Hakim Mhadhbi

Institut d'Ostéopathie de Rennes-Bretagne · Clinical Practice

In the dynamic landscape of osteopathic education, a delicate dance unfolds between tradition and modernism, embodying a liminal state that demands exploration. Liminality, a concept rooted in anthropology and now applied to various study fields, refers to an in-situational moment - a spatio-temporal threshold - where a rupture of the sense of self...

Evidence-Based Practice (EBP) is an integral part of future healthcare professionals' training programs. However, its implementation in osteopathic education is still controversial and most traditional models are now being challenged. Students are confronted with new identity challenges trying to find a way between osteopathic legacy and eviden...

Evidence-Based Practice (EBP) is an integral part of future healthcare professionals' training programs. However, its implementation in osteopathic education is still controversial and most traditional models are now being challenged. Students are confronted with new identity challenges trying to find a way between osteopathic legacy and evidence....

La pratique fondée sur les preuves (EBP) fait partie intégrante des programmes de formation des futurs professionnels de la santé. Sa mise en œuvre dans l'enseignement de l'ostéopathie n'est pas encore uniformisée et de nouveaux défis en lien avec la difficulté de trouver une voie entre l'héritage ostéopathique et les nouvelles connaissances scient...

Game-based simulation education is becoming an integral component in healthcare programs. It is defined as any educational activity implying simulation procedures to recreate clinical scenarios. Previous studies have shown that simulation can improve patient safety by enhancing healthcare providers' competencies. However, few studies have investiga...

Psychological factors are known to impact the course of low back pain and predict individual low back pain (LBP) outcomes for pain and disability. For practitioners to adequately address these factors, an understanding of the beliefs that underlie them appears to be crucial. Beliefs about LBP can influence the interpretation of pain signals, the de...

Contexte : Bien que la pratique fondée sur les preuves ("evidence-based practice" ou EBP) soit aujourd'hui adoptée et recommandée largement chez les professionnels de santé, son application en pratique clinique et dans l'enseignement demeure largement discutée au sein de la communauté ostéopathique. Objectif : L'objectif de cette étude a été d'expl...

Osteopathic healthcare education has traditionally existed based on clinicians' opinions and supported by anatomical, physiological, and biomechanical models that seemed credible given the evidence available at the time of their initial development. Nowadays, researchers in the discipline are highlighting their difficulties in supporting the explan...

Les facteurs psychosociaux jouent un rôle essentiel dans le pronostic et la prise en charge des patients présentant une lombalgie non-spécifique (LNS). Les données scientifiques indiquent que les croyances d'un individu concernant la douleur sont associées aux attitudes et aux croyances du clinicien consulté. Cette étude a exploré les attitudes, cr...

Les thérapies manuelles portent un grand intérêt clinique au tissu musculaire mais leurs effets sur celui-ci demeurent encore difficiles à évaluer. Parallèlement, le recueil de données objectives et reproductibles sur les effets de ces thérapies constitue un défi et une étape majeure pour leur intégration dans le parcours de soin du patient. Cette...

This text is a peak at the Osteopathic European Academic Network’s event in October this year. The first class of the Master’s degree programme in Osteopathy from the Metropolia University of Applied Sciences (Helsinki, Finland) was represented at OsEAN’s 8th “Open Forum for Osteopathic Education” conference

As many other biological disciplines, anatomy has a fundamental place in the osteopathic curriculum. One of the educational objectives is to propose a combined approach between the theory necessary to understand the anatomy of the human body and a practical and clinical application quasi simultaneously. Over the last ten years, the teaching of anat...

Simulation-based education is becoming an integral component in healthcare programs. It is defined as any educational activity implying simulation procedures to recreate clinical scenarios. Previous studies have shown that simulation can improve patient safety by enhancing healthcare providers' competencies. However, few studies have investigated s...

Background Practitioners’ fear-avoidance beliefs can influence positively or negatively therapeutic outcomes in their patients. This study reports pain knowledge and fear-avoidance beliefs of French osteopathy students and educators towards the management of chronic low back pain (cLBP). Methods An online cross-sectional survey was proposed to edu...

Dans le cadre de la réathlétisation comme dans la prévention des blessures chez les sportifs, il est important d'avoir des tests fiables. Le test d'inclinaison unilatérale du pelvis et sa version modifiée restent empiriques et en attente de validation (reproductibilité, validité, sensibilité, spécificité). Il permet de nous informer sur des facteur...

Bruxism is a common disorder often associated with other musculoskeletal disorders. Osteopaths offer functional assessments and management for a range of health-related disorders including bruxism and neck pain. New instruments and methodologies are now available to quantify ROM data in a clinical context. This study explores the value of using mot...

Les afférences cervicales et les capteurs proprioceptifs des muscles sous-occipitaux donnent au rachis cervical supérieur (RCS) un rôle déterminant dans l'équilibre postural. L'ostéopathie manquant d'objectivation, des études sur son évaluation sont nécessaires. ○ La technique occipito-atloïdienne (OA) est une technique musculaire visant un relâche...

Introduction This study explores the interest of using motion analysis to evaluate cervical and jaw ROM on students with or without bruxism when comparing Osteopathic manipulative treatment (OMT) to sham in school settings. Methods A feasibility study was run with 48 volunteer students from an osteopathic training institution. Random sequence for...

Chronic back pain has been identified as one of the leading causes of disability in worldwide analysis and has remained one of the two main contributing factors to the global causes of disability for more than two decades. Practitioners’ attitudes and beliefs can trigger whether positive (placebo) or negative (nocebo) therapeutic outcomes in their...

Bruxism is a common disorder often associated with other musculoskeletal disorders. 1,2 Bruxism is a common disorder often associated with other musculoskeletal disorders (i.e. neck pain, headache, tinnitus, temporomandibular pain etc.). Recent studies have highlighted interrelations between cervical spine and jaw musculoskeletal functions. Osteopa...

The aim of this study was to develop a new teaching modality combining both gamification and simulated learning environments (or a "gamulation") for teaching clinical reasoning in osteopathic healthcare.

How can we conciliate “open access” osteopathic care for patients and a cost-effective economic model for practitioners in a health economic perspective?

The implementation of a solidarity-based socio-economic model in a student-led osteopathy clinic

Bruxism is a common disorder often associated with other musculoskeletal disorders (i.e. neck pain, headache, tinnitus, temporomandibular pain etc.). Recent studies have highlighted interrelations between cervical spine and jaw musculoskeletal functions. Osteopaths offer functional assessments, diagnosis and management for a range of health-related...

Background This study aimed to measure the impact of different revision materials developed for osteopathy students, by studying their results, their perceptions and their behaviour when revising for exams. Methods A cohort of 68 s-year osteopathic students was allocated to three groups (pseudo-randomisation), each group being separately taught th...

We were delighted to read Esteves et al.’s editorial and the responses it has sparked regarding the evolution of osteopathy, osteopathic education and research development. Numerous differences exist in osteopathic practice and education all around the world partly due to differing legal recognition and professional statutes. The debate requires th...

Clinical training for the 3rd year students is distributed among lectures, tutorials and clinical observations representing 210 hours. In several health professions, simulation has been widely used as a pedagogical tool to teach clinical reasoning. However, osteopathic learning methods have undergone relatively minor changes during the past decade...

Le développement des collaborations entre cliniciens et biomécaniciens est un véritable enjeu médical et scientifique. Dans ce sens, en France, depuis l’article n° 2014/11, la biomécanique est entrée officiellement dans la formation des étudiants en ostéopathie comme une unité d’enseignement propre. Au-delà des connaissances fondamentales apportées...

Un lien fonctionnel est fréquemment rapporté par les ostéopathes entre le traitement ostéopathique de la mobilité des cervicales et du diaphragme mais sans évidences scientifiques actuelles. L’objectif a été d’évaluer l’impact du traitement ostéopathique des cervicales sur le diaphragme et l’impact du traitement ostéopathique du diaphragme sur les...

Le développement des collaborations entre cliniciens et biomécaniciens est un véritable enjeu médical et scientifique. Dans ce sens, depuis l'article n° 2014/11 paru au journal officiel le 15 décembre 2014, la biomécanique est entrée officiellement dans la formation des étudiants en Ostéopathie comme une unité d'enseignement propre (100 heures sur...

The contribution of new pedagogical tools, like video podcasting, has recently been considered as relevant support in clinical learning. In this way, analysis of filmed consultations can be a new approach to initiate clinical reasoning in addition to clinic observation hours. The aim of this preliminary study was to develop a methodology to analyse...

Un lien thérapeutique unissant les cervicales C3/C4/C5 et le diaphragme est fréquemment constaté en pratique et rapporté par de nombreux ostéopathes. Un lien anatomique existe bien : le nerf phrénique, référence anatomique entre ces structures. Cependant, il ne semble pas exister d’évidences scientifiques permettant d’affirmer que le traitement ost...

Les auteurs enseignent l’anatomie et la palpation depuis presque dix ans et ils ont sélectionné plus de 600 structures anatomiques pour optimiser l’approche diagnostique et thérapeutique. Chaque structure, classée par ordre alphabétique selon la nouvelle nomenclature, a fait l’objet dune traduction en ancienne nomenclature et en anglais puis dune a...