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Osteopathic structure/function models renovation for a person-centered approach: a narrative review and integrative hypothesis

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Review

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Osteopathic Manipulative Treatment


J Complement Integr Med. 2021 Nov 11.

Authors:

Francesca Baroni  , Marco Tramontano  , Nicola Barsotti , Marco Chiera  , Diego Lanaro  , Christian Lunghi 

Abstract.



Objectives: The construct of the osteopathic structure-function models is reported as a cornerstone of clinical reasoning and treatment processes. Nevertheless, there are no shared procedures described for their use in clinical practice. The present narrative review aims to analyze a more comprehensive perspective on the phenomenon.

Methods: A structured narrative review was conducted. A database search was conducted using Pubmed, ScienceDirect, and Google Scholar. Peer-reviewed papers without specifying limits on dates and design were included.

Results: Twenty-five findings were reported and grouped into two main themes: 1) Debate on models and theoretical frameworks for osteopathic care; 2) Clinical reasoning and decision-making process in the osteopathic field.

Conclusions: An integrated osteopathic care approach based on the structure/function models represents a starting point to establish a shared osteopathic diagnostic and clinical reasoning and an evidence-informed practice promoting health in an interdisciplinary person-centered care process. The present review highlights the limited amount of literature on using osteopathic conceptual models in decision-making and treatment strategies. A research plan is required to develop a common framework for an evidence-based osteopathic practice that promotes well-being in an interdisciplinary person-centered care process.

Publication Date: 

2021 Nov

OEID: 

3596

Baroni, F., Tramontano, M., Barsotti, N., Chiera, M., Lanaro, D., Lunghi, C. (2021) 'Osteopathic structure/function models renovation for a person-centered approach: a narrative review and integrative hypothesis ', J Complement Integr Med. 2021 Nov 11.

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