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Critical Analysis of Trigger Point Constructs in Clinical Trials Commentary on Todri et al., 2025—Methodological Conside...
24/02/2026

Critical Analysis of Trigger Point Constructs in Clinical Trials Commentary on Todri et al., 2025—Methodological Considerations and Pain Science Foundations - The recent technique-based clinical trial conducted by Todri et al. (2025) has been both methodologically and categorically praised for its contribution to addressing gaps in the current evidence base related to trigger point techniques in students with cervical pain (Aphale et al., 2025). Despite these strengths, it is crucial to highlight an unresolved issue within pain science that the study did not address: the foundational construct of the trigger point itself.

The recent technique-based clinical trial conducted by Todri et al. (2025) has been both methodologically and categorically praised for its contribution to addressing gaps in the current evidence base related to trigger point techniques in students with cervical pain (Aphale et al., 2025). Despite t...

Setting the osteopathic research agenda: consensus, context, controversy, and capacity - The osteopathic profession achi...
18/02/2026

Setting the osteopathic research agenda: consensus, context, controversy, and capacity - The osteopathic profession achieved something unprecedented: 2229 individuals from 42 countries provided their views on research priorities through the European Research Priorities for Osteopathic Care (PROCare) project - published in BMJ Open in October 2025 [1]. Not only do the results have implications for research projects in the coming years, as members of the osteopathic community, we have also learnt a lot about ourselves in the process.

The osteopathic profession achieved something unprecedented: 2229 individuals from 42 countries provided their views on research priorities through the European Research Priorities for Osteopathic Care (PROCare) project - published in BMJ Open in October 2025 [1]. Not only do the results have implic...

Effects of osteopathic manipulative treatment on cardiovascular function: a systematic review and meta-analysis - : The ...
16/02/2026

Effects of osteopathic manipulative treatment on cardiovascular function: a systematic review and meta-analysis - : The objective was to estimate osteopathic manipulative treatment (OMT) effects on cardiovascular function directly and indirectly through nervous and endocrine system regulators.

: The objective was to estimate osteopathic manipulative treatment (OMT) effects on cardiovascular function directly and indirectly through nervous and endocrine system regulators.

Response to commentary to the Editor regarding “Immediate effects of three different upper trapezius trigger point techn...
13/02/2026

Response to commentary to the Editor regarding “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial” (Int J Osteopath Med. 2025;58:100777) - This response letter addresses methodological and interpretative issues raised in a recent commentary concerning our randomized clinical trial comparing three upper trapezius trigger point techniques (Jones strain–counterstrain, Lewit post-isometric relaxation, and Chaitow muscle energy technique) with a sham intervention in students with cervical pain. We welcome the constructive critique and provide clarifications regarding the prespecified primary estimand, statistical modeling, clinical interpretation, sham credibility, and generalizability.

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Comment on “Efficacy of myofascial unwinding and myofascial release on somatic symptoms in patients with non-specific ch...
06/02/2026

Comment on “Efficacy of myofascial unwinding and myofascial release on somatic symptoms in patients with non-specific chronic low back pain – A study protocol for a single-blinded randomized clinical trial” - We read the recently published protocol evaluating myofascial unwinding plus myofascial release versus conventional physiotherapy for non-specific chronic low back pain with somatic symptoms. The trial plans a two-arm randomised design (n=30), four weeks of treatment, and PHQ-15 as the primary endpoint, with numerical pain rating and Q-LES-Q-SF as secondary outcomes [1]. This is a relevant question and the protocol would benefit from a few clarifications before results are reported.

We read the recently published protocol evaluating myofascial unwinding plus myofascial release versus conventional physiotherapy for non-specific chronic low back pain with somatic symptoms. The trial plans a two-arm randomised design (n=30), four weeks of treatment, and PHQ-15 as the primary endpo...

Comment on “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure...
23/01/2026

Comment on “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial” - We read the randomized clinical trial assessing the immediate effects of three upper trapezius trigger-point techniques (strain–counterstrain, post-isometric relaxation, and muscle energy technique) versus a sham procedure in physiotherapy students with cervical pain and an active myofascial trigger point [1]. The pragmatic focus on commonly taught techniques, use of standardized outcomes (pain intensity, pressure pain threshold, and cervical range of motion), and inclusion of a sham comparator are notable strengths.

We read the randomized clinical trial assessing the immediate effects of three upper trapezius trigger-point techniques (strain–counterstrain, post-isometric relaxation, and muscle energy technique) versus a sham procedure in physiotherapy students with cervical pain and an active myofascial trigg...

Setting the osteopathic research agenda: consensus, context, controversy, and capacity - The osteopathic profession achi...
16/01/2026

Setting the osteopathic research agenda: consensus, context, controversy, and capacity - The osteopathic profession achieved something unprecedented: 2,229 individuals from 42 countries provided their views on research priorities through the European Research Priorities for Osteopathic Care (PROCare) project - published in BMJ Open in October 2025 (Vaucher et al., 2025). Not only do the results have implications for research projects in the coming years, as members of the osteopathic community, we have also learnt a lot about ourselves in the process.

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The Association between Exposure to Adverse Childhood Experiences and the Risk of Developing Autoimmune Rheumatic Diseas...
31/12/2025

The Association between Exposure to Adverse Childhood Experiences and the Risk of Developing Autoimmune Rheumatic Disease: A Systematic Review - Adverse Childhood Experience

Adverse Childhood Experience

From guidelines to practice: collective learning through clinical audit of the IFOMPT cervical framework - The Internati...
26/12/2025

From guidelines to practice: collective learning through clinical audit of the IFOMPT cervical framework - The International Federation of Manual and Musculoskeletal Physical Therapists Incorporated (IFOMPT) cervical framework provides evidence-based guidance for assessing patients with cervical pain to identify potential vascular pathologies. However, implementation of clinical frameworks by practitioners remains challenging.

The International Federation of Manual and Musculoskeletal Physical Therapists Incorporated (IFOMPT) cervical framework provides evidence-based guidance for assessing patients with cervical pain to identify potential vascular pathologies. However, implementation of clinical frameworks by practitione...

Barriers and facilitators to the use of Patient Reported Outcome Measures by Australian osteopaths - Patient Reported Ou...
23/12/2025

Barriers and facilitators to the use of Patient Reported Outcome Measures by Australian osteopaths - Patient Reported Outcome Measures (PROMs) are increasingly being used to quantify and inform valued-based healthcare both globally and in Australia. However, use of these measures in specific allied health professions, notably osteopathy, is lacking.

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Comment on “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure...
23/12/2025

Comment on “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain: a randomized clinical trial” - We read with great interest the recent randomized clinical trial by Todri et al. in the International Journal of Osteopathic Medicine [1]. This study provides a valuable contribution to the field of manual therapy through its rigorous, well-blinded design, comparing three established myofascial trigger point (MTrP) techniques – Chaitow, Lewit, and Jones – against a sham intervention. The inclusion of a sham treatment group is particularly commendable, as it helps control for non-specific treatment effects and enhances the study's internal validity.

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Immediate Effects of Osteopathic Manipulative Therapy on Thoracoabdominal Mobility, Respiratory Muscle Strength and Pulm...
26/11/2025

Immediate Effects of Osteopathic Manipulative Therapy on Thoracoabdominal Mobility, Respiratory Muscle Strength and Pulmonary Function in Healthy Men: Preliminary Crossover Trial - Isolated high-velocity and low-amplitude techniques have been shown to be effective in improving joint mobility, supporting the gain of respiratory muscle strength and pulmonary function. However, it is not yet known if osteopathic manipulative therapy can improve these variables.

Isolated high-velocity and low-amplitude techniques have been shown to be effective in improving joint mobility, supporting the gain of respiratory muscle strength and pulmonary function. However, it is not yet known if osteopathic manipulative therapy can improve these variables.

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