Keynote Presentation - Putting Science on Osteopathic Art
A concept does not fall from heaven. Our therapist’s journey is made up of reflections and deliberations, centered on what does not work out in practice. When everything succeeds, what need would we have to question or to change? The approach developed in this presentation is based on my close friendship with Jean-Pierre Barral and the evolution of our clinical practices over several decades.
In the beginning, some techniques were developed to find solutions to joint problems that conventional techniques could not resolve. Some manipulations were elaborated to work precisely on certain anatomical structures, with the aim of changing the mechanical conditions of recalcitrant joints or having contraindications to conventional manipulations. Their justification was irrelevant; their effectiveness was the only concern.
With time, little by little, other techniques were generated, to solve other problems and the need to understand “why” and “how” they worked became more and more pressing for us. Thus, we began to sort and classify them. Progressively, we were able to integrate them into a more global and coherent framework. The systemic approach allowed us to finally organize our findings.
Going a little against the current of evidence-based medicine, which is very much in vogue these days, what we propose in this presentation is to see how an emerging concept can be entirely practice-based.