Critical factors in designing a multimodal treatment for functional somatic syndromes

a narrative review on application of body-oriented approaches and hypothesis on the role of hands-on intervention

Resumen

Existing framework about clinical reasoning concerning functional somatic syndromes were explored. Definitions found in literature about bodily distress syndromes are still lining up with a splitting view on how to classify and treat such presentations, failing to provide effective tools to patients and practicioners. «Clinical nomadism» is a widespread phenomenon that appears to bring multiple nocebic effects to patients and to weaken dyadic therapeutic relationship. Literature on how to manage functional somatic syndromes presented an affinity between clinical reasoning for complex presentations and clinical reasoning in osteopathy, through its principal tenets. This narrative review was performed through a comprehensive scoping method for sampling, including any type of study. Searching methodology was electronically based, delving into 5 databases and range of years selcted comprised studies between 1/01/2000 and 15/05/2021. Conceptual limitations were placed addressing studies that encompassed at least two larger topics. A multidisciplinary, holistic and experiential-based care may need to be adopted by clinicians treating complex syndromes such as functional somatic ones. Integrated models of mind-body medicine with hands-on approaches could be interesting fields to research in for designing appropriate and caring interventions for patients in need, bringing clinicians to take accountability for these complex presentations.