Lunghi Christian, Baroni Francesca
J Am Osteopath Assoc. 2019 May 1;119(5):312-321. doi: 10.7556/jaoa.2019.053.
Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic medicine has been well integrated into traditional health care systems in the United States, little is known about the role of osteopathy in traditional health care systems outside the United States. Therefore, it is incumbent on the osteopathy community to gather evidence in order to practice scientifically informed effective methods. This narrative review outlines the Cynefin framework for clinical reasoning and decision-making and encourages a broadening of the evidence base among osteopaths to promote health in an interdisciplinary care setting. This review also presents the concept of an osteopath's mindline, in which the osteopath combines information from a range of sources into internalized and collectively reinforced tacit guidelines.
整骨疗法（由国外培训的整骨医师提供的手法治疗）强调手法技术是患者护理的基石。尽管整骨医学已很好地融入美国的传统医疗体系，但对于美国以外传统医疗体系中整骨疗法的作用却知之甚少。因此，整骨疗法界有责任收集证据，以便采用科学合理的有效方法进行治疗。本叙述性综述概述了用于临床推理和决策的Cynefin框架，并鼓励整骨医师拓宽证据基础，以在跨学科护理环境中促进健康。本综述还介绍了整骨医师的思维脉络概念，即整骨医师将来自一系列来源的信息整合为内化且共同强化的隐性指南。
