Institutional Research

The Research Department has continued to promote and organise research into manual therapy, including osteopathy, publishing research results in academic journals and making these insights more widely available.


The CUTIES trial is a collaboration with the National Council for Osteopathic Research and University College of Osteopathy and follows on from previous research conducted at the ESO.

The aim of this study is to estimate the effectiveness and cost of osteopathic manual therapy in addition to best usual care and advice on crying time in healthy infants who are unduly distressed, unsettled and crying excessively.

We are currently recruiting osteopaths that treat children; If you have 12 months or equivalent post graduate clinical experience and see the equivalent of 1 infant per week then you may be eligible to come on board as a practitioner.

Please contact Professor Dawn Carnes to register interest:

This is a collaboration with the University of Kent exploring the effects of exercise on Parkinson’s Disease. This research aims to study the progression of biomarker levels, physical function, cognition, Quality of Life (QoL) and mood in order to compare their rate of change over time and between people with Parkinson’s Disease, undertaking regular organised exercise, and healthy older adults.

For further details, or indication of participation, please contact: Anna Ferrusola-Pastrana, Email:

The ESO has created and trialled an online version of the mini-CEX, with this study aiming to explore the examiner and student satisfaction in comparison to a paper-based version. This is an area requiring further investigation as the mini-CEX has not currently improved clinical observations. One of the main issues with the tool is the inconvenience of it being paper-based which potentially acts as a barrier to deployment. It is not currently understood if an online version of the instrument would provide greater satisfaction in terms of use and outcome. This study is currently being prepared for publication following an extensive data gathering period.

The aim of this research was to assess the acceptability of using a mobile folding screen for blinding parents of infant study participants in clinical trials of osteopathic interventions. The preliminary data of this acceptability study will inform future randomised controlled trials with infant participants where parental blinding is required. All infants were treated behind a mobile folding screen, so that parents were not aware of group allocation. After a ‘treatment’ period of 20 min, the screen was removed, and parents were asked to fill in an acceptability and blinding success questionnaire. Results from this study are currently being prepared for publication.


The link to the Study registration on Clinical can be found here:

This literature review will explore the nature, quality and usage of sham controls in manual therapy trials. The rationale for commencing on this project was our increasing expertise resulting from the clinical study on excessively crying babies. We have realised that the literature has not much to offer in terms of suitable sham controls in manual therapy clinical trials. We decided to systematically search the literature for trials that use sham controls and extract the properties of these sham controls for publication, and hence, for further use in all clinical trials aiming to use such controls.

This study is carried out in collaboration with the Osteopathie-Schule Deutschland GmbH, with the ESO-RD being the project lead.

The link to the review registration can be found here: