Baroni Francesca, Tramontano Marco, Barsotti Nicola, Chiera Marco, Lanaro Diego, Lunghi Christian
Clinical-Based Human Research Department, Research Division, Foundation COME Collaboration, Pescara, Italy.
Fondazione Santa Lucia IRCCS, Rome, Italy.
J Complement Integr Med. 2021 Nov 11;20(2):293-301. doi: 10.1515/jcim-2021-0430. eCollection 2023 Jun 1.
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.
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.
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.
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.
整骨结构 - 功能模型的构建被视为临床推理和治疗过程的基石。然而，目前尚无关于其在临床实践中应用的共享程序。本叙述性综述旨在从更全面的角度分析这一现象。
进行了结构化叙述性综述。使用PubMed、ScienceDirect和谷歌学术进行数据库搜索。纳入了未对日期和设计设限的同行评审论文。
共报告了25项研究结果，并分为两个主要主题：1）整骨疗法护理的模型和理论框架之争；2）整骨领域的临床推理和决策过程。
基于结构/功能模型的综合整骨疗法护理方法是建立共享的整骨诊断和临床推理以及以跨学科的以人为本的护理过程促进健康的循证实践的起点。本综述强调了关于在决策和治疗策略中使用整骨概念模型的文献数量有限。需要一个研究计划来为基于证据的整骨实践制定一个通用框架，以在跨学科的以人为本的护理过程中促进健康。
