Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths

The Italian government has started the regulatory process of osteopathy to include it among the healthcare professions mentioning terms, such as “perceptual palpation” and “somatic dysfunction” within the professional profile. ‘Palpatory findings’ are one of the multidimensional aspects that can inf...

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Main Authors: Andrea Bergna, Matteo Galli, Francesco Todisco, Francesca Berti
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/9/1647
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author Andrea Bergna
Matteo Galli
Francesco Todisco
Francesca Berti
author_facet Andrea Bergna
Matteo Galli
Francesco Todisco
Francesca Berti
author_sort Andrea Bergna
collection DOAJ
description The Italian government has started the regulatory process of osteopathy to include it among the healthcare professions mentioning terms, such as “perceptual palpation” and “somatic dysfunction” within the professional profile. ‘Palpatory findings’ are one of the multidimensional aspects that can inform osteopathic clinical reasoning. The non-regulated educational system has led to heterogenic professionals working in Italy, thus, the aim of this study was to investigate how Italian experts use palpatory findings in their clinical practice. A total of 12 experts were selected to participate in four virtual focus groups. A qualitative inductive approach with a constructivist paradigm was chosen to describe the results. The themes that emerged were: osteopathic identity; evaluation; osteopathic diagnosis; and sharing with different recipients. Participants agreed on the peculiarity and distinctiveness of osteopathic palpation, but there was some disagreement on the clinical significance of the findings, highlighting a complex multidimensional approach to diagnosis and treatment. The results seem to reflect the history of the profession in Italy, which has evolved quickly, leading professionals to seek new paradigms blending tradition and scientific evidence. The authors suggest further investigation to verify the state of art among osteopaths not involved in research or a broader consensus of the results.
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spelling doaj.art-865b682b761643348094d1f9d61eba212023-11-23T16:28:25ZengMDPI AGHealthcare2227-90322022-08-01109164710.3390/healthcare10091647Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian OsteopathsAndrea Bergna0Matteo Galli1Francesco Todisco2Francesca Berti3Research Department, SOMA Istituto Osteopatia Milano, 20126 Milan, ItalyResearch Department, SOMA Istituto Osteopatia Milano, 20126 Milan, ItalyResearch Department, SOMA Istituto Osteopatia Milano, 20126 Milan, ItalyIndependent Researcher, 20100 Milan, ItalyThe Italian government has started the regulatory process of osteopathy to include it among the healthcare professions mentioning terms, such as “perceptual palpation” and “somatic dysfunction” within the professional profile. ‘Palpatory findings’ are one of the multidimensional aspects that can inform osteopathic clinical reasoning. The non-regulated educational system has led to heterogenic professionals working in Italy, thus, the aim of this study was to investigate how Italian experts use palpatory findings in their clinical practice. A total of 12 experts were selected to participate in four virtual focus groups. A qualitative inductive approach with a constructivist paradigm was chosen to describe the results. The themes that emerged were: osteopathic identity; evaluation; osteopathic diagnosis; and sharing with different recipients. Participants agreed on the peculiarity and distinctiveness of osteopathic palpation, but there was some disagreement on the clinical significance of the findings, highlighting a complex multidimensional approach to diagnosis and treatment. The results seem to reflect the history of the profession in Italy, which has evolved quickly, leading professionals to seek new paradigms blending tradition and scientific evidence. The authors suggest further investigation to verify the state of art among osteopaths not involved in research or a broader consensus of the results.https://www.mdpi.com/2227-9032/10/9/1647biopsychosocial approachevidence-based practicehands-on hands-offosteopathic assessmentosteopathic clinical practiceosteopathic identity
spellingShingle Andrea Bergna
Matteo Galli
Francesco Todisco
Francesca Berti
Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths
Healthcare
biopsychosocial approach
evidence-based practice
hands-on hands-off
osteopathic assessment
osteopathic clinical practice
osteopathic identity
title Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths
title_full Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths
title_fullStr Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths
title_full_unstemmed Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths
title_short Beliefs and Use of Palpatory Findings in Osteopathic Clinical Practice: A Qualitative Descriptive Study among Italian Osteopaths
title_sort beliefs and use of palpatory findings in osteopathic clinical practice a qualitative descriptive study among italian osteopaths
topic biopsychosocial approach
evidence-based practice
hands-on hands-off
osteopathic assessment
osteopathic clinical practice
osteopathic identity
url https://www.mdpi.com/2227-9032/10/9/1647
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