🇪🇸 (Re)Integrating Indigenous Body Representations in Manual Therapy | 📚 Zegarra-Parodi et al., 2024

📚 Abstract video with 🇪🇸 subtitles of our paper titled:
Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy.
📚 Available at:
www.mdpi.com/2...
📚 Authors:
Rafael Zegarra-Parodi, Giandomenico D’Alessandro, Francesca Baroni, Dr Jaris Swidrovich, Dr Lewis Mehl-Madrona, Dr Travis Gordon, Luigi Ciullo, Emiliano Castel and Christian Lunghi.
📚 Abstract:
Background: Chiropractic, osteopathy, and physiotherapy (COP) professionals regulated outside the United States traditionally incorporate hands-on procedures aligned with their historical principles to guide patient care. However, some authors in COP research advocate a pan-professional, evidence-informed, patient-centered approach to musculoskeletal care, emphasizing hands-off management of patients through education and exercise therapy. The extent to which non-Western sociocultural beliefs about body representations in health and disease, including Indigenous beliefs, could influence the patient-practitioner dyad and affect the interpretation of pillars of evidence-informed practice, such as patient-centered care and patient expectations, remains unknown. Methods: our perspective paper combines the best available evidence with expert insights and unique viewpoints to address gaps in the scientific literature and inform an interdisciplinary readership. Results: A COP pan-professional approach tends to marginalize approaches, such as prevention-oriented clinical scenarios traditionally advocated by osteopathic practitioners for patients with non-Western sociocultural health assumptions. The Cynefin framework was introduced as a decision-making tool to aid clinicians in managing complex clinical scenarios and promoting evidence-informed, patient-centered, and culturally sensitive care. Conclusion: Epistemological flexibility is historically rooted in osteopathic care, due to his Indigenous roots. It is imperative to reintroduce conceptual and operative clinical frameworks that better address contemporary health needs, promote inclusion and equality in healthcare, and enhance the quality of manual therapy services beyond COP’s Western-centered perspective.
🙏 Mme Ildikó Néplaz, DO (Bayonne, France) & association professionnelle "Ostéopathes de France" (Paris, France) pour le co-financement de l'article.
🙏 Maestro Teobaldo Ochavano López, Peru & Maestra Marina Sinti Reategui, Peru, pour leur participation à cette vidéo.
🙏 Gratitude à Mose pour l'usage gracieux de sa musique dans cette vidéo.
🙏 Aux peuples autochtones des Amériques pour leur sagesse et leur influence durable dans le monde.
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