Evidence map›Paper›PMID 42121664›Full record

ArticleHealthcare (Basel, Switzerland)2026

Untangling the Osteopathic Gordian Knot: Reconceptualized Principles for Sustainable and Contemporary Clinical Practice-A Conceptual Perspective.

Christian Lunghi, Francesca Baroni, Giandomenico D'Alessandro, Mauro Longobardi, Giacomo Consorti, Nicola Vanacore, Marco Tramontano

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christian LunghiosteoMANIa: Italian Osteopathic Practice and Research Working Group, BMS Formation, 00146 Rome, Italy.ORCID 0000-0002-0673-6241
Francesca BaroniosteoMANIa: Italian Osteopathic Practice and Research Working Group, BMS Formation, 00146 Rome, Italy.ORCID 0000-0001-5083-989X
Giandomenico D'AlessandroBMS Formation, 75116 Paris, France.ORCID 0000-0002-3599-2340
Mauro LongobardiRegistry of Osteopaths of Italy, 20149 Milan, Italy.ORCID 0000-0002-3270-4016
Giacomo ConsortiRegistry of Osteopaths of Italy, 20149 Milan, Italy.ORCID 0000-0003-3085-283X
Nicola VanacoreNational Center for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy.ORCID 0000-0003-2817-3758
Marco TramontanoTranslational Rehabilitation Group, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, 40138 Bologna, Italy.ORCID 0000-0001-6034-0638

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteopathy's integration into contemporary healthcare requires clear articulation of its theoretical and practical foundations and active engagement in interprofessional practice. Despite growing institutional recognition, conceptual ambiguity remains regarding foundational principles and their operationalization. Osteopathy is broadly described as a person-centered, evidence-informed discipline promoting health through manual and educational strategies within systemic and biopsychosocial contexts.

objectivesThis Perspective critically examines osteopathic principles, proposes a shared conceptual model for interdisciplinary care, and outlines a structured research agenda for empirical validation, aiming to enhance person-centered, preventive, and sustainable practice.

methodsA narrative review synthesized historical, theoretical, and contemporary evidence. Records were thematically analyzed through expert collaborative brainstorming to achieve consensus, ensuring both conceptual and empirical rigor.

resultsTwenty-two studies were included, forming two thematic areas: (1) historical evolution of osteopathic principles, encompassing foundational definitions, early interpretive divergences, codifications, and adaptations; and (2) contemporary reconceptualization for interdisciplinary care, integrating systems-oriented and biopsychosocial frameworks. Emphasis was placed on self-regulation, structure-function relationships, and holistic care. This synthesis bridges historical and modern insights, highlighting osteopathy's relevance in integrative, pediatric, and preventive healthcare.

conclusionsReconceptualizing osteopathic principles strengthens professional identity and supports sustainable, evidence-informed, person-centered practice. The proposed framework informs interprofessional collaboration and guides a research roadmap to validate and integrate osteopathy globally within contemporary healthcare systems.

Indexed as

evidence-informed practiceinterprofessional integrationosteopathic medicineperson-centered careprimary preventionprofessional identityquaternary preventionsalutogenesissecondary preventionsustainable healthcaretertiary prevention

Identifiers

PMID42121664
PMCPMC13163741

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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