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I think it is by far the most comprehensive book about osteopathy that I have read. The book is superb. What an achievement by the 4 authors, such a high quality publication and a  book that the profession badly needs.’ Clive D. Lathey D.O MSc (Sports Medicine), The Putney Clinic of Physical Therapy

Far from being simply a sequence of techniques, as practised in many countries osteopathy is an independent primary health care system based on principles applied through a manual practice: a unique profession that takes care of the whole person through the application of five models (biomechanical, neurological, respiratory-circulatory, metabolic, and behavioral). These conceptual models of the relationship between structure and function allow osteopaths to evaluate treatment with the aim of promoting health rather than curing disease.

This book is intended as a manual for both students and osteopathic professionals interested in exploring the principles, objectives, origins and application of the five osteopathic models, from traditional concepts up to a modern vision, based on evidence and critical thinking. The selection criteria and rules for the application of each model, with their limitations and potential, are examined, to enable the reader to understand the rationale behind their use in a comprehensive, holistic and patient-centered practice.


Chapter 1 Osteopathy: a practice based on tradition, research, critical thinking and art

Chapter 2 Adaptive local response: somatic dysfunction

Chapter 3 General adaptation syndrome: biological fluids, involuntary rhythms and fascial compensation schemes


Chapter 4 The biomechanical model

Chapter 5 The neurological model

Chapter 6 The respiratory-circulatory model

Chapter 7 The metabolic-energetic model

Chapter 8 The behavioral-biopsychosocial model

Chapter 9 Selection and integration of models in osteopathic treatment and management

Additional information

Format Paperback, eBook
ISBN 978-1-909141-68-1
Edition no 1
Pages 492
Illustrations About 120 line drawings and photographs
Dimensions 246 x 189 mm
Status Published
Publication Date 5 July 2017

Author biography

Raymond J. Hruby, DO, MS FAAO (Dist), graduated from the College of Osteopathic Medicine and Surgery in Des Moines, Iowa, in 1973. After a variety of clinical and academic posts, in 1999 he became professor and chair of the Department of Osteopathic Manipulative Medicine at the Western University of Health Sciences College of Osteopathic Medicine in Pomona, California. He recently “retired” from this position, but continues his work at Western University as a consultant to the Department of NMM/OMM. In this capacity he is involved with teaching, research, curriculum analysis and development, and mentoring of new faculty and Predoctoral OMM Fellows. He is also involved with Western University’s Interprofessional Education program, and he lectures part-time in the Graduate School of Basic Medical Sciences, among others.

Paolo Tozzi, MSc Ost, DO, PT is Principal of the First Italian School of Veterinary Osteopathy, Vice-Principal of the Italian Association of Posturologists, former Treasurer of the Osteopathic European Academic Network (OsEAN), and former Vice-Principal of CROMON, the Centre for Holistic Research in Osteopathy and Natural Medicine, Rome. He lectures widely on osteopathy, biomechanics and manual therapy, and organized the first international congress on veterinary osteopathy (Rome 2012).

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