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The importance of lymphatic osteopathic manipulative treatment (OMT) in the practice and training of osteopaths in Québec: A qualitative research study

Journal: Journal of Complementary and Integrative Medicine Date: 2018/12, 15(4):Pages: eA21. doi: Subito , type of study: qualitative study

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2018-2000/html)

Keywords:

Canada [25]
lymphatic system [54]
OMT [3779]
osteopathic manipulative treatment [3799]
osteopathic medicine [2055]
osteopaths [253]
qualitative study [285]

Abstract:

Background: The professionalization of osteopathy is imminent in Québec and it is therefore important to define the major branches of osteopathy and to outline new fields of research. The lymphatic system is one of these important areas, but it has been little explored in practice, training, and research. Objectives: Explore the osteopathic conception of the lymphatic system in practice and in training, from the perspective of osteopaths practicing and teaching in Québec. Methods: Three teachers and four osteopaths were recruited using a convenience sampling. Data was collected through socio-demographic questionnaires; text books; pedagogical materials; school curriculum descriptions; audio-recorded interviews transcriptions; and a validation group interview using a constructivist design. Thematic analysis was used for individual interviews until saturation, and analysed data was submitted to all participants allowing for co-construction. Results: The participants described the lymphatic system using the osteopathic principles of globalism, autoregulation, structure and function interrelations, and the importance of free fluid circulation. They defined the system as omnipresent and inseparable from osteopathic philosophy. The majority of participants admitted they do not treat lymphatics in their practice. Paradoxically, they also stated that every osteopathic technique can have a lymphatic impact. Osteopathic training on lymphatics is variable among programs and, most of the time, is nonexistent. All participants stated that the lymphatic system is as important as every other body system in osteopathy but acknowledged that it is overlooked. The participants pointed out the distinction between lymphatic OMT and other manual therapies. The distinctive aspects are the adaptation of the treatment method to the client using a specific evaluation; multiple techniques addressing the lymphatics directly; the osteopath's palpation skill; and osteopathic philosophy. Conclusion: There was consensus about the gap between the primary importance given to lymphatics in osteopathic philosophy and the little place designated to it in practice and training.


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