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Related Experiment Video

Updated: Dec 11, 2025

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A new perspective for Somatic Dysfunction in Osteopathy: the Variability Model.

Andrea Bergna1, Luca Vismara2, Giovanni Parravicini1

  • 1SOMA - Istituto Osteopatia Milano, 336 F Sarca Road, 20126 Milan, Italy.

Journal of Bodywork and Movement Therapies
|August 23, 2020
PubMed
Summary
This summary is machine-generated.

The Variability Model offers a new perspective on Somatic Dysfunction (SD) in osteopathy. Assessing movement variability in the Neutral Zone (NZ) is key to detecting SD and understanding its relation to health.

Keywords:
DiagnosisOsteopathyPalpationPhysical examinationSomatic dysfunctionVariability

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Area of Science:

  • Osteopathic Manipulative Medicine
  • Biomechanics
  • Clinical Anatomy

Background:

  • Osteopathy employs manipulative techniques to enhance physiological function.
  • Somatic Dysfunction (SD) involves altered function within the body's framework system, impacting osteopathic practice.
  • Existing research shows limitations in the reliability and validity of current SD assessment methods.

Purpose of the Study:

  • To propose a novel clinical perspective for Somatic Dysfunction (SD) assessment.
  • To introduce the "Variability Model" for evaluating SD clinical signs.
  • To explore the role of movement variability in understanding SD.

Main Methods:

  • A dual literature search was conducted in the Medline database (January-March 2019).
  • Analysis focused on common clinical signs used for SD detection.
  • Investigation into movement variability assessment within the Neutral Zone (NZ) informed the proposed hypothesis.

Main Results:

  • The Variability Model highlights the significance of Neutral Zone (NZ) range of motion assessment for detecting SD.
  • This model identifies motion asymmetry and relative restriction as key indicators of SD.
  • SD semiotics are linked to "body adaptability" and the concept of health.

Conclusions:

  • Movement variability provides a framework for interpreting SD signs as the body's adaptive response.
  • The Variability Model enhances understanding of SD's pathophysiological mechanisms and clinical relevance.
  • This paradigm aims to improve the reliability and clinical applicability of SD assessment in osteopathy.