Manual therapies - Massage and Osteopathy

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qual therapies - Massage and Osteopar, a +++ Note: you are responsible for slide material including the notes under slides 5, 14, 15, and 16 

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Recognized forms of Manual Therapies * Osteopathy * Cranial Osteopathy * Therapeutic Touch ¢ Alexander Technique * Chinese Qigong ¢ [ Physical Therapy & more with acupuncture ] Chiropractic Massage therapy Trager Feldenkrais method Reiki Rolfing 

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Massage therapy forms ¢ Swedish; deep tissue; sports; neuromuscular; acupressure; shiatsu (Japanese form of acupressure); manual lymph drainage; cranio-sacral * Also a Zero-balancing massage form re structural body balancing with external “unseen” energy 

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Massage therapy (MT) evidence * Felix re infants & premature infants treated with MT gain more weight, less time in hospital - same with MT and cocaine exposed babies * Some studies support adult decreased depression measures with MT * Endorphin production inducement with massage esp successful with fibromyalgia patients ¢ Lymph drainage MT found important to reduce lymphedema post radical mastectomy * Lots of studies re changes with MT on physiological measures like HR, BP and skin temp 

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From: The Cochrane Database of Systematic Reviews 2006 Issue 1 * “Aromatherapy and massage for symptom relief in patients with cancer” by Fellowes & others - 1322 studies [ most common study re massage ~ anxiety ], only 8 met RCT criteria - results inconclusive * Re LBP: One of the oldest forms of health care now has Cochrane evidence of benefit. In the newly updated Cochrane review of massage for low back pain, there is now some evidence to show overall benefit ... * New, “high quality trials” show that massage gives some relief from back pain that has continued for many weeks or months - and the benefit may continue at least a year after the course of massage is over [ meta analysis by Furlan, Massage for low-back pain, 2006, main confirmation], esp when massage is combined with education and stretching 

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MT - harm ? ¢ Contraindicated for advanced heart diseases, embolism, kidney failure, some cancers (damages fragile tissue from chemo) * Also, caution during pregnancy, osteoporosis, diabetes ¢ Logic of not doing local areas for eczema, arthritis 

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Massage Therapy * Use of essential oils in massage is called aromatherapy - rose, sandalwood, aloe vera et Article “Shiatsu, Swedish Muscle Massage, and Trigger Point Suppression in Spinal Pain Syndrome” from Journal of Pain Management posted under Module V as “massage therapy research article” * Also, Text chapter 11 covers a range of body-centered therapies - yoga, meditation, tai chi, Qigong, Feldenkrais, and massage - all very briefly 

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و ۲ کات تما Webdom of Bodymind Healthwor! With useful info for comporste and individual consumers, jal hub “Made by MT professionals with love and concern far fellow "Aout ‏دنه تفا له و‎ al werk fuse. ese (blew to ste whats on ew sponse? mind Tan elie Bao comtis you shoots ITH CON 5 2 "Te conan doves ess obvi pec Toslane ‏هه ره ماه فد جک هام‎ [Big] Table of Contents First off; Our Chuesthoak, Can ye talk? ‘Youbet ‘Wine, Spring. Sumer or Fal Mo tater uber you ate, never rind ‘whl ines, we can each bac ght ace! Sign, tell ue [bey] who you are, ‏ع عاد هيع ادوس اس اس ای‎ curmownaercfesional ‏لل‎ ‎8 93 ۶ 57 ‏ات‎ 

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0,0 O @ Ramee ers 3 oe ternative — Manval Healing Hands on techniques. Learn about ahernative medical techniques, such as Chinese Qigong, Cranial Osteopathy, Massage Therapy, Reild, ‘Therapeutic Tanch - and more Foldeakrais Meihod Ss tm inprve ost nwa tat Seer apersente become mere Dele ‏ييه‎ W's seid change ‘hing 010 sa ‘arson Cranial Osteopathy ‘Agente sre af Oxkie nding dha bei hon » ‏مه سس‎ called ‏الل‎ ‏هی وس و‎ ale, Chiropractic ‘Chirp ‏مسا‎ Cele "Conse brain” arn ‘eet Cheep ea ‘ght le esearch ‏سم‎ Rolfing beng ough ep ‘aniline aban te ‏مج و‎ ono ton 89 

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| ‎Courges Clinic‏ تایآ اس و [۳ heath carp workshops and ‎cue‏ و ‎ ‎ZAI Therapies are growed na eanng and safe enuronment ‎ ‎ ‎ ‎1 ‏ات‎ pet ‎ete ter on oe Tee Pe a aces ane Stine ‏و‎ ees ate ew caus: Elis ore 1 aed ‏وعم‎ a 1: ‏مس‎ ‏اد سا‎ ‏ها ی دم سس ۹ ‏: اس ‎en‏ 1 ‎Holneneunetes tntenductoey‏ ,| یس , ‎Seminars‏ ] باس ‎oe oe‏ و وس کر ‎a a‏ و ‎ ‎ 

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(7 2 © قال - 3 ‎2١1‏ © مسيق سدم © 8 ها و -سق ‎fax‏ مه ‎at‏ 0 ‎Eats & 7] Ovum 7 2 Paste. 6‏ 2 ۰ 5۳ - هار 2 سم ری سس اس و و و و من ا ‎Googles‏ ? Canadian College of Hone Osteopathy The College Program Faculty Toronto ~ Halifx ~ Vancouver Costing ‘Education Symposia ‎of Canin (AIOCS,‏ مومت او دا متا اه اوه مر ‎Coleg of Orepaty (COO) as pronde gh qty‏ مس هس مهم ‎To Apply‏ ‎cbzntioa qed seats ws ih eel Tranal Oveopaly‏ د ‎Uterine gues efiheColages fone, sce Dn DO, te acest CCO Research reece a we-taded wade dwabvnnndnal spay hgh sal cls is, ‏د‎ fers ‏سسا ساس‎ ‎‘Tee Canadian College af Osteopathy hae bl leading-edge program on he foundation preted by its paret school, te Cellege of Osteopathic Shes (le Colize dTrodes Ostéopatieue) of Montreal, rablshed in 1981. The comensanes of tae foundation ae ‎ ‎ ‎ ‎ 

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3 main principles of * osteopathy : ° 1. Structure and function are interdependent ~ structure can have significant impact on bodily function ¢ 2. “The rule of the artery is supreme” ¢ 3. The unity of the human being 

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DO’s and MD’s ۰ DOs and MDs are both fully licensed physicians who are authorized to prescribe medication and perform surgery. While attending their own medical schools, DOs are responsible for the same academic discipline as their MD colleagues and receive an additional 300 to 500 hours in the study of the body's musculoskeletal system. Physicians who wish to pursue the field of Cranial Osteopathy must train an additional five years in practice to be certified in this area of expertise. 

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How does Osteo Work * The Osteopath's job is to "set" the body up to heal itself. To restore this normal function, the Osteopath gently applies a precise amount of force to promote movement of the bodily fluids, eliminate dysfunction in the motion of the tissues, and release compressed bones and joints In addition, the areas being treated require proper positioning to assist the body's ability to regain normal tissue function - called Osteopathic Manual Medicine (OMM) * note techniques posted under this slide on web site [strain-counterstrain, thrust etc] 

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Evidence & Research re Efficacay of Osteopathy Clincal studies showing dramatic lowering of BP in hypertensive patients Numerous studies comparing chiro, allopathic and osteo treatments for acute LBP; genera endorsement for osteo Ev for cold virus relief with cranial osteopathy manipul (sinus drainage?) Good ev re relief of hyperactivity, low back pain ( latter now endorsed by health agencies in US ) Only meta analysis (2005) found was re low amplitude, high velocity spinal treatment for relief of dysmenorrhoea symptoms - no better than sham 

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نا عض 0 Om O HES ‏سدم‎ Hee OBS ‏ان © 6 انا - قا‎ | arlcnetcrt ea ue? ‏مار‎ ۰ ۳ ۰ 2 0 Oem - ۳ ‏سوق تج مس عه 9( ممع م و یووم‎ 5 0 NOTICE: OSTMED® contains selected journal and book citations from the 1800s through 2003, Unfortunately, since financial support ceased January 31, 2004, citations are no longer being added to the database. Search the OSTMED® Database No Login or Password Required is designed to be used with Internet Explorer 8.5 or higher. و OSTMED® will NOT work with Netscape 6.x or below. Beta-estina is currentlv belna done with Netscape 7.x. 

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ساسا یسیع 2 7( 3 © لا سسو ستر 6۵ ۵ ها 0۵ -سق ۳ ‏مار‎ ۰ ۹۳ ۰2 ess Jas P| Dry ssn - ‏رسک‎ - Google ‏تاه تست‎ = |G Dictate |G ‏ةله‎ Welcome to Chiropractic & Osteqpathy REGISTER NOW "prea Fhe ‘chronic cetoqmahy the cial journal ofthe Chopra ® ‏تاتريش اه مغانت تاذ سفنت‎ ‏که‎ | (GUCAl, ands a contnuaton of the tile stil nvcaracti 8 ostenrathy preveusly pubished by Coca, Caaf eevaring tne soct af pubistion for ene Arsetwa yeare, enabling Chspracte 8 Osteen ‏0د ها ا‎ without charge to tho authors during this be, htcracte 8 Osteopathy is ready to eosive manustibts on all aspadts cf evidence-based information | | ‏للق‎ ‏عا ادن | .وا موم مرو‎ circa relovant to chropractrs, astoopaths and rolated health care professional, ‏سس‎ ‏ا 8 و مد‎ مسق ‎oe‏ 0 Trunk and hip muscle recruitment patterns during the prone leg ‏مسسون‎ ‎extension following a lateral ankle sprain: A prospective case study — | ‏م سس‎ pre and post injury 2 ‎February 2006)‏ 27( 14:4 2006 وی 6 بو ‎ ‎ ‎ ‎* cui aude tothe [stately Provision! 20°] Susur a | bets [acre sae ‎1 ‎۹ ‎ ‏لصيس هس ‎ ‎ ‎ ‎ ‎ ‎ 

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osteopathic, VAOA net 

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۱6 ۵ ۵ ممه ها فك -] ‎O,‏ 517 70 American Academy of Osteopathy” ime ae 28° اس مساب۵ | 2 ل .ا ‎Gistiedad Fk ~‏ و - سیون 2 9 | 117 li UserName: 9 0 ‎a each atest nd‏ سیب ‎ ‎Te Eat en Fonts ‎6۵*۰ © HAS ‎dies hep wateleenaby rl a ‎pews ‎ ‎ ‎Gal ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‏| مس یت ‎Fao |‏ ‎lee‏ — هید ‎ ‎ ‎ ‎00 ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ 

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Osteopatuic HEALTH & W ELLNESS | ‘stanpathy, Craniosacral Therapy, and Manipuliaive Therapp Education Mission Statement Pennsylv ‘The mission of the Osteopathic Health & Wellness Institute is to provide the highest quality ‘education and treatment utilizing osteopathic principles and practice while promoting a forum for the continued advancement of osteopathic thought. ‘This mission is accomplished by providing education and treatment in our facilities in Clifton Heights, Pennsylvania, and through our Intemational Diplomate Prosram in Osteopathy held in Tamikon, Canada and Tong Kong, People's Republic of China, OTST also teadves and promotes osteopathy in osteopathic and allopathic schools throughout the United States and abroad. ‘Among the many manipulative therapy courses taught by OHWI are: + Craniosacral Manipulative Therapy + Visceral Manipulative Therapy + Myofascial Release + Lymphatte Activation + Mnscle Energy + Counterstrain In addition to the courses mentioned, OHWI sponsors internships offering students from around the world one-on-one, lrands-on osteopathic training in a clinical setting. We also ‏مهو‎ tnt manne allowing healarn nratitianars an anlihtaned aul wnt ‘Explore OWI by clicking onthe Tinks below, 55 

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AE 7 a O AG Pw xen @ BS a LAs ‎[i hati bo! 286 «‏ ~ ‎Desig «‏ « سای - مق 21 8 2[ ] ها ]۸ ۰ ۶ - مه مس جک موق ان - عنسة 6 - عت جا پستچ 6 8 - مس 6 3 51 ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎0 vm) (em) (em) © ‎‘THE INTERUATIONAL ACADEMY OF OSTEOPATHY ‎ ‎ ‎ ‎ 

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Your comments ? 

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Next Day * Dr Robert Taylor, Osteopath * Read chapter 8, 166-176 

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9 cake ~ 2 تا اس ماع 

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Midterm Exam You can take up the exam, check # of correct Q’s etc with Tom 10:30-1:00 today & next Thursday ONLY (his regular office hours) room 210 this building Bring your back page Information re the “ALL” answers accepted; and re the 7 questions on back page of course outline correlating with 41 of the 50 exam questions Questions for review after each week for this part of the course 

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Chiropractic Career Night * Tuesday March 14t * Social Sciences Building 3014 

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Robert Taylor Osteopaths tend to focus on the ‏اناعم‎ musculoskeletal system 7 

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HISTORY OF OSTEOPATHY ¢ Dr Andrew Taylor Still founder of osteopathy 1874 

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History of Osteopathy ¢ Dr. Andrew Taylor Still an American physician is credited as the founder of Osteopathy ۰ ۲۱۵ developed the methods and applications of osteopathy in 1874 and founded the first osteopathy school on Kirksville USA. 

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“,,.to be an Osteopath you must study and know the exact construction of the human body, the exact location of every bone, nerve, fiber, muscle, and organ, the origin, the course and flow of all the fluids of the body, the relation of each to the other, and the function each is to perform in perpetuating life and health. In addition you must have the skill and ability to enable you to detect the exact location of every obstruction to the regular movements of this grand machinery of life.” A.T. Still, 1901. 

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Dr William Garner Sutherland 1873-1954 

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Dr William Garner Sutherland * Pupil of Dr. Andrew Taylor at Kirksville has been credited as the founder of cranial osteopathy. 

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Dr Philippe Druelle 

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Traditional Osteopathy, as presented by the Canadian College of Osteopathy, is defined as: “A natural medicine which aims to restore function in the body by treating the causes of pain and imbalance. To achieve this goal the Osteopath relies on the quality and finesse of his/her palpation and works with the position, mobility and quality of the tissues.” Philippe Druelle, DO 

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Founder of First school in Montreal * College D” Etudes Osteopathiques de Montreal 1981 * College of osteopathy Toronto 1992 * Colleges have currently opened in Halifax, Vancouver, Winnipeg ¢ England, France, Belgium, Russia, Germany, Italy , Switzerland. 

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Pre-Requisites In order to enrol directly in the Traditional Osteopathy program, the applicant must meet three criteria. 1a) Hold a university degree in the Human Sciences, Health Sciences or an equivalent health science OR 1b) Hold a degree in Medicine, Nursing, Dentistry, Naturopathy, Physiotherapy, Occupational Therapy, thletic Therapy, or hiropractic. AND 2) Be a member in good standing and hold an up-to-date licence, registration or certificate in a medical or manual therapy based practice. AND 3) Have a strong vocation to treat people. Those applicants lacking a university degree in the Health or related Sciences are eli le to enrol in the pre-admissions program. All admissions are subject to review by the Admissions Committee. The immediate enrolment and successful completion of the pre-admissions program ensures that the applicant may begin the Traditional Osteopathy program in the same year as those who have all the pre-requisites. 

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Thomas Schooley and Anne Wales 

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The Regulation of Osteopathy in OntarioThe regulation of Osteopathy in the province of Ontario is complicated by several factors. This complication is due to the recognition of the title Osteopathic Physician, by The College of Physicians and Surgeons f Ontario . Osteopathic Physicians are those individuals who have trained in the United States and who hold a medical degree from a college approved by the American Osteopathic Association. In addition to being licensed physicians, they also have osteopathic manual training. In Canada the Canadian College of Osteopathy provides an education in Traditional Osteopathic Manual Practice. Although, The College of Physicians and Surgeons of Ontario recognizes Osteopathic Physicians, the manual practice of Osteopathy is not regulated in Ontario . Fortunately there is an organization - the Ontario Association of Osteopaths (OAO) - that was founded in 1999, by the students and graduates of the CCO. The OAO is actively working on a submission to the Ontario government to have manual Osteopathy become regulated in Ontario . 

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What is Osteopathy? * Osteopathy is a natural medicine that views the individual as a whole unit * Osteopaths assess and treat movement restrictions in your body * Osteopaths focus on the cause of the pain and dysfunction rather than concentrating only on the symptoms 

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What is osteopathic palpation? * It is a well defined sense of touch that allows the practitioner to feel restrictions within the body ¢ It is a hands on approach used to identify structural changes and rhythms of the body * It is a gentle contact with powerful results ¢ It is a skill that takes many years to develop * It sets the osteopathic approach apart from other forms of manual therapy 

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Who can benefit from Osteopathy? Newborns , infants and toddlers Adolescents Athletes Pregnant women Accident victims Adults Seniors Individuals with physical and mental challenges Terminal illness patients 

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What are the benefits of Osteopathic treatment? * Removes the underlying cause of the pain. Osteopaths are taught to think global not local. * Relieves chronic pain * Helps women adapt to hormonal changes of their pregnancy * Reduces scars and adhesions * Treats accidents and sports injuries * Encourages the body to heal itself 

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Treatment techniques * Gentle osteo-articular corrections * Visceral mobilization * Cranial osteopathy * Myofascial tension * Muscle energy * Strain counter strain ¢ Endocranial 

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Children Infections Childhod asthma Postural and mobility abnomalities Severe physical and developmental problems * Childhood migraine ۰ Ear problems ¢ Respiratory and breathing problems 

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Sports ¢ Running, track and field * Contact sports, rugby hockey and soccer * Wrestling, judo karate Injuries such as; joint problems, recurring muscular pain, strains and muscular pulls Chronic injuries, shin splints, plantar fascitiis, tibia posterior tendonitis and Achilles tendonitis. 

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Pregnancy and new borns 

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Birthing process 

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Complications at birth jestive problems; sleeplessness; crying/upset/whinging babies; learning difficulties; ersisten' ughs and colds; glue ear; eer ity:etc. lore Reasons... Chronic Middle Ear Infectic-~ Headaches Distortion of the baby's skull Learning Disabiliti Sensory Integration Proble Trauma ( Breastfeeding Difficulties Autism Developmental Delays Chronic Pain Difficult Mobi ADD/ADHD Cerebral Palsy Genetic Disorders Neurological Conditions 

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Osteopathy problems دوع اممان ‎pesprater‏ ‏۳ 2 

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Left Parietal Pleura Mandible \calene Muscle Suspensory Ligament Posterior pericardia ing ppt garments, Plural Apex osto-pleuro- vertebral igament ‘Superior and infor antonor Pencardil suppor igaments 

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Pubovesical Ligament Pelvic Organ Support Ligaments (From Above) of ligaments to the pelvic bones and sacrum, Asymmetrical tensions int ligaments wil produce pelvic and s ns © 2004 Jeffrey Burch. All rights reserved. Used with permission from Jett For more information on his work, visit www .jeffrevburch.com/ 

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Cranial dura sacrum * * Migraine Headaches * Chro Neck and Back Pain * Motor-Coordination Impairments * Colic * Autism * Central Nervous System Disorders * Orthopedic Problems * Traumatic Brain and Spinal Cord Injurie * Scoli * Infantile Disorders | * Learning Disabilities * Chronic Fatigue * Emotional Difficulties * Stress and Tension-Related Problems * Fibromyalgia and other Connective-Tis * Temporomandibular Joint Syndrome (T * Neurovascular or Immune Disorders * Post-Traumatic Stress Disorder * Post-Surgical Dysfunction 

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* http:// www.osteopathiecollege.com