{"results":[{"id":"ss_97864d17778f8569a111ecdcc1b7b787af3ca0ea","title":"MTX Osteopathy Versus Osteoporosis Including Response to Treatment Data—A Retrospective Single Center Study Including 172 Patients","authors":[{"name":"F. V. von Brackel"},{"name":"Jonathan Grambeck"},{"name":"Florian Barvencik"},{"name":"Michael Amling"},{"name":"R. Oheim"}],"abstract":"MTX is an effective and widely used immunomodulatory drug for rheumatoid diseases. MTX osteopathy is a very rare and specific side effect, characterized by stress fractures at multiple locations in the lower extremity, hampering the patient’s mobility by pain and loss of function. In clinical practice, osteoporosis and MTX osteopathy are repeatedly confused and a comparative workup is needed to clarity it’s specifics. Furthermore, specific treatment options for MTX osteopathy need to be established. We compared patients suffering from MTX osteopathy to patients with osteoporosis (OPO). Patients underwent an extensive clinical workup including blood sampling, bone mineral density measurements, high-resolution peripheral quantitative computed tomography and muscular performance testing. Furthermore, treatment regimes in MTX osteopathy were compared with respect to regain of mobility and pain reduction. 83 patients with MTX osteopathy and 89 with OPO were included. Patients with MTX osteopathy did exhibit fractures predominantly at the lower extremity and pain scores were significantly higher (MTX: 6.75 ± 1.86 vs. OPO: 3.62 ± 2.95, p \u003c 0.0001). MTX-caused mobility restriction was successfully reduced by treatment only if MTX was discontinued (pre-treatment: 2.16 ± 1.19 vs. post-treatment: 1.04 ± 0.87, p \u003c 0.0001). Most mobility gain was achieved by involving anabolic treatment (anabolic: 2.1 ± 1.02 vs. antiresorptive: 1.09 ± 0.94, p \u003c 0.05). In summary, MTX osteopathy is characterized by distinct lower extremity stress fractures leading to severe pain and immobility. Discontinuation of MTX is essential to enable treatment success and involving anabolic treatment seems to be more effectively in mobility regain as antiresorptive treatment alone.","source":"Semantic Scholar","year":2024,"language":"en","subjects":["Medicine"],"doi":"10.1007/s00223-024-01290-5","url":"https://www.semanticscholar.org/paper/97864d17778f8569a111ecdcc1b7b787af3ca0ea","is_open_access":true,"citations":11,"published_at":"","score":68.33},{"id":"ss_02eeade6b446c16ba0bfd08e7417bec4d459bfde","title":"What's wrong with osteopathy?","authors":[{"name":"O. Thomson"},{"name":"A. MacMillan"}],"abstract":"","source":"Semantic Scholar","year":2023,"language":"en","subjects":null,"doi":"10.1016/j.ijosm.2023.100659","url":"https://www.semanticscholar.org/paper/02eeade6b446c16ba0bfd08e7417bec4d459bfde","is_open_access":true,"citations":34,"published_at":"","score":68.02000000000001},{"id":"doaj_10.3389/fvets.2024.1436356","title":"Computed tomographic characteristics of craniomandibular osteopathy in 20 dogs","authors":[{"name":"L. A. Pérez López"},{"name":"J. C. Almansa Ruiz"},{"name":"J. C. Almansa Ruiz"},{"name":"J. C. Almansa Ruiz"},{"name":"G. Steenkamp"},{"name":"A. Holdsworth"}],"abstract":"Craniomandibular osteopathy (CMO) is a proliferative, self-limiting, non-neoplastic disease of growing dogs characterised by excessive new bone formation on the skull and mandible. The radiographic findings of CMO are well described; however, limited reports of the computed tomographic (CT) appearance are available. This paper aims to characterise the spectrum of CT findings that can occur with CMO. The study is retrospective, descriptive, multicenter, and includes 20 cases. Age at presentation ranged from 6 weeks to 12 months, with no sex predisposition. Scottish terriers were overrepresented (65%); other breeds included Cairn terrier, Jack Russell terrier, Staffordshire bull terrier, labrador retriever, golden retriever, akita and Slovakian rough-haired pointer (one of each breed). Terrier breeds represented 80% (16/20) of the patient cohort. Mandibular osteoproliferation was present in all patients (marked in 80%, bilateral in 95%), affecting the rostral mandible in 25%, body in 85%, and ramus in 80%. Tympanic bulla osteoproliferation was present in 60% (12/20) of patients (all marked, bilateral in 75%). Cranial osteoproliferation (frontal, parietal, temporal, occipital bones or maxilla, or combinations of them) was present in 90% (18/20) of patients (40% marked, 27% moderate, 33% mild). Nasopharyngeal narrowing was seen in all 12 patients with tympanic bulla osteoproliferation (67% marked, 27% moderate) and caused nearly complete occlusion in two of them. External ear canal stenosis was seen in 55% (11/20) of patients (63% marked, 37% moderate, all bilateral). Temporomandibular joint (TMJ) impingement was suspected in 83% (10/12) of patients with marked tympanic bulla osteoproliferation (75% bilateral). Osteolysis with a moth-eaten pattern was seen in the mandible of 10/20 dogs, the calvarium of 5/20 dogs, and the maxilla of 1/20 dogs (5%). Lymphadenomegaly (mandibular and medial retropharyngeal) was found in 15/20 patients (70% mild, 30% moderate). The most severe CT changes were seen in Scottish terriers. CT allows for detailed characterisation of the bony changes associated with CMO, including the effects occurring secondary to osteoproliferation surrounding the tympanic bullae such as TMJ impingement, external ear canal stenosis, and nasopharyngeal narrowing. Osteoproliferation affecting the cranium and the presence of osteolysis were seen more frequently in this study than previously reported in CMO.","source":"DOAJ","year":2024,"language":"","subjects":["Veterinary medicine"],"doi":"10.3389/fvets.2024.1436356","url":"https://www.frontiersin.org/articles/10.3389/fvets.2024.1436356/full","is_open_access":true,"published_at":"","score":68},{"id":"doaj_10.3390/osteology4020008","title":"Shoulder Bone Segmentation with DeepLab and U-Net","authors":[{"name":"Michael Carl"},{"name":"Kaustubh Lall"},{"name":"Darren Pai"},{"name":"Eric Y. Chang"},{"name":"Sheronda Statum"},{"name":"Anja Brau"},{"name":"Christine B. Chung"},{"name":"Maggie Fung"},{"name":"Won C. Bae"}],"abstract":"Evaluation of the 3D bone morphology of the glenohumeral joint is necessary for pre-surgical planning. Zero echo time (ZTE) magnetic resonance imaging (MRI) provides excellent bone contrast and can potentially be used in the place of computed tomography. Segmentation of the shoulder anatomy, particularly the humeral head and the acetabulum, is needed for the detailed assessment of each anatomy and for pre-surgical preparation. In this study, we compared the performance of two popular deep learning models based on Google’s DeepLab and U-Net to perform automated segmentation on ZTE MRI of human shoulders. Axial ZTE images of normal shoulders (n = 31) acquired at 3-Tesla were annotated for training with DeepLab and 2D U-Net, and the trained model was validated with testing data (n = 13). While both models showed visually satisfactory results for segmenting the humeral bone, U-Net slightly over-estimated while DeepLab under-estimated the segmented area compared to the ground truth. Testing accuracy quantified by Dice score was significantly higher (\u003ci\u003ep\u003c/i\u003e \u003c 0.05) for U-Net (88%) than DeepLab (81%) for the humeral segmentation. We have also implemented the U-Net model onto an MRI console for push-button DL segmentation processing. Although this is an early work with limitations, our approach has the potential to improve shoulder MR evaluation hindered by manual post-processing and may provide clinical benefit for quickly visualizing bones of the glenohumeral joint.","source":"DOAJ","year":2024,"language":"","subjects":["Osteopathy"],"doi":"10.3390/osteology4020008","url":"https://www.mdpi.com/2673-4036/4/2/8","is_open_access":true,"published_at":"","score":68},{"id":"ss_ec2fbb482ec8fc2967c040f9ae3fab0d131e0dd9","title":"Prevalence of Osteopathy in Chronic Pancreatitis: A Systematic Review and Meta-Analysis","authors":[{"name":"D. Ramai"},{"name":"A. Facciorusso"},{"name":"M. Maida"},{"name":"G. Capurso"},{"name":"S. Chandan"},{"name":"M. Spadaccini"},{"name":"R. Rossi"},{"name":"C. Hassan"},{"name":"A. Repici"},{"name":"S. Duggan"},{"name":"D. Conwell"},{"name":"P. Hart"}],"abstract":"INTRODUCTION: Individuals with chronic pancreatitis (CP) are at increased risk for nutritional complications during their clinical course. We appraised the literature to provide updated estimates of the prevalence and predictors of osteoporosis, osteopenia, and osteopathy in CP using a systematic review and meta-analysis. METHODS: Search strategies were developed for major databases from inception through October 2021. Outcomes of interest included rates of osteopenia and osteoporosis based on dual-energy X-ray absorptiometry scans and risk factors. A random-effects model was used for analysis, and results were expressed as pooled cumulative rates along with 95% confidence interval (CI). RESULTS: From an initial total of 1,704 identified articles, we ultimately selected 17 studies that involved 1,659 subjects (n = 1,067 men) with CP. The pooled rate of osteopathy was 58% (95% CI: 49%–67%; P \u003c 0.001; I2 = 91.8%). The pooled rate of osteoporosis was 18% (95% CI: 12%–23%; P \u003c 0.001; I2 = 86.3%), and the pooled rate of osteopenia was 39% (95% CI: 31%–48%; P \u003c 0.001; I2 = 91.53%). In the systematic review, factors associated with decreased bone mineral density included smoking, alcohol consumption, older age, female sex, low body mass index, decreased vitamins D and K, and fecal elastase levels. DISCUSSION: Patients with CP have high rates of osteopathy when assessed with dual-energy X-ray absorptiometry imaging. Additional studies with longitudinal follow-up are needed to understand the observed heterogeneity, the cumulative burden of disease, and rate of bone loss in CP.","source":"Semantic Scholar","year":2023,"language":"en","subjects":["Medicine"],"doi":"10.14309/ctg.0000000000000623","url":"https://www.semanticscholar.org/paper/ec2fbb482ec8fc2967c040f9ae3fab0d131e0dd9","pdf_url":"https://doi.org/10.14309/ctg.0000000000000623","is_open_access":true,"citations":14,"published_at":"","score":67.42},{"id":"ss_abdbea3d560a7cb34efa8d330b1525a0c67d1bea","title":"Avoiding nocebo and other undesirable effects in chiropractic, osteopathy and physiotherapy: An invitation to reflect.","authors":[{"name":"D. Hohenschurz-Schmidt"},{"name":"O. Thomson"},{"name":"G. Rossettini"},{"name":"M. Miciak"},{"name":"D. Newell"},{"name":"Lisa Roberts"},{"name":"L. Vase"},{"name":"J. Draper-Rodi"}],"abstract":"INTRODUCTION While the placebo effect is increasingly recognised as a contributor to treatment effects in clinical practice, the nocebo and other undesirable effects are less well explored and likely underestimated. In the chiropractic, osteopathy and physiotherapy professions, some aspects of historical models of care may arguably increase the risk of nocebo effects. PURPOSE In this masterclass article, clinicians, researchers, and educators are invited to reflect on such possibilities, in an attempt to stimulate research and raise awareness for the mitigation of such undesirable effects. IMPLICATIONS This masterclass briefly introduces the nocebo effect and its underlying mechanisms. It then traces the historical development of chiropractic, osteopathy, and physiotherapy, arguing that there was and continues to be an excessive focus on the patient's body. Next, aspects of clinical practice, including communication, the therapeutic relationship, clinical rituals, and the wider social and economic context of practice are examined for their potential to generate nocebo and other undesirable effects. To aid reflection, a model to reflect on clinical practice and individual professions through the 'prism' of nocebo and other undesirable effects is introduced and illustrated. Finally, steps are proposed for how researchers, educators, and practitioners can maximise positive and minimise negative clinical context.","source":"Semantic Scholar","year":2022,"language":"en","subjects":["Medicine"],"doi":"10.1016/j.msksp.2022.102677","url":"https://www.semanticscholar.org/paper/abdbea3d560a7cb34efa8d330b1525a0c67d1bea","pdf_url":"https://doi.org/10.1016/j.msksp.2022.102677","is_open_access":true,"citations":47,"published_at":"","score":67.41},{"id":"ss_974629f4dccb22d35dc5ff0a14e2306e22f74e8a","title":"Osteopathic Care as (En)active Inference: A Theoretical Framework for Developing an Integrative Hypothesis in Osteopathy","authors":[{"name":"J. Esteves"},{"name":"F. Cerritelli"},{"name":"Joohan Kim"},{"name":"K. Friston"}],"abstract":"Osteopathy is a person-centred healthcare discipline that emphasizes the body’s structure-function interrelationship—and its self-regulatory mechanisms—to inform a whole-person approach to health and wellbeing. This paper aims to provide a theoretical framework for developing an integrative hypothesis in osteopathy, which is based on the enactivist and active inference accounts. We propose that osteopathic care can be reconceptualised under (En)active inference as a unifying framework. Active inference suggests that action-perception cycles operate to minimize uncertainty and optimize an individual’s internal model of the lived world and, crucially, the consequences of their behaviour. We argue that (En)active inference offers an integrative framework for osteopathy, which can evince the mechanisms underlying dyadic and triadic (e.g., in paediatric care) exchanges and osteopathic care outcomes. We propose that this theoretical framework can underpin osteopathic care across the lifespan, from preterm infants to the elderly and those with persistent pain and other physical symptoms. In situations of chronicity, as an ecological niche, the patient-practitioner dyad provides the osteopath and the patient with a set of affordances, i.e., possibilities for action provided by the environment, that through shared intentionally, can promote adaptations and restoration of productive agency. Through a dyadic therapeutic relationship, as they engage with their ecological niche’s affordances—a structured set of affordances shared by agents—osteopath and patient actively construct a shared sense-making narrative and realise a shared generative model of their relation to the niche. In general, touch plays a critical role in developing a robust therapeutic alliance, mental state alignment, and biobehavioural synchrony between patient and practitioner. However, its role is particularly crucial in the fields of neonatology and paediatrics, where it becomes central in regulating allostasis and restoring homeostasis. We argue that from an active inference standpoint, the dyadic shared ecological niche underwrites a robust therapeutic alliance, which is crucial to the effectiveness of osteopathic care. Considerations and implications of this model—to clinical practice and research, both within- and outside osteopathy—are critically discussed.","source":"Semantic Scholar","year":2022,"language":"en","subjects":["Medicine"],"doi":"10.3389/fpsyg.2022.812926","url":"https://www.semanticscholar.org/paper/974629f4dccb22d35dc5ff0a14e2306e22f74e8a","pdf_url":"https://www.frontiersin.org/articles/10.3389/fpsyg.2022.812926/pdf","is_open_access":true,"citations":46,"published_at":"","score":67.38},{"id":"ss_94d24f4f8912f634a660deda1d64028bd8dcb439","title":"Indigenous roots of osteopathy","authors":[{"name":"L. Mehl-Madrona"},{"name":"Josie Conte"},{"name":"B. Mainguy"}],"abstract":"We explore the historical connection of Andrew Taylor Still, hereafter referred to as Still, with Indigenous peoples of the Central Plains, USA, notably the Shawnee, Pawnee, Kickapoo, Cherokee, and Pottawatomie. These nations had well-developed forms of hands-on healing and practicing lightning bone setting. We trace evidence through Still for his connectedness with these people and respect for their traditions. We use an autoethnographic approach to explore the traditional hands-on therapies of these nations and discovered that they are quite similar to osteopathy. The authors compared practices, finding that American osteopathy was strikingly similar to what is practiced by traditional Cherokee hands-on healers. We propose that Still did not invent osteopathy de novo but built it on Indigenous practices already existing among the tribes of Missouri. We believe this is important because the osteopathic community does not acknowledge any contribution of Indigenous people to their field, which should change.","source":"Semantic Scholar","year":2023,"language":"en","subjects":null,"doi":"10.1177/11771801231197417","url":"https://www.semanticscholar.org/paper/94d24f4f8912f634a660deda1d64028bd8dcb439","is_open_access":true,"citations":5,"published_at":"","score":67.15},{"id":"doaj_10.3389/fpubh.2023.1044525","title":"Spinal disease diagnosis assistant based on MRI images using deep transfer learning methods","authors":[{"name":"Junbo Xuan"},{"name":"Junbo Xuan"},{"name":"Baoyi Ke"},{"name":"Wenyu Ma"},{"name":"Yinghao Liang"},{"name":"Wei Hu"}],"abstract":"IntroductionIn light of the potential problems of missed diagnosis and misdiagnosis in the diagnosis of spinal diseases caused by experience differences and fatigue, this paper investigates the use of artificial intelligence technology for auxiliary diagnosis of spinal diseases.MethodsThe LableImg tool was used to label the MRIs of 604 patients by clinically experienced doctors. Then, in order to select an appropriate object detection algorithm, deep transfer learning models of YOLOv3, YOLOv5, and PP-YOLOv2 were created and trained on the Baidu PaddlePaddle framework. The experimental results showed that the PP-YOLOv2 model achieved a 90.08% overall accuracy in the diagnosis of normal, IVD bulges and spondylolisthesis, which were 27.5 and 3.9% higher than YOLOv3 and YOLOv5, respectively. Finally, a visualization of the intelligent spine assistant diagnostic software based on the PP-YOLOv2 model was created and the software was made available to the doctors in the spine and osteopathic surgery at Guilin People's Hospital.Results and discussionThis software automatically provides auxiliary diagnoses in 14.5 s on a standard computer, is much faster than doctors in diagnosing human spines, which typically take 10 min, and its accuracy of 98% can be compared to that of experienced doctors in the comparison of various diagnostic methods. It significantly improves doctors' working efficiency, reduces the phenomenon of missed diagnoses and misdiagnoses, and demonstrates the efficacy of the developed intelligent spinal auxiliary diagnosis software.","source":"DOAJ","year":2023,"language":"","subjects":["Public aspects of medicine"],"doi":"10.3389/fpubh.2023.1044525","url":"https://www.frontiersin.org/articles/10.3389/fpubh.2023.1044525/full","is_open_access":true,"published_at":"","score":67},{"id":"doaj_10.1136/rmdopen-2023-002982","title":"A rare side effect of methotrexate therapy: drug-induced osteopathy with multiple fractures of the lower limb","authors":[{"name":"Hendrik Schulze-Koops"},{"name":"Alla Skapenko"},{"name":"Delila Singh"},{"name":"Nina Hesse"}],"abstract":"Methotrexate is associated with bone lesions that are rare and, although presenting with a typical localisation to the lower extremities and appearing with a characteristic radiologic morphology, largely unknown and often misdiagnosed as osteoporotic insufficiency fractures. The correct and early diagnosis, however, is key for treatment and prevention of further osteopathology. Here, we present a patient with rheumatoid arthritis who developed multiple painful insufficiency fractures in the left foot (processus anterior calcanei, tuber calcanei) and in the right lower leg and foot (anterior and dorsal calcaneus and at the cuboid and distal tibia) during therapy with methotrexate, which were all misdiagnosed as osteoporotic. The fractures occurred between 8 months and 35 months after starting methotrexate. Discontinuation of methotrexate resulted in rapid pain relief and no further fractures have occurred. This case powerfully demonstrates the importance of raising awareness of methotrexate osteopathy in order to take appropriate therapeutic measures, including and perniciously discontinuing methotrexate.","source":"DOAJ","year":2023,"language":"","subjects":["Medicine"],"doi":"10.1136/rmdopen-2023-002982","url":"https://rmdopen.bmj.com/content/9/1/e002982.full","is_open_access":true,"published_at":"","score":67},{"id":"ss_58180f148428714f846e3d96f6bc16750123e264","title":"Clinical features of methotrexate osteopathy in rheumatic musculoskeletal disease: A systematic review.","authors":[{"name":"N. Ruffer"},{"name":"M. Krusche"},{"name":"F. Beil"},{"name":"M. Amling"},{"name":"I. Kötter"},{"name":"T. Rolvien"}],"abstract":"BACKGROUND There is growing evidence from case reports that methotrexate (MTX) therapy may impair bone metabolism in individual patients leading to low bone mass, atraumatic stress fractures and immobilizing bone pain - referred to as 'MTX osteopathy'. However, the clinical features, risk factors and treatment options of this condition are still elusive. METHODS A systematic review was conducted according to PRISMA guidelines. Two databases (MEDLINE, Embase) were searched for published cases of MTX osteopathy in patients with rheumatic musculoskeletal diseases (RMD). Data from the included publications were extracted and descriptive statistical analysis was performed. RESULTS We report data from 32 studies describing 80 adult RMD patients with stress fractures in MTX osteopathy. Most cases were found in elderly women with longstanding RMD, especially rheumatoid arthritis (72.5%). MTX osteopathy commonly presented as stress fracture of the distal tibia (51.3%), calcaneus (35.0%) and proximal tibia (27.5%), mimicking arthritis in some cases. Although a majority of the patients met the densitometric criteria for osteoporosis (58.1%), typical osteoporotic fractures (e.g., vertebral fractures) were rarely seen. Patients frequently suffered from bilateral (55.0%), multiple (71.3%) and recurrent fractures (25.0%). Fractures mainly occurred at low to moderate doses of MTX therapy (45.0%). It should be noted that half (48.8%) of the patients did not receive systemic steroid therapy for at least 3 years. CONCLUSIONS Low-dose MTX therapy in RMD may result in atraumatic stress fractures of the lower extremity that can mimic arthritis. MTX osteopathy is characterized by a pathognomonic type of stress fractures with band- or meander-shaped appearance along the growth plate.","source":"Semantic Scholar","year":2022,"language":"en","subjects":["Medicine"],"doi":"10.1016/j.semarthrit.2022.151952","url":"https://www.semanticscholar.org/paper/58180f148428714f846e3d96f6bc16750123e264","is_open_access":true,"citations":25,"published_at":"","score":66.75},{"id":"ss_32073a88d88802c82d2880ad468230f282b8dc71","title":"Osteopathy modulates brain–heart interaction in chronic pain patients: an ASL study","authors":[{"name":"F. Cerritelli"},{"name":"P. Chiacchiaretta"},{"name":"F. Gambi"},{"name":"R. Saggini"},{"name":"M. G. Perrucci"},{"name":"A. Ferretti"}],"abstract":"In this study we used a combination of measures including regional cerebral blood flow (rCBF) and heart rate variability (HRV) to investigate brain–heart correlates of longitudinal baseline changes of chronic low back pain (cLBP) after osteopathic manipulative treatment (OMT). Thirty-two right-handed patients were randomised and divided into 4 weekly session of OMT (N = 16) or Sham (N = 16). Participants aged 42.3 ± 7.3 (M/F: 20/12) with cLBP (duration: 14.6 ± 8.0 m). At the end of the study, patients receiving OMT showed decreased baseline rCBF within several regions belonging to the pain matrix (left posterior insula, left anterior cingulate cortex, left thalamus), sensory regions (left superior parietal lobe), middle frontal lobe and left cuneus. Conversely, rCBF was increased in right anterior insula, bilateral striatum, left posterior cingulate cortex, right prefrontal cortex, left cerebellum and right ventroposterior lateral thalamus in the OMT group as compared with Sham. OMT showed a statistically significant negative correlation between baseline High Frequency HRV changes and rCBF changes at T2 in the left posterior insula and bilateral lentiform nucleus. The same brain regions showed a positive correlation between rCBF changes and Low Frequency HRV baseline changes at T2. These findings suggest that OMT can play a significant role in regulating brain–heart interaction mechanisms.","source":"Semantic Scholar","year":2021,"language":"en","subjects":["Medicine"],"doi":"10.1038/s41598-021-83893-8","url":"https://www.semanticscholar.org/paper/32073a88d88802c82d2880ad468230f282b8dc71","pdf_url":"https://www.nature.com/articles/s41598-021-83893-8.pdf","is_open_access":true,"citations":54,"published_at":"","score":66.62},{"id":"ss_3565f7a0e82dde44e182825cba52b0688675eb5b","title":"Osteopathy — a new direction of medicine (modern concept of Osteopathy)","authors":[{"name":"D. Mokhov"},{"name":"Y. Potekhina"},{"name":"E. Tregubova"},{"name":"A. A. Gurichev"}],"abstract":"The editorial article discusses the main modern concepts and terms of osteopathy, including the concepts of preillness, somatic dysfunction and components of somatic dysfunction, and the principles of osteopathic diagnosis. The place of the «5P» concept of modern medicine in osteopathy is also considered.","source":"Semantic Scholar","year":2022,"language":"en","subjects":null,"doi":"10.32885/2220-0975-2022-2-8-26","url":"https://www.semanticscholar.org/paper/3565f7a0e82dde44e182825cba52b0688675eb5b","is_open_access":true,"citations":17,"published_at":"","score":66.50999999999999},{"id":"ss_6e7eebee3b5d210549cb3a1c395d73308cf0659e","title":"Professional identity in osteopathy: A scoping review of peer-reviewed primary osteopathic research","authors":[{"name":"A. Phillips"}],"abstract":"","source":"Semantic Scholar","year":2022,"language":"en","subjects":null,"doi":"10.1016/j.ijosm.2022.06.005","url":"https://www.semanticscholar.org/paper/6e7eebee3b5d210549cb3a1c395d73308cf0659e","pdf_url":"https://doi.org/10.1016/j.ijosm.2022.06.005","is_open_access":true,"citations":15,"published_at":"","score":66.45},{"id":"ss_5f2e5bf6bd0dc92962a920f902c9d400d75d7bf0","title":"Osteopathy and Mental Health: An Embodied, Predictive, and Interoceptive Framework","authors":[{"name":"L. Bohlen"},{"name":"R. Shaw"},{"name":"F. Cerritelli"},{"name":"J. Esteves"}],"abstract":"Globally, mental and musculoskeletal disorders present with high prevalence, disease burden, and comorbidity. In order to improve the quality of care for patients with persistent physical and comorbid mental health conditions, person-centered care approaches addressing psychosocial factors are currently advocated. Central to successful person-centered care is a multidisciplinary collaboration between mental health and musculoskeletal specialists underpinned by a robust therapeutic alliance. Such a collaborative approach might be found in osteopathy, which is typically utilized to treat patients with musculoskeletal disorders but may arguably also benefit mental health outcomes. However, research and practice exploring the reputed effect of osteopathy on patients with mental health problems lack a robust framework. In this hypothesis and theory article, we build upon research from embodied cognition, predictive coding, interoception, and osteopathy to propose an embodied, predictive and interoceptive framework that underpins osteopathic person-centered care for individuals with persistent physical and comorbid mental health problems. Based on the premise that, for example, chronic pain and comorbid depression are underlined by overly precise predictions or imprecise sensory information, we hypothesize that osteopathic treatment may generate strong interoceptive prediction errors that update the generative model underpinning the experience of pain and depression. Thus, physical and mental symptoms may be reduced through active and perceptual inference. We discuss how these theoretical perspectives can inform future research into osteopathy and mental health to reduce the burden of comorbid psychological factors in patients with persistent physical symptoms and support person-centered multidisciplinary care in mental health.","source":"Semantic Scholar","year":2021,"language":"en","subjects":["Medicine"],"doi":"10.3389/fpsyg.2021.767005","url":"https://www.semanticscholar.org/paper/5f2e5bf6bd0dc92962a920f902c9d400d75d7bf0","pdf_url":"https://www.frontiersin.org/articles/10.3389/fpsyg.2021.767005/pdf","is_open_access":true,"citations":37,"published_at":"","score":66.11},{"id":"doaj_10.1186/s12913-022-07520-6","title":"Demographic, practice and clinical management characteristics of osteopaths referring to podiatrists: secondary analysis of a nationally representative sample of Australian osteopaths","authors":[{"name":"Michael Fleischmann"},{"name":"Brett Vaughan"},{"name":"Adam Bird"},{"name":"Sandra Grace"},{"name":"Kylie Fitzgerald"},{"name":"Gopi McLeod"}],"abstract":"Abstract Background Interprofessional care is paramount in contemporary healthcare practice. How different professions interact, and the characteristics of those practitioners who practice in an interprofessional way are rarely described in the literature. The aim of the current work was to identify the demographic, practice and clinical management characteristics of Australian osteopaths who report referring to podiatrists. Methods The study was a secondary analysis of data from the Osteopathy Research and Innovation Network (ORION). Inferential statistics were generated to identify statistically significant demographic, practice and clinical management characteristics associated with referrals to podiatrists by Australian osteopaths. Results Nine-hundred and ninety-two Australian osteopaths responded to the questionnaire. Sending referrals to a podiatrist was reported by 651 participants (65.6%). Female Australian osteopaths were less likely to report referring to podiatrists compared to male osteopaths (OR 0.76, 95%CI 0.59–0.99). Australian osteopaths who reported referring to podiatrists were more likely to report receiving referrals from podiatrists (OR 9.75, 95%CI 6.98–13.61), use orthopaedic testing in patient assessment (OR 7.62, 95%CI 2.82–20.60), and often treat patients with postural disorders (OR 1.71, 95%CI 1.03–2.26), compared to osteopaths who do not refer to podiatrists. Conclusion This study provides initial evidence for the referral relationship between Australian osteopaths and podiatrists. Further work could explore the nature of these referrals, including the complaints resulting in referral and outcomes of care. This information will be useful to those involved in health policy development and the professions advocating for their role in the wider healthcare system.","source":"DOAJ","year":2022,"language":"","subjects":["Public aspects of medicine"],"doi":"10.1186/s12913-022-07520-6","url":"https://doi.org/10.1186/s12913-022-07520-6","is_open_access":true,"published_at":"","score":66},{"id":"ss_6489d83ec1db5cf6dcdf21a1b040e1bdac86dab1","title":"Osteopathy in mild adrenal Cushing's syndrome and Cushing disease.","authors":[{"name":"S. Frara"},{"name":"A. Allora"},{"name":"L. di Filippo"},{"name":"A. Formenti"},{"name":"P. Loli"},{"name":"E. Polizzi"},{"name":"D. Tradati"},{"name":"F. Ulivieri"},{"name":"A. Giustina"}],"abstract":"Pathophysiology and effects of endogenous glucocorticoid (GC) excess on skeletal endpoints as well as awareness and management of bone fragility are reviewed. Cushing's syndrome (CS) increase the risk of fracture affecting prevalently bone quality. Bone antiresorptive agents (SERMs, bisphosphonates and denosumab) as well as teriparatide increase bone mineral density and in some instances reduce fracture risk. Awareness and management of bone health in CS can be improved.","source":"Semantic Scholar","year":2021,"language":"en","subjects":["Medicine"],"doi":"10.1016/j.beem.2021.101515","url":"https://www.semanticscholar.org/paper/6489d83ec1db5cf6dcdf21a1b040e1bdac86dab1","is_open_access":true,"citations":33,"published_at":"","score":65.99000000000001},{"id":"ss_c0a7dd32d2e92365353baac235df20315ffefe75","title":"High Prevalence of Osteopathy in Chronic Pancreatitis: A Cross-sectional Analysis from the PROCEED Study.","authors":[{"name":"P. Hart"},{"name":"D. Yadav"},{"name":"Liang Li"},{"name":"Savitri N. Appana"},{"name":"W. Fisher"},{"name":"E. Fogel"},{"name":"C. Forsmark"},{"name":"Walter G. Park"},{"name":"S. Pandol"},{"name":"M. Topazian"},{"name":"Stephen K. Van Den Eden"},{"name":"S. Vege"},{"name":"David Bradley"},{"name":"Jose Serrano"},{"name":"D. Conwell"}],"abstract":"INTRODUCTION Chronic pancreatitis (CP) is associated with osteopathy (osteoporosis or osteopenia). However, existing literature is mostly limited to retrospective or administrative studies that have not clearly defined the prevalence and risk factors. Our aim was to identify patient- and disease-related associations with osteopathy in a prospective cohort study of CP. METHODS We studied 282 subjects with definitive CP enrolled in the PROCEED study who had a baseline dual-energy X-ray absorptiometry (DXA) scan. Osteopenia and osteoporosis were defined using the lowest T-scores. Clinical data were collected using standardized case report forms. Comparisons were performed with a multivariate logistic regression model with forward selection to identify risk factors for osteopathy. RESULTS The majority of subjects had osteopathy on DXA scan (56.0%; 17.0% osteoporosis; 39.0% osteopenia). Subjects with osteopathy had a higher prevalence of traumatic (40.0% vs. 26.4%, p=0.02) and spontaneous fractures (3.9% vs. 0, p=0.04). On multivariate analysis, older age (OR 1.29 per 5 years, 95% CI 1.15-1.45), female sex (OR 3.08, 95% CI 1.75-5.43), white race (OR 2.68, 95% CI 1.20-6.01), and underweight BMI category (OR 7.40, 95% CI 1.56-34.99) were associated with higher probability of osteopathy. There were no significant associations between osteopathy and patient and disease-related features of CP. CONCLUSION In the largest study of CP patients who underwent DXA screening, the majority had osteopathy. There are overlapping risk factors with osteopathy in the general population, but the high prevalence in men and younger women supports the need for future investigations into the mechanisms of bone loss in CP. ClinicalTrials.gov number, NCT03099850.","source":"Semantic Scholar","year":2021,"language":"en","subjects":["Medicine"],"doi":"10.1016/j.cgh.2021.09.026","url":"https://www.semanticscholar.org/paper/c0a7dd32d2e92365353baac235df20315ffefe75","pdf_url":"https://www.sciencedirect.com/science/article/am/pii/S1542356521010405","is_open_access":true,"citations":21,"published_at":"","score":65.63},{"id":"ss_963a6bff5bec191c4ecc95dfdbbc157c95d14850","title":"Osteopathy: Italian professional profile. A professional commentary by a group of experts of the European community of practice","authors":[{"name":"F. Cerritelli"},{"name":"C. Lunghi"},{"name":"J. Esteves"},{"name":"P. Vaucher"},{"name":"Patrick L S van Dun"},{"name":"G. Álvarez"},{"name":"M. Biberschick"},{"name":"A. Wagner"},{"name":"O. Merdy"},{"name":"M. Ménard"},{"name":"P. Tavernier"},{"name":"C. Clouzeau"},{"name":"A. Risch"},{"name":"Nuria Ruffini"},{"name":"A. Nunes"},{"name":"Rui José Santiago"},{"name":"P. Marett"},{"name":"R. Grech"},{"name":"O. Thomson"}],"abstract":"Abstract Osteopathy became recently regulated as a healthcare profession in Italy. The Italian legislation classifies osteopathy as a healthcare profession, which focuses on health prevention and maintenance with a role in rehabilitation and functional psychosocial recovery. The legislative framework also lays down the osteopathic professional profile. Osteopaths are described as healthcare practitioners who deliver osteopathic person-centred care focused on the musculoskeletal system and the concept of somatic dysfunction. Despite these positive developments in the legislation for osteopathy, the Italian law raises critical points regarding the validity of osteopathic care models, namely the concept of somatic dysfunction and the role of osteopaths in health promotion and prevention. The legislative developments currently occurring worldwide must be informed by a critical appraisal of osteopathic conceptual models and grounded on robust research. In the article, a panel of European osteopaths involved in clinical and academic practice, research and regulation, present this professional commentary to facilitate a critical discussion on the role, competencies and scope of practice of osteopaths in the light of the recently published Italian osteopathic professional profile.","source":"Semantic Scholar","year":2021,"language":"en","subjects":["Medicine"],"doi":"10.1016/J.IJOSM.2021.03.004","url":"https://www.semanticscholar.org/paper/963a6bff5bec191c4ecc95dfdbbc157c95d14850","is_open_access":true,"citations":17,"published_at":"","score":65.50999999999999},{"id":"crossref_10.1016/j.explore.2020.07.001","title":"“If you don't use or understand visceral osteopathy you're not a real osteopath”: Professional identity in Australian osteopathy through the lens of a single traditional technique","authors":[{"name":"Sandra Grace"},{"name":"Michael Fleischmann"},{"name":"Brett Vaughan"}],"abstract":"","source":"CrossRef","year":2021,"language":"en","subjects":null,"doi":"10.1016/j.explore.2020.07.001","url":"https://doi.org/10.1016/j.explore.2020.07.001","is_open_access":true,"citations":9,"published_at":"","score":65.27000000000001}],"total":17307,"page":1,"page_size":20,"sources":["DOAJ","Semantic Scholar","CrossRef"],"query":"Osteopathy"}