Osteopatia O Fisioterapia -

Physiotherapy has robust evidence for exercise therapy in low back pain, osteoarthritis, and post-operative rehabilitation (e.g., Cochrane reviews). Manual therapy in physiotherapy is supported but often shown to be superior to no treatment only when combined with exercise. Physiotherapy has largely embraced evidence-based practice (EBP), with systematic reviews and clinical guidelines driving care.

Physiotherapy relies heavily on active patient participation (exercise, home programs), whereas osteopathy is traditionally more passive clinician-driven (manipulation, release), though modern osteopaths increasingly incorporate exercise. osteopatia o fisioterapia

| Domain | Osteopathy | Physiotherapy | | :--- | :--- | :--- | | | Myofascial release, strain-counterstrain, lymphatic pump techniques. | Massage, myofascial release, trigger point therapy. | | Joint Manipulation | High-velocity low-amplitude (HVLA) thrusts; muscle energy techniques (MET). | HVLA thrusts (in some jurisdictions/advanced training); joint mobilizations (Maitland, Mulligan). | | Visceral/Neural | Visceral manipulation (liver, kidney); cranial osteopathy (controversial); neural tension release. | Neural mobilization (neurodynamic testing/treatment); limited visceral work. | | Exercise | Often less structured; functional integration exercises. | Core of treatment: therapeutic exercise, motor control, strengthening, balance, graded exposure. | | Electrotherapy | Rarely used. | Ultrasound, TENS, laser, shockwave (though declining in some evidence bases). | | Education | General lifestyle and ergonomic advice. | Extensive patient education on pain neuroscience, activity pacing, and self-management. | Physiotherapy has robust evidence for exercise therapy in