An appraisal of criticisms of evidence-based orthodox, complementary and alternative medicine, focused on their relevance in osteopathy.
Item
- Title
- An appraisal of criticisms of evidence-based orthodox, complementary and alternative medicine, focused on their relevance in osteopathy.
- Author(s)
- Tasala, P
- Abstract
- Introduction: Evidence-based medicine (EBM) in its totality is having a challenging and transformative effect on the osteopathic clinician, institution and profession. Whereas the origin of EBM lies outside of osteopathy and it has affected other professions more profoundly, the act of observing and learning from that experience is, in a general sense, not at the heart of most osteopaths. The aim of this paper is to review and discuss publications in medicine and complementary and alternative medicine that have been written in response to the challenging and transforming agency of EBM, and to relate the findings to the topics of teaching and research in osteopathy. Method: 3 separate literature searches were conducted. Keywords used with boolean logic were: criti* , evidence, evidence-based, medic* , complementary, alternative, vita/ism, holis* , osteopath* , manual. Databases used were: EBSCOhost (Health Sciences group of databases), Swetswise, Pubmed, Google Scholar. Additionally, specific journal searches were performed. Results: 136 articles were chosen to form the reference for this investigation.These address the history and development of EBM, criticisms of EBM in medical and social science publications, definitions of complementary and alternative medicine (CAM), criticisms of evidence-based complementary and alternative medicine (EBCAM), and research and teaching in osteopathy. Discussion: Medical critique of EBM focuses onhow to teach clinicians to retrieve and evaluate research , and to integrate it in clinical practice. Social science critique points out a host of contextual factors that are not taken into account either by the paradigm of EBM, or by an overly stringent interpretation thereof. EBCAM critique includes medical critique, articulates in more detail social science and anthropological critique, and distinguishes itself by juxtaposition of EBM and CAM paradgims (holism and vitalism) A trend toward inclusion of contextual, qualitative and sociological forms of evidence gathering in EBCAM has been found. Conclusion: In light of the present review, a proactive role toward evidence creation is recommended for osteopaths. The areas which require research attention are 1) both orthodox (randomised controlled trials) and contextual (qualitative and sociological methods) clinical research 2) basic science research to improve explanatory models of osteopathy, and 3) philosophy of science regarding osteopathic principles to clarify
- presented at
- European School of Osteopathy
- Date Accepted
- 2011
- Date Submitted
- 22.1.2013 16:23:36
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15301
- Inst-Identifier
- 1229
- Keywords
- Evidence-based medicine; Orthodox medicine; Alternative medicine.
- Recommended
- 0
- Item sets
- Thesis
Tasala, P, “An appraisal of criticisms of evidence-based orthodox, complementary and alternative medicine, focused on their relevance in osteopathy.”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathic-research.com/s/orw/item/764