Briz Osteo

21/03/2026

Rethinking causation and mechanisms in osteopathy and physical intervention trial design: the positivist-realist continuum - Evidence-Based Medicine

Evidence-Based Medicine

20/03/2026

Effectiveness of an algorithm for approaching temporomandibular disorders with osteopathic manipulative treatment in patients with fibromyalgia: A randomized, controlled trial protocol. - This study describes the protocol for a randomized, single-blind, controlled experimental clinical trial evaluating an osteopathic manipulative treatment approach algorithm for temporomandibular dysfunctions in patients diagnosed with fibromyalgia. Nowadays, fibromyalgia is the rheumatic disorder with the highest levels of deterioration in quality of life. Among the comorbidities it presents, one of the most frequent is temporomandibular disorders. Despite the proven effectiveness of manual therapy, only a small part of the population has resorted to it as a complementary treatment.

19/03/2026

Artificial Intelligence in Osteopathy Education: A Critical Analysis of Educators' and Researchers' Perspectives - In response to the article by (1) "Osteopathy Educators' and Researchers' Perspectives on Artificial Intelligence in Academia: A Cross-Sectional Study" presents an intriguing exploration of the integration of artificial intelligence (AI) in osteopathy education. The study offers valuable insights into how AI is perceived by educators and researchers, and its potential to shape the future of academic practices. This topic is highly relevant in the current educational climate, where digital transformation and technological advancements are crucial.

In response to the article by (1)

19/03/2026

Thoracic Biomechanics or Autonomic Modulation? Reframing the Respiratory Effects of Osteopathic Manipulative Therapy - Zago et al. [1] reported immediate improvements in thoracoabdominal mobility, maximal inspiratory and expiratory pressures, and spirometric outcomes after a standardized osteopathic manipulative therapy (OMT) session in healthy men. This letter responds directly to the authors’ secondary aim of interpreting these short-term effects through physiological and biomechanical mechanisms, as well as to their stated hypothesis that increasing thoracoabdominal mobility may improve respiratory muscle strength.

Zago et al. [1] reported immediate improvements in thoracoabdominal mobility, maximal inspiratory and expiratory pressures, and spirometric outcomes after a standardized osteopathic manipulative therapy (OMT) session in healthy men. This letter responds directly to the authors’ secondary aim of in...

19/03/2026

Methodological considerations for evaluating ChatGPT as a learning tool in osteopathic medical education - The recent study conducted by Martin, Patel, and Benmerzouga [1] provides a highly valuable and timely exploration regarding the utility of ChatGPT-3.5 in osteopathic medical education. By evaluating the performance of the large language model on foundational physiology questions and Comprehensive Osteopathic Medical Licensing Examination practice items, the authors have successfully highlighted a critical gap in the literature concerning the intersection of artificial intelligence and osteopathic principles [1].

The recent study conducted by Martin, Patel, and Benmerzouga [1] provides a highly valuable and timely exploration regarding the utility of ChatGPT-3.5 in osteopathic medical education. By evaluating the performance of the large language model on foundational physiology questions and Comprehensive O...

13/03/2026

Enhancing Osteopathic Outcomes: The Role of Psychoeducation and Cognitive Behavioral Therapy in Chronic Neck Pain Management - I would like to commend the authors of the study "Segment-Specific Alterations in Trapezius Muscle Viscoelasticity in Chronic Neck Pain: A Myotonometric Case–Control Study" [1] for their significant contribution to understanding the mechanical and sensory alterations in individuals with Chronic Neck Pain (CNP). The use of the MyotonPRO device to assess the viscoelastic properties of the trapezius muscle across its three segments is a novel addition to the scientific literature on CNP, offering valuable insights into segment-specific differences in muscle behavior [1].

I would like to commend the authors of the study

10/03/2026

Response to the Letter 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) - We would like to express our appreciation to the authors of the Letter to the Editor for their careful reading of our article and for their thoughtful and constructive observations. We are pleased that they acknowledged the methodological rigor of our randomized, blinded, sham-controlled trial and the relevance of comparing three established manual therapy protocols addressing a gap in current knowledge. We are grateful for the opportunity to respond to the points raised.

We would like to express our appreciation to the authors of the Letter to the Editor for their careful reading of our article and for their thoughtful and constructive observations. We are pleased that they acknowledged the methodological rigor of our randomized, blinded, sham-controlled trial and t...

10/03/2026

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) - We sincerely thank the authors of the recently published commentary for their careful reading of our randomized clinical trial entitled “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain” (International Journal of Osteopathic Medicine, 2025; https://doi.org/10.1016/j.ijosm.2025.100777) and for their constructive methodological observations. We appreciate the opportunity to respond and clarify several points raised in their discussion.

We sincerely thank the authors of the recently published commentary for their careful reading of our randomized clinical trial entitled “Immediate effects of three different upper trapezius trigger point techniques on pain intensity and pressure threshold in students with cervical pain” (Interna...

10/03/2026

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.

10/03/2026

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. [1] 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 [2]. 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. [1] 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 [2]. Despite these strengths, it is...

09/03/2026

Response to the Letter to the Editor regarding: Critical Analysis of Trigger Point Constructs in Clinical Trials Commentary on Todri et al., 2025-Methodological Considerations and Pain Science Foundations - We would like to thank the commentator for their careful reading of our work and for the thoughtful critique regarding the conceptual foundations of the trigger point construct. We also appreciate the opportunity to clarify the theoretical positioning, scope, and intentions of our study.

We would like to thank the commentator for their careful reading of our work and for the thoughtful critique regarding the conceptual foundations of the trigger point construct. We also appreciate the opportunity to clarify the theoretical positioning, scope, and intentions of our study.

09/03/2026

Revolutionizing Osteopathic Education: Integrating ChatGPT and Virtual Reality for Immersive Learning - I am writing in response to the thoughtful study by Martin et al. titled "Exploring the Utility of ChatGPT as a Learning Tool in Osteopathic Medical Education [1]." The authors present valuable insights into the use of ChatGPT as an educational tool, particularly its ability to answer physiology questions accurately. However, I would like to propose a novel conceptual contribution to the discussion by suggesting the integration of Virtual Reality (VR) with ChatGPT as a means to address the identified gaps in osteopathic medical education, particularly concerning the application of Osteopathic Principles and Practice (OPP).

I am writing in response to the thoughtful study by Martin et al. titled