CSA Z16686:20

(EN 16686:2015, MOD)

National Standard of Canada

CSA Z16686:20

Osteopathic healthcare provision

(EN 16686:2015, MOD)

This national standard is based on EN 16686:2015 and parts of this standard are reproduced with the agreement of CEN, Rue de la Science 23 B–1040 Brussels, Belgium.

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  CSA Z16686:20

  September 2020

  
  

  Title: Osteopathic healthcare provision

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National Standard of Canada

CSA Z16686:20

Osteopathic healthcare provision

(EN 16686:2015, MOD)

Prepared by

European Committee for Standardization

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ICS 11.020

ISBN 978-1-4883-3166-4

© 2020 Canadian Standards Association

All rights reserved. No part of this publication may be reproduced in any form whatsoever without the prior permission of the publisher.

CSA Z16686:20 Osteopathic healthcare provision

CSA Z16686:20

Osteopathic healthcare provision

(EN 16686:2015, MOD)

CSA Preface

This is the first edition of CSA Z16686, Osteopathic healthcare provision, which is an adoption, with Canadian deviations, of the identically titled CEN (European Committee for Standardization) Standard EN 16686 (first edition, 2015-07).

For brevity, this Standard will be referred to as “CSA Z16686” throughout.

This Standard was reviewed for Canadian adoption by the CSA Technical Committee on Osteopathic Health Care Provision, under the jurisdiction of the CSA Strategic Steering Committee on Health and Well-being, and has been formally approved by the Technical Committee.

This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group.

© 2020 Canadian Standards Association

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September 2020 © 2020 Canadian Standards Association CSA/5

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.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and United Kingdom.

EUROPEAN COMMITTEE FOR STANDARDIZATION C OM I TÉ EUR OP ÉEN DE NOR M ALI S ATI ON EUR O P Ä IS C HES KOM I TE E F ÜR NOR M UNG

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© 2015 CEN All rights of exploitation in any form and by any means reserved worldwide for CEN national Members.

Ref. No. EN 16686:2015 E

CSA Z16686:20

EN 16686:2015 (E)

Contents Page

European foreword 4

Introduction 5

1. Scope 6

2. Terms and definitions 6

3. Description of Osteopathy 8

4. Clinical practice 9

   1. General 9

   2. Essential competencies for osteopathic practice 9

   3. Case History, examination and interpretation of the findings 10

   4. Osteopathic treatment 10

   5. The osteopathic profession 11

      1. General 11

      2. Continuing professional development 11

      3. Quality management 11

5. Ethics 12

6. Education and Training 12

   1. General 12

   2. Forms and/or categories of education 12

      1. General 12

      2. Common features of both Type I and Type II programmes 12

      3. Type I programmes 13

      4. Type II programmes 13

   3. Core competencies: the context of osteopathic education 14

   4. Osteopathic teaching, learning and assessment 15

      1. Teaching and learning 15

      2. Practical skills 15

      3. Clinical education 16

      4. Assessment 17

   5. General management requirements 18

Annex A (informative) Osteopathic models 19

1. General 19

2. Biomechanical Model 19

3. The respiratory/circulatory model 19

4. The neurological model 19

5. The biopsychosocial model 20

6. The bioenergetic model 20

Annex B (normative) Ethics for osteopaths 21

1. General 21

2. Acting in the patient interest 21

3. Working in partnership with the patient 21

   2 CSA Z16686:20

   EN 16686:2015 (E)

4. Maintaining public trust and confidence in the osteopathic profession 22

5. Maintaining, respecting and protecting patient information 22

6. Working in partnership with healthcare providers 23

Annex C (informative) Types of techniques used in osteopathic treatment 24

1. General 24

2. Direct techniques 24

3. Indirect techniques 24

4. Balancing techniques 24

5. Combined techniques 24

6. Reflex-based techniques 24

7. Fluid techniques 24

Annex D (informative) A-deviations 25

Bibliography 35

CSA Z16686:20 3

EN 16686:2015 (E)

European foreword

This document (EN 16686:2015) has been prepared by Technical Committee CEN/TC 414 “Project Committee - Services in osteopathy”, the secretariat of which is held by ASI.

This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by January 2016, and conflicting national standards shall be withdrawn at the latest by January 2016.

Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. CEN [and/or CENELEC] shall not be held responsible for identifying any or all such patent rights.

Attention is drawn to the fact that in certain countries specific national regulations apply and take precedence over this European Standard. Users of this European Standard are advised to inform themselves of the applicability or non-applicability for this European Standard by their national responsible authorities.

According to the CEN/CENELEC Internal Regulations, the national standards organisations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom.

4 CSA Z16686:20

EN 16686:2015 (E)

Introduction

Osteopathy is a primary contact and patient-centred healthcare discipline, that emphasizes the interrelationship of structure and function of the body, facilitates the body’s innate ability to heal itself, and supports a whole-person approach to all aspects of health and healthy development, principally by the practice of manual treatment.

Patients who choose osteopathic treatment have to be assured of the quality and the standard of care that they will receive.

This standard is concerned with the provision of osteopathic diagnosis, treatment and care. It aspires to set a standard that provides for high quality clinical practice, education, safety and ethics for the benefit of patients.

This European Standard does not supersede national legislation.

CSA Z16686:20 5

EN 16686:2015 (E)

1. Scope

   
   

   This European Standard specifies the requirements and recommendations regarding the healthcare provision, facilities and equipment, education, and ethical framework for the good practice of osteopathy.

   
   

2. Terms and definitions

For the purposes of this document, the following terms and definitions apply.

2.1

care

interventions that are designed to maintain and improve health

2.2

case history

detailed account of a patient’s health and disease status and other information provided by them

2.3

clinical record

document which relates to the case history, examination, assessment, evaluation, diagnosis, treatment or care provided to a patient, and any necessary administrative information

2.4

co-morbidities

concomitant but unrelated pathological or disease processes

2.5

consent

acceptance by a patient of a proposed course of action to be taken by an osteopath after having been informed of relevant factors relating to it

2.6

continuing professional development 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

6 CSA Z16686:20