Priorities in updating training paradigms in orthopedic manual therapy: an international Delphi study

Orthopedic manual therapy (OMT) education demonstrates significant variability between philosophies and while literature has offered a more comprehensive understanding of the contextual, patient specific, and technique factors which interact to influence outcome, most OMT training paradigms continue to emphasize the mechanical basis for OMT application. The purpose of this study was to establish consensus on modifications & adaptions to training paradigms which need to occur within OMT education to align with current evidence. A 3-round Delphi survey instrument designed to identify foundational knowledge to include and omit from OMT education was completed by 28 educators working within high level manual therapy education programs internationally.骨科手法治疗（Orthopedic Manual Therapy，OMT）教育在不同理念流派间存在显著差异。尽管现有文献已对影响治疗结局的情境、患者特异性及技术交互因素形成了更为全面的认知，但绝大多数OMT培训范式仍着重强调手法应用的力学基础。本研究旨在就OMT教育中需作出的培训范式调整与适配达成共识，以契合当前的研究证据。本研究采用专为筛选OMT教育应纳入与剔除的核心知识而设计的三轮德尔菲（Delphi）调查工具，由全球范围内28名供职于高水平手法治疗教育项目的教育者完成调研。