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The hands of the osteopaths. Thinking fingers. Their special training
Hansak, S. [1]

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2008/11, Pages: 191, type of study: qualitative study

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2931)

Keywords:

thinking fingers [1]
qualitative study [209]
palpation [170]
touch [64]
osteopathic manipulative treatment [2973]
OMT [2951]
WSO [433]

Abstract:

Study Design the qualitative method Outline/Problem Definition The topic of this master thesis is Research Question & Objective The study at hand deals with the following questions: How can osteopaths train the tactile sense of their hands and subsequently sharpen their perception in such a way that they develop thinking fingers? Which support do they get, which obstacles do they have to break through? Hypothesis The framework for the results are the interpretation of Sutherland’s thinking fingers, a term that stands for the dexterity of osteopathic fingers, on the one hand and psychological basics of the perceptual process, on the other hand. In the chapters dedicated to results, first of all the role of the hands over the course of many years is discussed. A broad range is covered from childhood with its specific “hand-experiences”, via pre-osteopathic training and its respective demands on the fingers right up to the osteopathic training. Relevance for the Patients The better an osteopath learns feeling with his hands - the more support he is available - the excelsior is the quality of his treatment. Relevance for Osteopathy This thesis can be seen as a “collection of evidence Methodology A qualitative method in the form of guideline-supported, understanding interviews was chosen and seven osteopaths were interviewed. Results In the actual main chapters of this paper, called osteopathic training, the main questions of the author shall be answered. There are 5 basic approaches: 1. The osteopath has to work on himself (“health care”) and can prepare himself and the therapeutic situation. 2. Mechanisms of perception (attention) and of perception measuring (e.g. description) are of great assistance and are the basis for communication about what has been perceived. 3. Training and gaining knowledge are of most importance for osteopaths. 4. Principles such as self-confidence, joy, motivation and affirmation are important. 5. Colleagues and lecturers are important companions; they convey respect, openness, joy and offer support. The amazing “end product” are the thinking fingers that master the “art of communication” with the tissue. The possibly most striking result of this paper is that through the perceptual training osteopaths come back to a “natural, immediate perception”, because they develop fingers which are able to smell, hear and taste additionally to feeling. A gift that is called sensing. Critical Reflection/Perspectives/Conclusions For this thesis a “small but mighty“ group of osteopaths was interviewed and their statements provide results which cannot be seen as representative for all osteopaths. However, the number of seven is sufficient to discuss the “THE tool hand” and to highlight their role and important components for their development. There is the option for other to dig deeper into certain aspects of this thesis, of commenting critically on them and to qualify them.By the author covering a very broad range – maybe too broad – from childhood until the time posterior to the OT, plenty of material was collected which had to be processed.

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