SIST EN 16686:2015

2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.Osteopatska zdravstvena oskrbaOsteopathische GesundheitsversorgungPrestations de soins d’ostéopathieOsteopathic healthcare provision11.020.10Zdravstvene storitve na splošnoHealth care services in generalICS:Ta slovenski standard je istoveten z:EN 16686:2015SIST EN 16686:2015en01-september-2015SIST EN 16686:2015SLOVENSKI
STANDARD
EUROPEAN STANDARD NORME EUROPÉENNE EUROPÄISCHE NORM
EN 16686
July 2015 ICS 11.020 English Version
Osteopathic healthcare provision
Prestations de soins d'ostéopathie
Osteopathische Gesundheitsversorgung This European Standard was approved by CEN on 30 April 2015.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the same status as the official versions.
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Osteopathic models . 19 A.1 General . 19 A.2 Biomechanical Model . 19 A.3 The respiratory/circulatory model . 19 A.4 The neurological model . 19 A.5 The biopsychosocial model. 20 A.6 The bioenergetic model . 20 Annex B (normative)
Ethics for osteopaths . 21 B.1 General . 21 B.2 Acting in the patient interest . 21 B.3 Working in partnership with the patient . 21 SIST EN 16686:2015

Types of techniques used in osteopathic treatment . 24 C.1 General . 24 C.2 Direct techniques . 24 C.3 Indirect techniques . 24 C.4 Balancing techniques . 24 C.5 Combined techniques . 24 C.6 Reflex-based techniques . 24 C.7 Fluid techniques . 24 Annex D (informative)
A-deviations . 25 Bibliography . 35
CPD means by which members of a profession maintain, improve and broaden their knowledge and skills relating to that profession 2.7 diagnosis the development by an osteopath of working hypotheses of dysfunction(s), and recognition of signs and symptoms of illness or disease using diagnostic processes of examination, assessment and evaluation Note 1 to entry: This definition is being used in this European Standard, whether or not the legislation of an individual state prevents such a term being used by an osteopath. 2.8 dysfunction area of the body with impeded biomechanical, neuroelectrical, vascular, biophysical, biochemical or cellular function which is causing a decrease in health 2.9 health state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity SIST EN 16686:2015

Education and Training 6.1 General An osteopath shall have reached a level of knowledge and skills through education and training that meets the following characteristics. 6.2 Forms and/or categories of education 6.2.1 General Regulating the practice of osteopathy and preventing practice by unqualified practitioners requires a proper system of training, examination and licensing. Benchmarks for training have to take into consideration the subsequent items: a) contents of the training; b) methods of the training; c) to whom the training is to be provided and by whom; d) the roles and responsibilities of the future practitioner; and e) the level of education required in order to participate in osteopathic training. There are two types of training depending on prior training and clinical experience of trainees: f) Type I training programmes are aimed at those with little or no prior healthcare training, but who have completed high school education or equivalent; and g) Type II training programmes are aimed at those with prior training as healthcare professionals. 6.2.2 Common features of both Type I and Type II programmes Osteopathic manual treatment is a distinctive component of osteopathy. It requires both cognitive and sensomotoric skills, and knowledge, and the development of these clinical and manual skills require time and practice. Osteopathic skills and physical examination training shall be delivered via direct contact. Other academic curricular content may be delivered in various training formats. SIST EN 16686:2015

Osteopathic models A.1 General In 2010 the WHO listed the five models set out below [1]. However, these models are not exhaustive and do not describe fully the different approaches used by osteopaths in the treatment of dysfunction. Five main models of structure-function relationships guide the osteopath's approach to diagnosis and treatment. These models are usually used in combination to provide a framework for interpreting the significance of dysfunction within the context of objective and subjective clinical information. The combination chosen is adapted to the patient’s diagnosis, co-morbidities, other therapeutic regimens and response to treatment. A.2 Biomechanical Model The biomechanical model views the body as an integration of somatic components that relate as a mechanism for posture and balance. Stresses or imbalances within this mechanism may affect dynamic function, increase energy expenditure, alter proprioception (one's sense of the relative position and movement of neighbouring parts of the body), change joint structure, impede neurovascular function and alter metabolism. This model applies therapeutic approaches, including osteopathic manipulative techniques, which allow for th
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