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[整骨疗法受到审查]

[Osteopathy under scrutiny].

作者信息

Dräger Kilian, Heller Rainer

机构信息

, Beim Andreasbrunnen 7, 20249, Hamburg, Deutschland.

, An Groß Sankt Martin 6, Köln, 50667, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 May;63(5):553-560. doi: 10.1007/s00103-020-03126-7.

Abstract

Osteopathic medicine is a medical specialty that enjoys a high level of recognition and increasing popularity among patients. High-quality education and training are essential to ensure good and safe patient treatment. At a superficial glance, osteopathy could be misunderstood as a myth; accurately considered, osteopathic medicine is grounded in medical and scientific knowledge and solid theoretical and practical training. Scientific advances increasingly confirm the empirical experience of osteopathy. Although more studies on its efficacy could be conducted, there is sufficient evidence for a reasonable application of osteopathy. Current scientific studies show how a manually executed osteopathic intervention can induce tissue and even cellular reactions. Because the body actively responds to environmental stimuli, osteopathic treatment is considered an active therapy. Osteopathic treatment is individually applied and patients are seen as an integrated entity. Because of its typical systemic view and scientific interpretation, osteopathic medicine is excellently suited for interdisciplinary cooperation. Further work on external evidence of osteopathy is being conducted, but there is enough knowledge from the other pillars of evidence-based medicine (EBM) to support the application of osteopathic treatment. Implementing careful, manual osteopathic examination and treatment has the potential to cut healthcare costs. To ensure quality, osteopathic societies should be intimately involved and integrated in the regulation of the education, training, and practice of osteopathic medicine.

摘要

整骨医学是一个在患者中享有高度认可且越来越受欢迎的医学专业。高质量的教育和培训对于确保良好且安全的患者治疗至关重要。乍一看,整骨疗法可能会被误解为一种神话;但准确来讲,整骨医学基于医学和科学知识以及扎实的理论与实践培训。科学进步越来越证实整骨疗法的经验性实践。尽管可以对其疗效进行更多研究,但已有足够证据支持合理应用整骨疗法。当前的科学研究表明,手动实施的整骨干预如何能引发组织甚至细胞反应。由于身体会对环境刺激做出积极反应,整骨疗法被视为一种主动疗法。整骨疗法是针对个体应用的,并且患者被视为一个完整的实体。由于其典型的整体观和科学解释,整骨医学非常适合跨学科合作。关于整骨疗法外部证据的进一步研究正在进行,但循证医学(EBM)的其他支柱已有足够知识支持整骨疗法的应用。实施细致的手动整骨检查和治疗有可能降低医疗成本。为确保质量,整骨医学协会应密切参与并融入整骨医学教育、培训和实践的监管之中。

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