Characteristics, opportunities and challenges of osteopathy in the perception of osteopaths in Switzerland – a qualitative study – the complete research report

Manuela Dorothea Meier, MSc

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Bogner, D. (2019). Osteopathic treatment of the genital descensus and its accompanying symptoms in women. A comparative pi-lot study of osteopathy and electrostimulation /biofeedback for pelvic floor. European Journal of Osteopathic Research, 1(1), 28–37. https://doi.org/10.35740/EJOR.2019.1.1.4 Cite Download

Abstract

Background: As a heterogeneous discipline, osteopathy is currently confronted with fundamental questions of identity, which it has to answer as a discipline in the field of tension between professional challenges and scientific demands.

Aims: The aim of this thesis is to identify relevant components of the status quo of osteopathy in Switzerland and to present them using a category system.

Methods: Seven guideline-based, problem-oriented interviews with Swiss osteopaths are conducted, transcribed and evaluated on the basis of Philipp Mayring’s qualitative content analysis using inductive category formation and the results presented as a category tree.

Results: Extensive partial aspects are coded under the three main categories of characteristics, opportunities and challenges. The greatest challenge of osteopathy in Switzerland is the implementation of the new law on health professions, which came into force on 1 Februrary 2020 and has uncertain consequences for osteopaths without a GDK diploma.

Conclusions: The extensive number of categories shows that the challenges of osteopathy are multi-faceted. However, for some therapists the above mentioned is of existential importance.

Keywords: switzerland, osteopathy, characteristics, opportunities, challenges, COCO, qualitative study

DOI: https://doi.org/10.35740/EJOR.2020.2.1.1

Discloser

The author has no personal financial or institutional interest in any of the materials or devices described in this article.

Author details

1 Manuela Dorothea Meier, Switzerland

Correspondence

Manuela Dorothea Meier

m.d.meier@gmx.ch

Received: 02 November 2020 Accepted: 20 November 2020 Published: 02 December 2020

References

  1. Alcalay, M., Stav, K., & Eisenberg, V. H. (2015). Family history associated with pelvic organ prolapse in young women. International Urogynecology Journal, 26(12), 1773–1776. https://doi.org/10.1007/s00192-015-2779-5
  2. Haylen, B., De Ridder, D., Freeman, R., Swift, S., Berghmans, B., Lee, J., … Schaer, G. (2010). An International Urogynecological Association (IUGA)/International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Floor Dysfunction. Textbook of Female Urology and Urogynecology, Third Edition, 1090–1105. https://doi.org/10.3109/9781439807217-111
  3. Maher, C., Feiner, B., Baessler, K., & Schmid, C. (2013). Surgical management of pelvic organ prolapse in women. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd004014.pub5
  4. Jelovsek, J. E., Maher, C., & Barber, M. D. (2007). Pelvic organ prolapse. The Lancet, 369(9566), 1027–1038. https://doi.org/10.1016/s0140-6736(07)60462-0
  5. M. B. J. D. Kuncharapu, “Pelvic organ prolapse,” American Family Physician, vol. 81, no. 9, pp. 1111-1117, 1 May 2010.
  6. Haylen, B. T., Maher, C. F., Barber, M. D., Camargo, S., Dandolu, V., Digesu, A., … Withagen, M. I. J. (2016). An International Urogynecological Association (IUGA) / International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Organ Prolapse (POP). Neurourology and Urodynamics, 35(2), 137–168. https://doi.org/10.1002/nau.22922
  7. DeLancey, J. O. L. (2002). Fascial and muscular abnormalities in women with urethral hypermobility and anterior vaginal wall prolapse. American Journal of Obstetrics and Gynecology, 187(1), 93–98. https://doi.org/10.1067/mob.2002.125733
  8. Weber, A. M., & Richter, H. E. (2005). Pelvic Organ Prolapse. Obstetrics & Gynecology, 106(3), 615–634. https://doi.org/10.1097/01.aog.0000175832.13266.bb
  9. Hagen, S., Stark, D., Glazener, C., Dickson, S., Barry, S., Elders, A., … Wilson, D. (2014). Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial. The Lancet, 383(9919), 796–806. https://doi.org/10.1016/s0140-6736(13)61977-7
  10. Schaffer, J. I., Wai, C. Y., & Boreham, M. K. (2005). Etiology of Pelvic Organ Prolapse. Clinical Obstetrics and Gynecology, 48(3), 639–647. https://doi.org/10.1097/01.grf.0000170428.45819.4e
  11. B. Carrière, “Beckenboden, Physiotherapie und Training,” in Beckenboden, Physiotherapie und Training, Stuttgard, Thieme, 2012, p. 222ff.
  12. J. Amenth and Y. Thannheimer, Die osteopathische Behandlung von Frauen mit Gebärmuttersenkung, Schule für klassische osteopathische Medizin, 2011.
  13. B. Kocheise-Miller and K. Quell, Die osteopathische Behandlung von Frauen mit Descensus uteri, College Sutherland: DO-Arbeit, College Sutherland, 2008.
  14. Scotti, R. J., Flora, R., Greston, W. M., Budnick, L., & Hutchinson-Colas, J. (2000). Characterizing and Reporting Pelvic Floor Defects: the Revised New York Classification System. International Urogynecology Journal, 11(1), 48–60. https://doi.org/10.1007/s001920050010
  15. C. Zaiontz, 21 März 2016. [Online]. Available: http://www.real-statistics.com/non-parametric-tests/mann-whitney-test/.

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