon of sighing. The physiological and pathophysiological conditions of sighing are presented in the context of the reasons for consultation encountered in osteopathic practice. The sigh as a diagnostic tool for various conditions is discussed. Therapeutic avenues explore how sighing could be an element in controlling the effects of osteopathic treatment, or an active element in the treatment itself. Finally, the place of the sigh as an element of communication within the consultation is described. In these different fields, the contribution of scientific data leads to several contradictions with the osteopathic empirical experience. This review describes avenues of future research needed to clarify the role that sighing might play in osteopathic practice.
Implications for Practice
•
The sigh could be used in several clinical conditions for diagnostic purposes
•
The sigh syndrome, or sighing dyspnea, is a functional respiratory disorder
•
The sigh could be used for communication purposes within the consultation
•
The reliability of the sigh in osteopathic practice first would require a consensual definition and methods to evaluate it in a clinical context
期刊介绍：
The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine.
The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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