Doctor of osteopathy

BACKGROUND: Chronic pain patients often use complementary medicine (CM) to alleviate their pain; however, little is known about the use of CM by chronic low back pain (cLBP) patients. We investigated the frequency of use of CM by cLBP patients, the perceived effects of these therapies, patients' knowledge regarding CM, and patient-physician communication regarding CM. METHOD: A cross-sectional survey was conducted from November 2014 to February 2015. A questionnaire was distributed by physicians to 238 consecutive patients consulting for cLBP at the Pain Center of Lausanne University Hospital, Switzerland...

OBJECTIVES: Integrating a behavioral health consultant (BHC) into primary care is associated with improved patient outcomes, fewer medical visits, and increased provider satisfaction; however, few studies have evaluated the feasibility of this model from an operations perspective. Specifically, time and cost have been identified as barriers to implementation. Our study aimed to examine time spent, patient volume, and revenue generated during days when the on-site BHC was available compared with days when the consultant was not...

While allopathic doctors consider how best to design a sports medicine certification program, doctors of osteopathy debate whether sports medicine should be a board-certified specialty. For primary care doctors who want to shore up their sports medicine credentials through certification, it helps to know where to look.

Few examples of interprofessional collaboration by chiropractors and other healthcare professionals are available. This case report describes an older adult with complex low back pain and longstanding tobacco use who received collaborative healthcare while enrolled in a clinical trial. This 65 year-old female retired office worker presented with chronic back pain. Imaging findings included disc extrusion and spinal stenosis. Multiple co-morbidities and the complex nature of this case substantiated the need for multidisciplinary collaboration...

OBJECTIVES: To examine internal medicine and emergency medicine healthcare provider perceptions of usefulness of specific clinical prediction rules. SETTING: The study took place in two academic medical centres. A web-based survey was distributed and completed by participants between 1 January and 31 May 2013. PARTICIPANTS: Medical doctors, doctors of osteopathy or nurse practitioners employed in the internal medicine or emergency medicine departments at either institution...

BACKGROUND CONTEXT: Back pain is the most prevalent of musculoskeletal conditions, and back pain sufferers have been identified as high users of complementary and alternative medicine (CAM). Despite lacking evidence, CAM treatments (e.g., acupuncture, chiropractic, and massage) and CAM products (eg, vitamins, supplements, and aromatherapy oils) for back pain care have become widely available internationally, and CAM use by back pain sufferers has become a significant health service issue...

BACKGROUND AND OBJECTIVE: Family physicians are expected to be comfortable in treating common sports injuries. Evidence shows a limited level of comfort in treating these injuries in pediatric and internal medicine residents. Studies are lacking, however, in family medicine residents. The purpose of this study is to assess the comfort level of family medicine residents in treating common sports injuries in adults and children based on their perceived level of knowledge and attitudes. METHODS: This is a cross-sectional study of family medicine residents in the United Sates...

BACKGROUND AND OBJECTIVES: Little is known about the numbers of faculty in the family medicine academic workforce. As family medicine continues to advance in the current patient-centered medical home environment, baseline data on family medicine faculty may become important for policy makers and those who try to influence them. This nationwide study describes the types, numbers, and regional location of family medicine academic faculty. METHODS: All US allopathic family medicine residency program and US medical school family medicine department websites were gleaned for information regarding academic faculty...

The present study was designed to assess community attitudes toward physiotherapy and five other health professions (osteopathy, acupuncture, chiropractic, naturopathy, and medicine). The study surveyed 100 people chosen from the Melbourne public on the basis of a stratified sampling procedure. In general, earlier findings were confirmed in that the community was found to be less than fully aware of the various functions of currently available health services. In addition, data were gathered on more specified issues including respondents' knowledge of their own and available insurance cover for physiotherapy; the effect of insurance cover on usage of physiotherapy; degree of awareness that a doctor's referral is no longer necessary before seeking physiotherapy; impressions concerning the relative amount of media coverage given to physiotherapy and other health professions; previous contact with, and degree of satisfaction with physiotherapy and other health professions; and respondents' likely preference among various professions for treatment of each of a wide variety of physical complaints...

OBJECTIVES: Previous studies have identified preload forces and an important feature of skillful execution of spinal manipulative therapy (SMT) as performed by manual therapists (eg, doctors of chiropractic and osteopathy). It has been suggested that applying a gradual force before the thrust increases the spinal unit stiffness, minimizing displacement during the thrust. Therefore, the main objective of this study was to assess the vertebral unit biomechanical and neuromuscular responses to a graded increase of preload forces...

OBJECTIVES: High-velocity low-amplitude spinal manipulation (HVLA-SM), as performed by doctors who use manual therapy (eg, doctors of chiropractic and osteopathy), results in mechanical hypoalgesia in clinical settings. This hypoalgesic effect has previously been attributed to alterations in peripheral and/or central pain processing. The objective of this study was to determine whether thrust magnitude of a simulated HVLA-SM alters mechanical trunk response thresholds in wide dynamic range (WDR) and/or nociceptive specific (NS) lateral thalamic neurons...

Nationally, the California merger created great solidarity among osteopathic members of state and national osteopathic associations. They rebuffed further efforts at amalgamation and championed the continuation of the DO degree. Even after the American Medical Association (AMA) opened its doors to DOs to join local and state medical associations as well as the AMA itself and gave its blessing to them entering allopathic residency programs and becoming MD board certified, the DOs stood fast for their independence...

BACKGROUND: The effects of cancer and associated treatments have a considerable impact on the well-being and quality of life of pediatric oncology patients. To support children and their families, complementary and alternative medicines are seen by nurses and doctors as practical to integrate to the services offered by hospitals. OBJECTIVE: The purpose of this paper is to examine if the practice of complementary and alternative medicine, specifically spiritual care and treatments based on body manipulation, is likely to improve the health and well-being of children suffering from cancer...

This article-the third in a 6-part series-examines the status of the DO degree in the first 3 decades of the 20th century. This time was an era when osteopathic practitioners established other colleges, developed state and national organizations, upgraded the length and breadth of curricula, and sought to secure licensure laws commensurate with their expanded education. During this period, osteopathic practitioners debated whether the DO degree was the most appropriate degree for their colleges to award or whether the MD degree alone or in conjunction with the DO degree better signified to lawmakers and the public their expanded academic training...

BACKGROUND: The uptake of evidence in practice remains a challenge for healthcare professionals including nurses and providers. Increased use of evidence-based practices (EBPs) in healthcare settings may improve patient conditions such as pain and decrease the cost of health care. The relationship between context in the practice environment and uptake of EBP remains an understudied area. AIMS: This study explored the relationships of context including the elements of individual, unit, and hospital and the use of evidence-based nonpharmacological pediatric pain management practices (EBNPPs) using an existing data set of RNs and providers, defined as doctors of medicine and osteopathy, nurse practitioners, and physician assistants caring for children in the emergency department...

OBJECTIVES: To explore how patients choose individual osteopaths to consult; to test whether patients' preferences for osteopaths depend on gender, the osteopath's qualifications, and the cost of treatment; to explore patients' perspectives. DESIGN: An explanatory mixed methods design incorporating a quasi-experimental study administered by postal survey and a qualitative interview study. SETTING: One sample of patients at a private-sector complementary therapy clinic in the UK completed a survey; a second sample of patients recruited from osteopathy clinics took part in qualitative interviews...

BACKGROUND: Sixty percent (60%) to 80% of patients who visit chiropractic, osteopathic, or Chinese medicine practitioners are seeking pain relief. OBJECTIVES: This article aimed to identify the amount, quality, and type of complementary and alternative medicine (CAM) pain research in Australia by systematically and critically reviewing the literature. METHODS: PubMed, Scopus, Australasian Medical Index, and Cochrane library were searched from their inception to July 2009...

Osteopathic medicine is a healing modality applied with the doctor's two hands that is similar to but goes far beyond the Manual medicine/chirotherapy which is well known in Germany. Founded in 1874 by Dr. A.T. Still in Kirksville, Missouri in the USA, osteopathic medicine is in addition to the M.D. degree in allopathic medicine a fully accepted and regulated medical profession ending in the granting of the D.O. (doctor of osteopathic medicine) degree. In 2009 the German Medical Council presented a position paper on osteopathy and osteopathic medicine which has ignited controversial discussions about the possible integration of this modality into the German medical health care system...

BACKGROUND: Many studies have found acute gastrointestinal infections to be among the most likely reason for clinic visits among forward deployed soldiers and are considered a significant contributor to morbidity in this population. This occurs despite the controlled food and water distribution systems under which military populations operate. Furthermore, recent studies have indicated that providers often fail to appropriately identify and treat the typical causes of these infections...

OBJECTIVE: The manifold studies on the usage of complementary and alternative medicine (CAM) indicate that its utilization differs with respect to socio-cultural background, gender, age and underlying disease. This study intended to analyze the usage of specific CAM practices among a population of older German adults with health insurance coverage. METHODS: Data of 5 830 older individuals who participated in an anonymous cross sectional survey among German insurance beneficiaries were analyzed with respect to usage of CAM treatments applied by medical doctors or non-medical practitioners within the last 5 years...