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The role of osteopathy in clinical care: Broadening the evidence-base

  • Amie Steel
    Correspondence
    Corresponding author. Level 2, 269 Wickham St, Fortitude Valley, QLD, Australia.
    Affiliations
    Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia

    Office of Research, Endeavour College of Natural Health, Brisbane, QLD, Australia
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  • Raymond Blaich
    Affiliations
    School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia
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  • Tobias Sundberg
    Affiliations
    Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia

    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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  • Jon Adams
    Affiliations
    Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
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Published:February 17, 2017DOI:https://doi.org/10.1016/j.ijosm.2017.02.002

      Abstract

      Osteopathy is a system of health care practiced in various countries throughout the world that focuses on osteopathic manual techniques as a cornerstone of patient care. However, we still know little about the practice, role and use of osteopathy within the broader health system in most countries. With this in mind, this paper proposes a possible framework for advancing further research on this topic. The framework is divided into issues associated with core stakeholders including health consumers, osteopaths, other health professionals, and policymakers and funding bodies. The development of a rigorous health services research agenda around this topic has much to offer and the framework outlined here is offered with the hope of inspiring a broader field of inquiry into osteopathy in the clinical care setting.

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      References

        • Osteopathy International Alliance
        History and current context of the osteopathic profession.
        2012
        • Johnson S.
        • Kurtz M.
        Conditions and diagnoses for which osteopathic primary care physicians and specialists use osteopathic manipulative treatment.
        J Am Osteopath Assoc. 2002; 102 (37-40): 527-532
        • Xue C.C.
        • Zhang A.L.
        • Lin V.
        • Myers R.
        • Polus B.
        • Story D.F.
        Acupuncture, chiropractic and osteopathy use in Australia: a national population survey.
        BMC Public Health. 2008; 8: 105
        • Fawkes C.
        • Leach C.
        • Mathias S.
        • Moore A.
        A profile of osteopathic care in private practices in the United Kingdom: a national pilot using standardised data collection.
        Man Ther. 2014; 19: 125-130
        • Licciardone J.C.
        Awareness and use of osteopathic physicians in the United States: results of the second osteopathic survey of health care in America (OSTEOSURV-II).
        J Am Osteopath Assoc. 2003; 103: 281-289
        • Ong C.K.
        • Doll H.
        • Bodeker G.
        • Stewart-Brown S.
        Use of osteopathic or chiropractic services among people with back pain: a UK population survey.
        Health Soc Care Community. 2004; 12: 265-273
        • Murthy V.
        • Sibbritt D.
        • Adams J.
        • Broom A.
        • Kirby E.
        • Refshauge K.M.
        Consultations with complementary and alternative medicine practitioners amongst wider care options for back pain: a study of a nationally representative sample of 1,310 Australian women aged 60–65 years.
        Clin Rheumatol. 2014; 33: 253-262
        • Steel A.
        • Adams J.
        • Sibbritt D.
        • Broom A.
        • Gallois C.
        • Frawley J.
        Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women.
        BMC Pregnancy Childbirth. 2012; 12: 146
        • Burke S.R.
        • Myers R.
        • Zhang A.L.
        A profile of osteopathic practice in Australia 2010–2011: a cross sectional survey.
        BMC Musculoskelet Disord. 2013; 14: 227
        • Frawley J.
        • Sundberg T.
        • Steel A.
        • Sibbritt D.
        • Broom A.
        • Adams J.
        Prevalence and characteristics of women who consult with osteopathic practitioners during pregnancy; a report from the Australian Longitudinal Study on Women's Health (ALSWH).
        J Bodyw Mov Ther. January 2016; 20: 168-172
        • Franke H.
        • Franke J.D.
        • Fryer G.
        Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis.
        BMC Musculoskelet Disord. 2014; 15
        • Orrock P.J.
        • Myers S.P.
        Osteopathic intervention in chronic non-specific low back pain: a systematic review.
        BMC Musculoskelet Disord. 2013; 14: 129
        • Licciardone J.C.
        • Brimhall A.K.
        • King L.N.
        Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials.
        BMC Musculoskelet Disord. 2005; 6: 1-12
        • Chown M.
        • Whittamore L.
        • Rush M.
        • Allan S.
        • Stott D.
        • Archer M.
        A prospective study of patients with chronic back pain randomised to group exercise, physiotherapy or osteopathy.
        Physiotherapy. 2008; 94: 21-28
        • MacDonald R.S.
        • Mro M.
        • Bell C.J.
        An open controlled assessment of osteopathic manipulation in nonspecific low-back pain.
        Spine. 1990; 15: 364-370
        • Williams N.H.
        • Wilkinson C.
        • Russell I.
        • Edwards R.T.
        • Hibbs R.
        • Linck P.
        • et al.
        Randomized osteopathic manipulation study (ROMANS): pragmatic trial for spinal pain in primary care.
        Fam Pract. 2003; 20: 662-669
        • Licciardone J.C.
        • Kearns C.M.
        • Minotti D.E.
        Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity: results from the OSTEOPATHIC trial.
        Man Ther. 2013; 18: 533-540
        • Anderson R.E.
        • Seniscal C.
        A comparison of selected osteopathic treatment and relaxation for tension-type headaches.
        Headache J Head Face Pain. 2006; 46: 1273-1280
        • Schabert E.
        • Crow W.T.
        Impact of osteopathic manipulative treatment on cost of care for patients with migraine headache: a retrospective review of patient records.
        J Am Osteopath Assoc. 2009; 109: 403-407
        • Schwerla F.
        • Rother K.
        • Rother D.
        • Ruetz M.
        • Resch K.-L.
        Osteopathic manipulative therapy in women with postpartum low back pain and disability: a pragmatic randomized controlled trial.
        J Am Osteopath Assoc. 2015; 115: 416
        • Licciardone J.C.
        • Buchanan S.
        • Hensel K.L.
        • King H.H.
        • Fulda K.G.
        • Stoll S.T.
        Osteopathic manipulative treatment of back pain and related symptoms during pregnancy: a randomized controlled trial.
        Am J Obstet Gynecol. 2010; 202 (e1–8): 43
        • Posadzki P.
        • Myeong Soo L.
        • Ernst E.
        Osteopathic manipulative treatment for pediatric conditions: a systematic review.
        Pediatrics. 2013; 132: 140-152
        • Froud R.
        • Eldridge S.
        • Lall R.
        • Underwood M.
        Estimating the number needed to treat from continuous outcomes in randomised controlled trials: methodological challenges and worked example using data from the UK Back Pain Exercise and Manipulation (BEAM) trial.
        BMC Med Res Methodol. 2009; 9: 1-10
        • Gurry B.
        • Hopkins M.
        • Peers C.
        • Anderson S.
        • Watts M.
        Musculoskeletal medicine in practice.
        J Orthop Med. 2004; 26: 13-18
        • UK BEAM Trial Team
        United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care.
        BMJ. 2004; 329: 1377
        • Rushton A.B.
        • Fawkes C.A.
        • Carnes D.
        • Moore A.P.
        A modified Delphi consensus study to identify UK osteopathic profession research priorities.
        Man Ther. 2014; 19: 445-452
        • Adams J.
        Introduction.
        in: Adams J. Researching complementary and alternative medicine. Routeledge, Oxon2007 ([p. xiii-xx])
        • Leach C.J.
        • Mandy A.
        • Hankins M.
        • Bottomley L.M.
        • Cross V.
        • Fawkes C.A.
        • et al.
        Patients' expectations of private osteopathic care in the UK: a national survey of patients.
        BMC Complement Altern Med. 2013; 13: 1-10
        • Cross V.
        • Leach C.M.J.
        • Fawkes C.A.
        • Moore A.P.
        Patients' expectations of osteopathic care: a qualitative study.
        Health Expect. 2015; 18: 1114-1126
        • Pincus T.
        • Vogel S.
        • Savage R.
        • Newman S.
        Patients' satisfaction with osteopathic and GP management of low back pain in the same surgery.
        Complement Ther Med. 2000; 8: 180-186
        • Strutt R.
        • Shaw Q.
        • Leach J.
        Patients' perceptions and satisfaction with treatment in a UK osteopathic training clinic.
        Man Ther. 2008; 13: 456-467
        • Fryer G.
        • Drysdale I.P.
        • Rolfe K.J.
        • Hinkley H.
        Special issue: osteopathic Principles‘POSTE’ study (patients OSTeopathic experience): a UK national survey of patients: Part III.
        Int J Osteopath Med. 2013; 16 (e23–e4)
        • Gurden M.
        • Morelli M.
        • Sharp G.
        • Baker K.
        • Betts N.
        • Bolton J.
        Evaluation of a general practitioner referral service for manual treatment of back and neck pain.
        Prim Health Care Res Dev. 2012; 13: 204-210
        • Rajendran D.
        • Bright P.
        • Bettles S.
        • Carnes D.
        • Mullinger B.
        What puts the adverse in ‘adverse events’? Patients' perceptions of post-treatment experiences in osteopathy – a qualitative study using focus groups.
        Man Ther. 2012; 17: 305-311
        • McIlwraith B.
        A survey of 1200 osteopathic patients in the United Kingdom.
        J Osteopath Med. 2003; 6: 7-12
        • Burton A.K.
        Back pain in osteopathic practice.
        Rheumatology. 1981; 20: 239-246
        • Fawkes C.A.
        • Leach C.M.J.
        • Mathias S.
        • Moore A.P.
        A profile of osteopathic care in private practices in the United Kingdom: a national pilot using standardised data collection.
        Man Ther. 2014; 19: 125-130
        • Fryer G.
        • Morse C.M.
        • Johnson J.C.
        Spinal and sacroiliac assessment and treatment techniques used by osteopathic physicians in the United States.
        Osteopath Med Prim Care. 2009; 3: 1-11
      1. General Osteopathic Council, GOsC Research http://www.osteopathy.org.uk/news-and-resources/research-surveys/gosc-research/2016 [.

        • Toop L.
        Primary care: core values Patient centred primary care.
        BMJ. 1998; 316: 1882-1883
        • Osteopathic International Alliance
        Osteopathy and osteopathic medicine: a global view of practice, patients, education and the contribution to healthcare delivery.
        2014
        • Franke H.
        • Franke J.-D.
        • Fryer G.
        Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis.
        BMC Musculoskelet Disord. 2014; 15: 1-18
        • Dal Poz M.R.
        • Gupta N.
        • Quain E.
        • Soucat A.L.
        Handbook on monitoring and evaluation of human resources for health with special applications for low-and middle-income countries.
        World Health Organization, 2009
      2. Australian health practitioner regulation agency. 2014/15 annual report. 2015
        • Orrock P.
        Profile of members of the Australian osteopathic association: Part 1 – the practitioners.
        Int J Osteopath Med. 2009; 12: 14-24
      3. General osteopathic Council. Annual reports. 2016
      4. General Osteopathic Council, Osteopathic Practice Standards. http://www.osteopathy.org.uk/news-and-resources/document-library/osteopathic-practice-standards/osteopathic-practice-standards/2012.

        • Hudson B.
        Interprofessionality in health and social care: the Achilles' heel of partnership?.
        J interprofessional care. 2009;
      5. The Institute of Osteopathy, The iO Osteopathic Internship Programme http://www.osteopathy.org/the-io-osteopathic-internship-programme/2016 [.

        • Wardle J.L.
        • Sibbritt D.W.
        • Adams J.
        Referrals to chiropractors and osteopaths: a survey of general practitioners in rural and regional New South Wales, Australia.
        Chiropr Man Ther. 2013; 21: 1
        • Vogel S.
        • Mars T.
        • Keeping S.
        • Barton T.
        • Marlin N.
        • Froud R.
        • et al.
        Clinical risk osteopathy and management scientific report: the CROaM study.
        General Osteopathic Council, 2013
        • Licciardone J.C.
        • Buchanan S.
        • Hensel K.L.
        • King H.H.
        • Fulda K.G.
        • Stoll S.T.
        Osteopathic manipulative treatment of back pain and related symptoms during pregnancy: a randomized controlled trial.
        Am J obstet Gynecol. 2010; 202 (e1-e8): 43
        • Carnes D.
        • Mullinger B.
        • Underwood M.
        Defining adverse events in manual therapies: a modified Delphi consensus study.
        Man Ther. 2010; 15: 2-6
        • Williams N.H.
        • Edwards R.T.
        • Linck P.
        • Muntz R.
        • Hibbs R.
        • Wilkinson C.
        • et al.
        Cost–utility analysis of osteopathy in primary care: results from a pragmatic randomized controlled trial.
        Fam Pract. 2004; 21: 643-650