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Published on: February 5, 2019
The role of touch in osteopathic practice: A narrative review and integrative hypothesis
Francesca Baroni1, Nuria Ruffini2, Giandomenico D'Alessandro3
1Clinical-based Human Research Department, Research Division, COME Collaboration, Pescara, Italy; Malta ICOM Educational, Malta.
Introduction:
Osteopathy relies on a touch-based approach to promote health. This narrative review aims to analyze the role of touch in clinical osteopathic practice.
Methods:
A database search was conducted using MEDLINE, EMBASE, PEDro and Google Scholar. Peer-reviewed papers without specifying limits on dates and design were included.
Results:
47 articles met the inclusion criteria and were used to elucidate two main themes: Biological and psychological effects of touch; Touch in the context of osteopathic clinical reasoning.
Discussion:
Touch is one of the tools to achieve a collaborative interaction with the patient, to substantiate clinical information, and to detect somatic dysfunctions: neuro-myofascial active areas that might act as an osteopath-patient interface to transmit the biological and physiological effects of touch.
Conclusion:
The findings of the review support a shared decision-making process, in which touch is one of the osteopath-patient dyad 's leading communication tools to develop a tailor-made osteopathic approach.
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