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<strong>ESSOMM</strong><br />

European Scientific Society of Manual Medicine<br />

President: Dr. Ulrich Böhni, Schaffhausen (CH)<br />

The Treasurer:<br />

Dr. med.<br />

Hermann Locher<br />

Orthopedic Surgeon<br />

Lindauerstraße 16<br />

D-88069 Tettnang<br />

derlocher@gmx.de<br />

Dr. Bernard Maillet Fone. 00491712864359<br />

<strong>UEMS</strong> Secretary General<br />

Av. De la Couronne, 20 Kroonlaan<br />

B – 1050 BRUSSELS Tettnang, 03. 04. 2011<br />

Belgium<br />

Multidisciplinary joint committee (MJC) Manual Medicine in <strong>UEMS</strong><br />

Dear colleague Maillet,<br />

The reason for writing you this letter is as follows: the members of the European Scientific<br />

Society of Manual Medicine (<strong>ESSOMM</strong>) and other societies concerning Manual Medicine are<br />

convinced about the necessity of founding an MJC Manual Medicine in the <strong>UEMS</strong>.<br />

There are several facts why the setup of such a committee is required. During the last years<br />

has been a wide proliferation in the field of the National Associations of Manual Medicine,<br />

mainly in research and training. Additionally the number of self educated osteopaths und<br />

chiropractors throughout Europe increases. This development leads to a growing uncertainty<br />

for physicians, patients and health insurances.<br />

The scientific organisations of specialists and professional institutions are more and more<br />

confused about the definition and the exact outline of Manual Medicine. Consented<br />

guidelines set by a committee within the <strong>UEMS</strong> as an umbrella organisation could provide a<br />

common agreement, especially for the medical doctors.


By now the National Associations of Manual Medicine and other scientific organisations have<br />

not been able to work out a curriculum for instruction and schooling at universities to meet<br />

the Bologna criteria and be comparable in Europe. Therefore the <strong>ESSOMM</strong> was founded.<br />

We assume it to be better and essential to create a platform within the <strong>UEMS</strong> to establish the<br />

option for discussion and to conclude on the basis of generally accepted set standards.<br />

As there is a great demand for education standards it seems to be a good opportunity to<br />

come up with it right now. The internet offers the ideal platform for publishing and interacting.<br />

A first discussion level and the beginning of communicative exchange between the European<br />

societies was prepared by the Board of Physical Medicine and Rehabilitation.<br />

Working out an agreement among the Sections, Boards, Societies and further partners<br />

should be easier than trying to find an individual consent between small groups. A well<br />

equipped committee could start to work immediately. There are top-class scientifically<br />

orientated and experienced physicians to support the MJC and to provide them with advice.<br />

The standards set by the committee afford the possibility to build a common framework of<br />

international importance and to optimize the quality of our job.<br />

We would appreciate it if you would support us in the installation of the MJC. Be assured that<br />

we will design an open and sustainable structure which is indispensable for the progress of<br />

Manual Medicine - performed by well trained and skilled physicians. Manual Medicine and<br />

the functional way of thinking are exposed to immense changes and expansion. Hence a well<br />

based frame to be up to the mark and occurring challenges is necessary.<br />

As the speakers of the MJC we would suggest Dr. Hermann Locher from Tettnang, Germany<br />

who is one the founders of <strong>ESSOMM</strong>, and Prof. Dr. Ulrich Smolenski from Jena, who<br />

already concentrates for a long time on questions concerning Manual Medicine in <strong>UEMS</strong>.<br />

They would both equally share the responsabiltiy for this task.<br />

I would be pleased to hear about your opinion on this topic.<br />

Yours sincerely<br />

Firming for all the following colleagues


Dr. Ueli Böhni (CH) Priv. Doz. Dr. Johannes Buchmann (D) Dr. Hermann Locher (D)<br />

President <strong>ESSOMM</strong> Vice President <strong>ESSOMM</strong> Treasurer <strong>ESSOMM</strong><br />

Dr. Michaela Habring (A) Dr. Marcus Schilgen Münster (D) Dr. Günter Abt,(D)<br />

Coordinator <strong>ESSOMM</strong> Secretary <strong>ESSOMM</strong> Orthopedic Surgeon,<strong>UEMS</strong><br />

Attached you find a list of important references in this question (based on a literature search<br />

of the last fifteen years). Meanwhile, Manual Medicine is part of the National German<br />

Guideline for the management of chronic and acute low back pain as an evident and<br />

effective treatment.<br />

Adresses:<br />

DR. GUENTER ABT<br />

12247 BERLIN<br />

SEYDLITZSTR.5<br />

+49 30 76 9999<br />

Dr. Ulrich Böhni<br />

Praxiszentrum ZeniT<br />

Schwertstr. 9<br />

CH- 8200 Schaffhausen<br />

Tel: 0041- 52- 630 00 89<br />

Oehningerstr. 14<br />

CH- 8260 Stein am Rhein<br />

Tel: 0041- 52- 742 00 39<br />

Mobil: 0041- 79- 437 96 32<br />

ulrich@boehni.ch<br />

PD Dr. Johannes Buchmann<br />

Zentrum für Nervenheilkunde, Universität Rostock<br />

Gehlsheimer Strasse 20<br />

D- 18147 Rostock<br />

Tel: 0049- 381- 494 4610<br />

Fax: 0049- 381- 494 4612<br />

johannes.buchmann@med.uni-rostock.de<br />

j.buchmann@t-online.de


Dr. Hermann Locher<br />

Zentrum für Orthopädie und Unfallchirurgie<br />

Lindauer Straße 16/1<br />

D- 88069 Tettnang<br />

Tel: 0049- 7542- 93 39 0<br />

Fax: 0049- 7542- 93 39 20<br />

Mobil: 0049- 171- 337 338 5<br />

derlocher@gmx.de<br />

Prof. Dr. Markus Schilgen<br />

Leitender Arzt der Akademie für Manuelle Medizin an der Westfählischen<br />

Wilhelms- Universität<br />

Von- Esmarch- Str. 50<br />

D- 48149 Münster<br />

Tel: 0049- 251- 98 130 0<br />

Fax: 0049- 251- 98 130 39<br />

Mobil: 0049- 151- 229 584 34<br />

Markus.schilgen@Markus-Schilgen.de<br />

kontakt@manuellemedizin.de<br />

Dr. Michaela Habring<br />

Lauffnerwaldweg 1/5<br />

A- 4820 Bad Ischl<br />

Mobil: 0043- 676- 510 5310<br />

michaela.habring@gmx.at<br />

Prof. Dr. med. Ulrich Smolenski<br />

Universitätsklinikum Jena<br />

Institut für Physiotherapie<br />

Erlanger Allee 101<br />

07747 Jena<br />

Tel.: 03641-9 32 52 00<br />

Fax: 03641-9 32 52 02<br />

E-Mail: Ulrich.Smolenski@med.uni-jena.de


Literatur<br />

1. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al.Spine Society<br />

of Europe. European Guidelines for the management of chronic non-specific low back pain 2004.<br />

Europ Spine 2006;15(Supplement 2):S192–298<br />

2. Assendelft WJJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG. Spinal manipulative therapy for lowback<br />

pain. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD000447. Edited<br />

(no change to conclusions), published in Issue 4, 2008.<br />

3. Bischoff H.P., Moll H.: Kurzgefasstes Lehrbuch der Manuellen Medizin. 5. Auflage<br />

Chirodiagnostische und chirotherapeutische Technik. Spitta-Verlag Balingen 2007.<br />

4. Böhni U.W., Lauper M.: Handbuch Manuelle Medizin. Diagnostik und Therapie. Herausgeber:<br />

Schweizerische Ärztegesellschaft für Manuelle Medizin (SAMM) 2010.ISBN 978-3-033-02180-8, 1.<br />

Auflage.<br />

5. Bouwmeester PT, van Enst A, van Tulder M: Quality of Low Back Pain Guidelines Improved Spine,<br />

2009 ; 34:2562-7<br />

6. Brønfort G, Haas M, Evans R, Kawchuk G, Dagenais S. Evidence informed management of<br />

chronic low back pain with spinal manipulation and mobilization. Spine J 2008;Jan-Feb; 8: 213–25<br />

7. Chou, R, Huffman. LH. Nonpharmacologic therapies for acute and chronic low back pain: a review<br />

of the evidence for an American Pain Society/American College of Physicians clinical practice<br />

guideline. Ann Intern Med 2007;147:492–504<br />

8. Evans DW. Mechanisms and effects of spinal high-velocity, low amplitude thrust manipulation:<br />

previous theories. J Manipulative Physiol Ther 2002; 25:251–62.<br />

9. George S Z, Bishop M et al.: Immediate effects of spinal manipulation on thermal pain sensitivity:<br />

an experimental study. BMC Musculoskeletal disorders (2006), 7:68<br />

10. Hancock MJ, Maher CG, Latimer J, Herbert RD, McAuley JH. Independent evaluation of a clinical<br />

prediction rule for spinal manipulative therapy: a randomised controlled trial. Eur Spine J 2008;<br />

17:936-43.<br />

11. Heymann W Böhni U Locher H: Grundlagenforschung trifft Manualmedizin. Ergebnisse der<br />

Bodenseekonferenz deutschsprachiger Manualmediziner, Bad Horn Juli 2005, Man Med 2005;<br />

43:385-394<br />

12. Jones, L. H., (2005): Strain-Counterstrain. Urban & Fischer<br />

13. Khalsa PS, Eberhart A, Cotler A, Nahin R. The 2005 conference on the biology of manual<br />

therapies. J Manipulative Physiol Ther 2006; 29:341–6.<br />

14. Kursbuch Manuelle Medizin/Chirotherapie, (1994), Herausgeber: Bundesärztekammer, Köln<br />

15. Lederman, E. Die Praxis der manuellen Therapie. Physiologie, Neurologie und Psychologie.<br />

Elsevier, München 2007.<br />

16. Mense, S. Was ist das Besondere am Muskelschmerz? Schmerz 2003; 1:7459-464<br />

17. Muller R., Giles LG: Long term follow up of a randomised clinical trial, assessing the efficacy of<br />

medication, acupuncture and spinal manipulation for chronic mechanical spinal pain syndroms.<br />

Journal J.: Manipul und Physiol Therapy, 2005; 283-11<br />

18. Neumann HD. Manuelle Medizin. Springer, Heidelberg 2003<br />

19. Pickar JG. Neurophysiological effects of spinal manipulation. Spine J2002; 2:357–71<br />

20. Rubinstein SM, van Middelkoop M, Assendelft WJJ, de Boer M, van Tulder MW. Spinal<br />

manipulative therapy for chronic low-back pain (Protocol). Cochrane Database of Systematic<br />

Reviews 2009, Issue 4. Art. No.: CD008112.<br />

21. Santilli V, Beghi E, Finucci S. Chiropractic manipulation in the treatment of acute back pain and<br />

sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal<br />

manipulations. Spine J 2006; 6:131-7.<br />

22. Seffinger MA, Najm WI, Mishra SI, Adams A, Dickerson VM, Murphy LS, Reinsch S (2004)<br />

Reliability of spinal palpation for diagnosis of back and neck pain: a systematic review of the<br />

literature. Spine 2004; 29:E413-25.<br />

23. Triano JJ. Biomechanics of spinal manipulative therapy. Spine J 2001;1:121–30<br />

24. UK BEAM Trial Team. United Kingdom back pain exercise and manipulation (UK BEAM)<br />

randomised trial: effectiveness of physical treatments for back pain in primary care. BMJ 2004;<br />

3297479:1377.<br />

Walker BF, French SD, Grant W, Green S. Combined chiropractic interventions for low-back pain.<br />

Cochrane Database of Systematic Reviews 2010, Issue 4. Art. No.: CD00542<br />

derlocher@gmx.de

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