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1 Article - Artikel!"#$%&'#'()$%)*"+,'(+-.'/#%)%&)012+-%)3)45#&$#&6)'/%)-+&789):4'2+1;%2)*.) -%2*%)2.2%9<= Patrick L.S. van Dun, MSc, DO 1 ; Constanze Wagner, MSc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a crise provient notamment du fait <"0$-2'.3:,&4$10($=410.,+($5(&456'&70($P89Q$(0$1,(3+.&0$M$60,+0$10$.0--0$10($=410.,+($.5+: ($PR8Q?$!.&"0--0=0+&$'"#$A&'&()*+,(@$-'$<"0(35+$(0$65(0$10$(':5,/$(2,-$0(&$0+.5/0$"3-0$10$=',+&0+,/$-'$1,(3+.35+$0+&/0$ -0($14+5=,+'35+($R8$0&$89@$='-;/4$-0$F',&$<"0$-0($5(&456'&70($(0$(5,0+&$C'D"($1"/'+&$10($14.0++,0($65"/$ 5C&0+,/$-0$1/5,&$10$&/':',--0/$.5==0$=410.,+($5(&456'&70($0&$<"20+$/4("-&'&$,-($(5,0+&$/0.5++"($1'+($-0($ST$ États 19,20,23,26,36?$8J($-0$146'/&@$-'$6/5F0((,5+$125(&456'&70$(20(&$,+&0+(4=0+&$6/45.."640$10$(5+$,10+3&4?$A+$/',(5+$ 10($.7'+;0=0+&($1'+($-'$(5.,4&4@$10$(0($+5/=0($0&$10$(0($:'-0"/(@$-25(&456'&7,0$'$4;'-0=0+&$1U$.5+3+"0--0=0+&$ (2'1'6&0/$65"/$.5+(0/:0/$(0($.7'+.0($125C&0+,/$-'$/0.5++',(('+.0$V$'"&/0=0+&$1,&@$(5+$,10+3&4? 20 L ostéopathie a /4"((,$M$("/:,:/0$N"(<"2M$6/4(0+&@$.'/$0--0$'$&5"N5"/($4&4$.5+(.,0+&0$10$-20+:,/5++0=0+&$1'+($-0<"0-$0--0$4:5-"',&$0&$ qu elle a pu constamment s adapter aux nouvelles exigences sociales. 20 $B0($'1'6&'35+($5+&$+5&'==0+&$.5+.0/+4$ le champ d exercice de l ostéopathie (!"#$%&#'&$()*"%Q@$5W$6'/$0#0=6-0$-'$X=410.,+0$F'=,-,'-0Y$6-"($/0(&/0,+&0$ '$/0=6-'.4$-'$X=410.,+0$;4+4/'-0Y$0&$5W$12'"&/0($(64.,'-,&4($5+&$:"$-0$N5"/? 3 $O0($+5=C/0"(0($1,(."((,5+($("/$-0($.'/'.&4/,(3<"0($1,(3+.3:0($P5!+%#$)+,-"&.-!*/"*0%/%!!&%+1#2&#!+%#$)+,-"&2/-32%/%!!Q$ ZZ@Z[@\]@^])_\ et les points de :"0$.7'+;0'+&($("/$-0($.'/'.&4/,(3<"0($,10+3&',/0($6'/3."-,J/0($10$-25(&456'&7,0$5+&$&4=5,;+4$10$-'$+4.0((,&4$ 12"+0$6/,(0$10$.5+(.,0+.0$F'.0$'"#$'"&/0($6/5F0((,5+(?$K-$+2'$.060+1'+&$6'($6"$L&/0$4:,&4$<"0$.0D0$.'6'.,&4 1`/4(,10+&$10$-'$B5==,((,5+$F5/$9(&056'&7,.$a0(0'/.7@$`/'.3.0$'+1$`/5=535+$'(C-$PB9a``$'(C-Q@$.5--'C5/'&0"/$(.,0+3H<"0$M$ -2*+,:0/(,&4$O,C/0$b/"#0--0($P*ObQ@$c'."-&4$d.,0+.0($10$-'$R5&/,.,&4$V$(0/:,.0$129(&456'&7,0? 13

2 12'1'6&'35+$+0$=J+0$M$"+$14:0-5660=0+&$10$-25(&456'&7,0$1'+($-0$(0+($10$-'$=410.,+0$.5+: $ (#(+,#.#4&5%.-"-/%Q?$K-$0+$/4("-&0$-'$./,(0$12,10+3&4$:4."0$'.&"0--0=0+&$'"#$%&'&()*+,(? O0($1,(."((,5+($("/$-0($.'/'.&4/,(3<"0($<",$F5/=0+&$-2,10+3&4$0&$-0($.'/'.&4/,(3<"0($1,(3+.3:0($+4.0((',/0($10$ -25(&456'&7,0$5+&$4;'-0=0+&$-,0"$0+$A"/560? _\)_f $9+$60"&$("665(0/$<"0$C0'".5"6$.5+g5,:0+&$-25(&456'&7,0$.5==0$ "+0$6/5F0((,5+$, '+&0$1'+($-0($(5,+($10$('+&4$=',($-'$6/5F0((,5+$125(&456'&70$/0.5++"0$5h.,0--0=0+&$0&$ -27>65&7J(0$<"2"+0$./,(0$12,10+3&4$(2'++5+.0$'"((,$0+$A"/560? _^ O0$C"&$10$.0&$'/3.-0$0(&$10$15++0/$"+0$,=';0$10$P-'$./,(0$10Q$-2,10+3&4$10$-25(&456'&7,0$0+$A"/560$'"$=5>0+$12"+0$ 'H+$10$/0-0:0/$-0($14H($10$-'$6/5F0((,5+? Le développement historique de l ostéopathie en Europe et aux États Unis i"(<"2m$6/4(0+&@$,-$+2>$'$0"$124&"10$(5.,5-5;,<"0$10$-27,(&5,/0$10$-25(&456'&7,0$0+$a"/560$<"0$65"/$-'$j/'+10) Bretagne -25(&456'&7,0$0+$j/'+10)b/0&';+0$(20(&$6-"($14: $0+$(",:'+&$-0($6/,+.,60($10$d3--$<"0$.0$+0$F"&$-0$.'($'"#$ %&'&()*+,(@$5W$0--0$(0$/'66/5.70$10$6-"($0+$6-"($10$-'$=410.,+0$.5+: ? _[ $l4'+=5,+(@$5+$60"&$4&'c-,/$ C0'".5"6$12'"&/0($6'/'--J-0($0+&/0$-2A"/560$0&$-0($A&'&()*+,(?!"#$%&'()*(#+,#-."/'()*(#0.,)(#%&1-(2()3"4+)#)"4+)"-(#5#-"#6%"12()3"4+)#0(#-.+'3&+$"378(!"#$%&'&()*+,(@$-2!=0/,.'+$9(&056'&7,.$!((5.,'35+$P!9!Q$F"&@$1J($-0$14C"&@$-'$(0"-0$5/;'+,('35+$/06/4(0+&'+&$ -4;'-0=0+&$-'$6/5F0((,5+$125(&456'&70?$8"/'+&$-0($14.0++,0($<",$(",:,/0+&@$-'$/4;-0=0+&'35+$0&$-'$/0.5++',(('+.0$ 10$-25(&456'&7,0$'=4/,.',+0$F"/0+&$14&0/=,+40($0+$;/'+10$6'/30$6'/$-'$=410.,+0$.5+: @$-2!9!$ n étant représentée que dans quelques États. 3 $8'+($-0($'"&/0($A&'&(@$-0($.5==,((,5+($4&',0+&$15=,+40($6'/$-0($ 6'/3('+($10$-'$=410.,+0$.5+: ? _] $O'$-,.0+.0$=41,.'-0$F"&$"+$10($6/,+.,6'"#$=5>0+($65"/$-'$=410.,+0$.5+: $10$.5+&/I-0/$-'$.5+."//0+.0$10($5(&456'&70(@$10($.7,/56/'.&0"/($0&$10($'"&/0($6/5F0((,5++0-($10$ la santé. _k B5+&/',/0=0+&$M$-25(&456'&7,0$'=4/,.',+0@$<",$'"$=5=0+&$10$('$./4'35+$+24&',&$6'($0+.5/0$.5+F/5+&40$M$"+$ ='/.74$.5+&/I-4$6'/$-'$=410.,+0$.5+: @$-0$='/.74$=41,.'-$0+$j/'+10)b/0&';+0@$'"$=5=0+&$10$ -2,+&/51".35+$10$-25(&456'&7,0@$4&',&$0+3J/0=0+&$.5+&/I-4$6'/$-'$=410.,+0$.5+: $? _\ C était aussi -'/;0=0+&$-0$.'($1'+($-0($'"&/0($6'>($0"/5640+(? m5"&0f5,(@$0+$j/'+10)b/0&';+0@$,-$+2>$'$0"$1"/'+&$10($14.0++,0(@$<"0$60"$5"$6'($10$-,=,&'35+$12'..j($m$-'$ profession avant la Loi de 1993 (6!+%#$)+,!&7"+Q?$O0($6/5C-J=0($<"25+&$'-5/($1U$'E/5+&0/$-0($5(&456'&70($ F"/0+&@$12"+0$6'/&@$10$(':5,/$.5==0+&$F',/0$F'.0$M$-'$.5+."//0+.0$10($'"&/0($6/5F0((,5+($='+"0--0($0&@$12'"&/0$ 6'/&@$.5==0+&$;4/0/$-0"/$/46"&'35+$10$6/5F0((,5+$='/;,+'-0? _[ $*+$/0;,(&/0$:5-5+&',/0$+0$F5"/+,&$6'($-'$(5-"35+$ (5"7',&40$M$.0$6/5C-J=0?$B0-'$5..'(,5++'$6-"&I&$10($1,:,(,5+($.70n$-0($5(&456'&70($C/,&'++,<"0($0&$.5+1",&$M$-0"/$ F/';=0+&'35+$0+$10$+5=C/0"(0($'((5.,'35+($0&$/0;,(&/0($6/5F0((,5++0-(@$.0$0+$F5+.35+$10$-0"/($4&'C-,((0=0+&($ 120+(0,;+0=0+&$/0(60.3F($0&$(5"($-2,+o"0+.0$12'"&/0($=410.,+0(?$O0($6-"($;/'+10($F/'.35+($4&',0+&$.0--0($10($ X8)9&#!+%#$)+,!Y$P5(&456'&70($('+($F5/='35+$=41,.'-0$6/4'-'C-0Q@$-0($5%.-")8&#!+%#$)+,!1#!+%#$)+,-"&$,9!-"-)/!& P=410.,+($.5+: ($(64.,'-,(4($0+&6!+%#$)+,-"&:)/-$28)*0%&;(%)+5%/+&<6:;=Q$0&$-0($/)+2(#$)+,-"& #!+%#$)+,!&P+'&"/56'&70($<",$(0$(5+&$/'D'.74($'"#$5(&456'&70(Q?$B0($10/+,0/($5+&$,+&/51",&$10($&0.7+,<"0($.7,/56/'3<"0($0+$5(&456'&7,0$0&$(0$(5+&$1,E4/0+.,4($0+$./4'+&$-0"/$6/56/0$/0;,(&/0$0&$"+$3&/0$("66-4=0+&',/0$ Pl8Q$? _[ O'$65((,C,-,&4$12"+0$/0.5++',(('+.0$10$-'$6/5F0((,5+$125(&456'&70$(2'../"&$0+H+$-5/(<"0$6-"(,0"/($'((5.,'35+($ 6/5F0((, ($F"(,5++J/0+&$0&$<"0$-0$>%/%()8&?#2/"-8&)/.&@%A-!+%(&#'&6!+%#$)+,!$0+$4=0/;0'?$A--0$10:,+&$/4'-,&4$ en

3 -25(&456'&7,0$P+5&'==0+&$0+$(0$6/5H-'+&$6/5F0((, =0+&$0+$F5+.35+$10$-'$6/5F0((,5+$6/4.410==0+&$ 0#0/.40Q$(0$&/'1",&$6'/$"+$;/'+1$+5=C/0$12'((5.,'35+($0&$10$/0;,(&/0($6/5F0((,5++0-($1,E4/0+&(? _^ C est 6'/3."-,J/0=0+&$-0$.'($0+$c/'+.0@$5W$"+0$1,(3+.35+$0(&$F',&0$0+&/0$ZZ$(5/&0($125(&456'&70(? 50 b0'".5"6$10$.0($'((5.,'35+($6/5f0((, ($0&$10$.0($/0;,(&/0($5+&$4&4$./44($("/$-0$ &$0"/5640+$("/$ -0($C'(0($12,+(3&"&($6/,:4($120+(0,;+0=0+&$5(&456'&7,<"0@$<",$:5"-',0+&$5E/,/$M$-0"/($1,6-I=4(@$,+(6,/4($6'/$ -2'"&5/4;"-'35+@$"+$0+.'1/0=0+&$6/5F0((,5++0-?$O0($.5+o,&($12,+&4/L&($0&$-'$.5+."//0+.0$0+&/0$.0($5/;'+,('35+($ +0$(5+&$+"--0=0+&$6/56,.0($M$-'$F5/="-'35+$125CN0.3F($.-',/($5"$10$-2,10+3&4$10$-'$6/5F0((,5+? 51 Cela provoqua 0+$6'/30$"+$='+<"0$12,+&4/L&$65"/$-'$/4;"-'/,('35+$10$-'$6/5F0((,5+$125(&456'&70$6'/$:5,0$;5":0/+0=0+&'-0$0&$ entrava le chemin de la reconnaissance de l ostéopathie. 52 $K.,$0&$-M$0+$A"/560@$5+$:5,&$'-5/($10($'((5.,'35+($0&$10($ /0;,(&/0($6/5F0((,5++0-($&0+&0/$"+$/'66/5.70=0+&$0&$60"$M$60"$.5+:0+,/$12"+$'..5/1$10$.5564/'35+@$=',($.0-'$'$ /'/0=0+&$.5+1",&$M$6-"($10$(4/,0"#$0&$M$-2,+&4;/'35+$10$-0"/($(&/".&"/0($0&$10$-0"/($5CN0.3F(? _^ 9,('4+)'#',%#-(#*7"2$#0.(:(%*8*(#(3#',%#-"#;%"8(#28''8+)#+'3&+$"378<,( B5==0$14./,&$6/4.410==0+&@$-0$6/5C-J=0$10$-2,10+3&4$5(&456'&7,<"0$'"#$%&'&()*+,($'$6/,+.,6'-0=0+&$ ("/;,$10($'..5/1($.5+.-"($':0.$-'$=410.,+0$.5+: ?$A+$j/'+10)b/0&';+0@$,-$:,0+&$6-"&I&$1"$=4-'+;0$ 10$-25(&456'&7,0$':0.$12'"&/0($=410.,+0($0&$p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et les +%/&B/A%(&#!+%#$)+,!$'"#$A&'&()*+,(? 3 *+0$0+<"L&0@$=0+40$'"6/J($10($5(&456'&70($C/,&'++,<"0(@$=5+&/0$<"0$(0"-0=0+&$_kq$120+&/0)0"#$6/'3<"0+&$ X6"/0=0+&Y$-25(&456'&7,0$0&$<"0$SZq$"3-,(0+&$'"((,$12'"&/0($=4&7510($10$&/',&0=0+&($P\fq$-2'."6"+.&"/0@$\\q$ &/5&74/'6,0@$Zkq$-'$&74/'6,0$+"&/, $0&$]q$-275=456'&7,0Q$ S_?$*+0$'"&/0$4&"10@$M$;4+4/'-,('35+$-,=,&40@$ /0.0+(0$-0($=410.,+0($0&$p$5"$-0($&74/'6,0($("66-4=0+&',/0($"3-,(40($6'/$-0($5(&456'&70($0+$!"&/,.70$PRmB@$ r,+4(,&74/'6,0@$'."6"+.&"/0@$&74/'6,0$+0"/'-0@$0&.?q? $m'+&$'"#$%&'&()*+,($<"20+$j/'+10)b/0&';+0@$-0($5(&456'&70($5+&$6'/f5,($1u$(0$c'd/0$.5+&/0$-2,=';0$12"+0$ 6/'3<"0$(0$.5+.0+&/'+&$"+,<"0=0+&$("/$-0($&/5"C-0($="(."-5)(<"0-0s<"0(@$.0$<",$F',(',&$<"2,-($+24&',0+&$6'($ connus comme médecins généralistes (A%/%()8&$()"**#/%(Q$':0.$&5"&$-0"/$.7'=6$120#0/.,.0?\f@$_[$O25(&456'&7,0$ '=4/,.',+0$(20(&$6-"($14&'.740$10$.0D0$,=';0$/41".&/,.0$<"0$-25(&456'&7,0$C/,&'++,<"0@$.'/$0--0$'$6-"($4:5-"4$:0/($ -'$=410.,+0$.5+: $0&$'@$0+$5"&/0@$4;'-0=0+&$14:0-5664$10($H-,J/0($10$=430/$1'+($-0$15=',+0$=41,.'-? Selon Fossum -0$15=',+0$10$-25(&456'&7,0$4&',&p0(&$-,=,&4$'"#$(>=6&I=0(p='-'1,0($1"$(>(&J=0$="(."-5)(<"0-0s<"0?$ B0D0$(&/'&4;,0$'@$0+&/0$'"&/0(@$4&4$'156&40$6'/$-0$>%/%()8&6!+%#$)+,-"&?#2/"-8&.5==0$=5&0"/$65"/$-0$6/5N0&$ de loi (6!+%#$)+,!&C-88Q?$A+$b0-;,<"0@$.0D0$(&/'&4;,0$'$'"((,$.-',/0=0+&$4&4$,=65(40$'"#$5(&456'&70($6'/$-0($,+&0/-5."&0"/($10$-'$=410.,+0$.5+: $M$-'$&'C-0$10$+4;5.,'35+$10$-'$B7'=C/0$129(&456'&7,0$65"/$-'$ reconnaissance de la profession d ostéopathe. b,0+$<"0$-'$='n5/,&4$10($6'30+&($.5+("-&0+&$0+$;4+4/'-$"+$5(&456'&70$65"/$10($&/5"c-0($="(."-5)(<"0-0s<"0(@$ 6/,+.,6'-0=0+&$65"/$10($6/5C-J=0($'"$+,:0'"$10$-'$ $:0/&4C/'-0$PfSqQ 0"#$.5==0$10$:/',($;4+4/'-,(&0($P&/"0$;0+0/'-,(&Q$10$(5,+($10$6/0=,J/0$-,;+0? 52,58,59 O0($4&'C-,((0=0+&($10$F5/='35+$0&$-0($5(&456'&70($(5"30++0+&$<"0$-'$6/5F0((,5+$60"&$6/4&0+1/0$M$C,0+$6-"($ <"2"+,<"0=0+&$-0$(>(&J=0$="(."-5)(<"0-0s<"0@$'"&/0=0+&$1,&@$6'/,4&'-?$d0-5+$0"#@$10"#$6,-,0/($10$-25(&456'&7,0$ (5+&$5"C-,4($t$-0$:,(.4/'-$0&$-0$./u+,0+?$b,0+$<"0$-'$.-'((,H.'35+$10$-25(&456'&7,0$0+$X6'/,4&'-Y@$X:,(.4/'-Y$0&$ X./u+,0+Y$(5,&$6"/0=0+&$1,1'.3<"0@$0--0$'$F',&$1"$.70=,+$'"$.5"/($10($10/+,J/0($'++40($0&$0--0$+5"($'$'D/,C"4$M$ &5/&$"+0$.'/'.&4/,(3<"0$14&0/=,+'+&0$10$-2,10+3&4$10$-25(&456'&7,0?$v,(&5/,<"0=0+&@$.0D0$1,:,(,5+$+2'66'/30+&$ 6'($'"#$6/,+.,60($F5+1'=0+&'"#$10$-25(&456'&7,0@$C,0+$'"$.5+&/',/0@$"+0$&0--0$.-'((,H.'35+$60"&$1,h.,-0=0+&$L&/0$.5+(,14/40$.5==0$75-,(3<"0?$K-$+2>$'$15+.$6'($10$F5+10=0+&$7,(&5/,<"0$0&$p$5"$(.,0+3H<"0$65"/$N"(3H0/$.0D0$.5+(&/".35+$10$15=',+0(?$

4 '$',+(,$'.<",(?$80($.7'+;0=0+&($10$-2,=';0$10$-'$6/5F0((,5+$',+(,$<"24:0+&"0--0=0+&$1"$(&'&"&$(5.,'-$<",$>$0(&$ -2'(60.&$4.5+5=,<"0$N5"0$"+$/I-0$,=65/&'+&$1'+($-0$.75,#$6/5F0((,5++0-? _^ A&$<"'+1$5+$-,&$<"0$-0$.5+(0,-$(.,0+3H<"0$10$-'$C2/.%!D(E+%F)55%( allemande 61 $P<"25+$65"//',&$<"'-,H0/$129/1/0$ 10($=410.,+($0+$!--0=';+0Q$"3-,(0$-0($6,-,0/($6/4.,&4($1'+($"+$'/3.-0$0+$\TTk$65"/$14=5+&0/$-0($6,-,0/($:,(.4/'-$ 51, 61 de la :)/2%88%&:%.-E-/$-0($6,-,0/($X:,(.J/0(Y$0&$X./u+0Y$.5+(,14/4($'"6'/':'+&$.5==0$X+5+$(.,0+3H<"0(Y? L enseignement en ostéopathie!:'+&$-'$/4;-0=0+&'35+$6'/$-2a&'&$10$-25(&456'&7,0$'"#$%&'&()*+,(@$5+$>$/0&/5":',&$10($(,=,-,&"10($':0.$-27,(&5,/0$10$ -25(&456'&7,0$C/,&'++,<"0@$<"25+$/0&/5":0$0+.5/0$'"((,$'.&"0--0=0+&$1'+($12'"&/0($6'>($0"/5640+(? x"'+1$,-$+20#,(&',&$6'($0+.5/0$10$/4;-0=0+&'35+$5h.,0--0$10$-20+(0,;+0=0+&$5(&456'&7,<"0@$-'$<"'-,&4$10($ 1,E4/0+&0($F5/='35+($:'/,',&$4+5/=4=0+&?$B0($4&'C-,((0=0+&($10$F5/='35+$6/,:4($4&',0+&$H+'+.4($6'/$-0($1/5,&($ 12,+(./,635+$0&$-'$.5+."//0+.0$4&',&$(5":0+&$/"10?$B0D0$1460+1'+.0$H+'+.,J/0$-0($0=6L.7',&$10$H#0/$0+$=L=0$ &0=6($10($./,&J/0($12'1=,((,5+$0&$10$<"'-,&4$("h('==0+&$4-0:4(@$.0$<",$'$=0+4$M$-'$6/5-,F4/'35+$P52!,(##5-/A& G2!-/%!!Q$10($F5/='35+(?$B0D0$4:5-"35+$'$F/0,+4$-'$/0.5++',(('+.0$10$-'$6/5F0((,5+?$B0$+20(&$<"20+$ZkTk$<"0$ -0$/'665/&$c-0#+0/$'"#$A&'&()*+,($(2'D0-'$M$15++0/$"+$+,:0'"$=,+,='-$0&$"+,F5/=0$'"#$4.5-0($10$=410.,+0$.5+: $0&$5(&456'&7,<"0@$10$(5/&0$<"2"+$.0/&',+$+5=C/0$124&'C-,((0=0+&($10$F5/='35+$1"/0+&$F0/=0/$ 3, 26 leurs portes car ils ne pouvaient pas répondre aux nouvelles exigences plus élevées. A+$A"/560@$,-$+20#,(&0$M$.0$N5"/$'"."+$/'665/&$10$.0D0$'=6-0"/$0&$(0($.5+(4<"0+.0(?$O0$HI6&C%/",5)(F!&'#(& ;()-/-/A&-/&6!+%#$)+,9 59 $P9RdQ$+20(&$<"2"+0$1,/0.3:0@$0&$-25+$(0$10='+10$(,$-0($6/565(,35+($<",$>$(5+&$ ($ (5+&$("h('+&0($65"/$F5/=0/$M$"+0$6/5F0((,5+$10$(5,+($10$('+&4$10$6/0=,J/0$-,;+0? `/,+.,6'-0=0+&$0+$A"/560@$5+$.5+(&'&0$"+$14:0-5660=0+&$0# $124&'C-,((0=0+&($10$F5/='35+?$`'/$/'665/&$ '"#$\k$4&'c-,((0=0+&($10$f5/='35+$1,e4/0+&($p^]$,+(3&"&($1'+($\[$%&'&(q$<"0$-25+$&/5":0$'"#$%&'&()*+,($pyyy? ''.5=?5/;Q@$,-$>$'$'.&"0--0=0+&$]_$4&'C-,((0=0+&($10$F5/='35+$0+$!--0=';+0$Pyyy?5(&05r5=6'((?10Q$0&$]_$0+$ c/'+.0@$65"/$-'<"0--0$5+$60"&$'h/=0/$<"0$(0"-0=0+&$0+:,/5+$zs$10($4&'c-,((0=0+&($(5+&$0+$=0("/0$10$f5/=0/$ 10($X5(&456'&70($<"'-,H4(Y? 62 z"$-0$;/'+1$+5=c/0$124&'c-,((0=0+&($10$f5/='35+@$5+$(0$10='+10$(2,-$-0"/$0(&$65((,c-0$10$/0./"&0/$("h('==0+&$ 10$60/(5++0-$<"'-,H4$0&$(,$,-($5+&$10($.7'+.0($10$65":5,/$=0D/0$0+$6-'.0$"+$6'/&0+'/,'&$':0.$"+0$"+,:0/(,&4?$*+0$.5--'C5/'35+$':0.@$:5,/0$"+0$,+&4;/'35+$1'+($"+0$"+,:0/(,&4$0(&$"+0$4&'60$0(( $1'+($-'$6/5F0((,5++'-,('35+$ de l ostéopathie. 63 $8'+($-0($6'>($0"/5640+($<",$5+&$10$+5=C/0"#$4&'C-,((0=0+&($10$F5/='35+$P10($5/;'+,('35+($ ('+($C"&$-"./'3F$0+$;4+4/'-Q$0&$5W$-20+(0,;+0=0+&$0+$5(&456'&7,0$+20(&$6'($/0.5++"$6'/$-24&'&@$,-$>$'$"+0$F5/&0$ 6/5C'C,-,&4$65"/$<"0$C0'".5"6$120+&/0$0"#$+0$/4(,(&0+&$6'($M$"+$.5+&/I-0$10$<"'-,&4? _^@f_@fs *+$'"&/0$6/5C-J=0$-,4$'"$;/'+1$+5=C/0$124&'C-,((0=0+&($120+(0,;+0=0+&$0(&$-0$;/'+1$+5=C/0$10$1,6-I=4($<",$ sortent chaque année, et en conséquence, le danger de saturer le marché des ostéopathes. Cela implique donc 10($.5+(4<"0+.0($(5.,5)4.5+5=,<"0(?$`5"/$-'$c/'+.0$(0"-0@$5+$0(3=0$-0$+5=C/0$10$1,6-I=4($0+$5(&456'&7,0$0(&$ 6/J($10$^TTT f_ $6'/$'+$0&$5+$.5+(&'&0$<"0$-0$+5=C/0$=5>0+$10$.5+("-&'35+($0+$(,#$'+($P\TT\$M$\TT[Q$'$1,=,+"4$ 10$_Tq$0&$<"0$-'$='/;0$10$C4+4H.0($12"+$.'C,+0&$5(&456'&7,<"0$1,=,+"0$10$]Sq$-'$6/0=,J/0$'++40?$B0-'$(,;+,H0$ <"0$^Tq$10($5(&456'&70($+5":0--0=0+&$1,6-I=4($0+$c/'+.0$14.-'/0+&$<"0@$.,+<$'+($'6/J($-0"/$4&"10(@$,-($+0$(5+&$ &5"N5"/($6'($H+'+.,J/0=0+&$, '+&(? 66 Il s agit d un développement inquiétant qu il ne faudrait pas sous 0(3=0/$1'+($12'"&/0($6'>($15+&$-27,(&5,/0$10$-25(&456'&7,0$0(&$C,0+$6-"($N0"+0?$K-$F'"1/',&$'"((,$'+'->(0/$-2,=6'.&$ <"0$65"//',&$':5,/$"+0$("/('&"/'35+$0+$5(&456'&70($0+$.5=C,+',(5+$':0.$"+$F',C-0$+,:0'"$10$F5/='35+$("/$-0($ +5/=0($0&$-0($:'-0"/($10$-'$6/5F0((,5+$0&$15+.$10$(5+$,10+3&4? 16

5 comme ostéopathe. 68 ('$60/.0635+$60/( $<"0$10$('$60/.0635+$10$-20#&4/,0"/?$O2'C(0+.0$10$/0.5++',(('+.0$-4;'-0$10$-25(&456'&7,0$ 0+$&'+&$<"0$6/5F0((,5+$, '+&0$65"//',&$.5+&/,C"0/$M$/41",/0$-25(&456'&7,0$M$-'$(,=6-0$0#4."35+$10$ X&0.7+,<"0($5(&456'&7,<"0(Y$1'+($-0$.'1/0$12"+$&/',&0=0+&$10$r,+4(,&74/'6,0$5"$12"+$&/',&0=0+&$=41,.'-$.5+: ? L impression que l ostéopathie donne au monde extérieur n est donc pas celle d une profession.5=="+0$m$&5"($-0($5(&456'&70(@$c,0+$'"$.5+&/',/0@$0--0$./40$',+(,$"+0$f/';=0+&'35+$10($1,e4/0+&0($6/5f0((,5+($ <",$5+&$/0.5"/($M$10($&0.7+,<"0($5(&456'&7,<"0(@$.0$<",$M$(5+$&5"/$,+o"0+.0$-'$10(./,635+$10$-25(&456'&7,0? _^@ST!,+(,@$0+$A"/560@$5+$F',&$"+0$1,(3+.35+$0+&/0$"+$5(&456'&70$0&$"+$=410.,+)5(&456'&70$P5"$10:/',&)5+$1,/0$"+$ 5(&456'&70)=410.,+${Q?$K-($+0$(5+&$6'($'"&5/,(4($-4;'-0=0+&$M$0E0.&"0/$-0($=L=0($'.&0(?$9+$:5,&$15+.$("/;,/$"+$.7'=6$120#0/.,.0$1,E4/0+&$65"/$-25(&456'&70$0&$65"/$-0$=410.,+)5(&456'&70$P:5,/$yyy?0/56?5/;Q?$l5"($-2':5+($ 14NM$= $6-"($7'"&@$,-$0#,(&0$0+$c/'+.0$ZZ$(5/&0($1,E4/0+&0($125(&456'&70(? O'$<"'-,&4$10$-20+(0,;+0=0+&$0"/5640+$0+$5(&456'&7,0$0&$10$-0"/$.0/3H.'&$.5":/0+&$"+$-'/;0$(60.&/0$t$.0-'$:'$ 10$F5/='35+($('+($1,6-I=0$/0.5++"$M$10($F5/='35+($='(&0/$'6/J($='(&0/$P='(&0/$.5=6-4=0+&',/0Q$5h.,0--0($ 0&$/0.5++"0($6'/$-2A&'&? _^$*+0$(4/,0$10$y00r)0+1($10$F5/='35+$(5"($-'$F5/=0$=51"-0($12'..5=6';+0=0+&$ 6/5F0((,5++0-$(2'E/5+&0+&$15+.$M$"+$1,6-I=0$"+,:0/(,&',/0$10$f$'+($P^fT$ABmdQ@$0+$.5--'C5/'35+$':0.$"+0$c'."-&4$ de Médecine avec un stage clinique dans un hôpital universitaire. v,(&5/,<"0=0+&@$-20+(0,;+0=0+&$0+$5(&456'&7,0$'"#$%&'&()*+,($0&$0+$j/'+10)b/0&';+0$'$n5"4$"+$/i-0$.-4$1'+($ -'$6-"6'/&$10($'(60.&($1"$14:0-5660=0+&$10$-'$6/5F0((,5+$125(&456'&70$0&$10$(5+$,10+3&4?$O0($=L=0($0//0"/($ (&/'&4;,<"0($<"0$+5"($.5++',((5+($M$&/':0/($-27,(&5,/0$10$-25(&456'&7,0$'=4/,.',+0$0&$C/,&'++,<"0$(0/5+&$.5==,(0($ ("/$-0$ &$0"/5640+?$m5"($.0($F'.&0"/($(5+&$/0(65+('C-0($10$-'$./,(0$12,10+3&4$10$-25(&456'&7,0$0+$A"/560@$.0$ <",$0(&$(5"&0+"$6'/$.0/&',+($'"&0"/($106",($14NM$6-"(,0"/($'++40(? _\@_^@_S@fk)]Z Conclusion O2,10+3&4$0(&$"+$4&'&$12"+,&4@$10$.574/0+.0$0&$10$.5+3+",&4@$<",$(5"()&0+1$-2'"&5+5=,0$10$60+(40$0&$12' , ',+(,$<"0$-'$H#'35+$10$-,=,&0($0&$-'$.5+(&/".35+$10$.5+&/'1,.35+(? 73 $`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rexeler 65((,C-0$10$141",/0$-2"+,.,&4$10$-2,10+3&4?$O'$<"0(35+$10$-2"+,.,&4$60"&$L&/0$65(40$(2,-$(2';,&$12"+0$.5=6'/',(5+$M$ -2'"&/0@$M$.5+1,35+$15+.$<"0$-25+$',&$"+0$,10+3&4@$"+0$X.5++',(('+.0Y$10$(5,)=L=0?$B0-'$+0$F',&$'"."+$(0+($10$ s interroger sur ce qui fait que l ostéopathie est unique, il faut plutôt se demander ce qui fait que l ostéopathie est :/',=0+&$10$-25(&456'&7,0?$O'$<"0(35+$Xx"20(&).0$<"0$-25(&456'&7,0Y$+20(&$6'($+5+$6-"(@$(0-5+$ 5//Z^@$-'$C5++0$ <"0(35+$M$65(0/@$.0$(0/',&$6-"&I&$t$XH,)+&.#&9#2&$(#$#!%&+,)+&-+&G%"#5%&)/.&+,)+&-+&.#JY$Px"0$6/565(0n):5"($ <"20--0$10:,0++0$0&$<"20--0$F'((0${Q? `5"/$'//,:0/$M$"+$14:0-5660=0+&$(5-,10$10$-2,10+3&4$6/56/0$10$-25(&456'&7,0$<",$6",((0$0+$=L=0$&0=6($ L&/0$M$-'$C'(0$10$('$/0.5++',(('+.0$6'/$-0$;5":0/+0=0+&@$+5"($10:5+($':'+&$&5"&$/0.70/.70/$-0($:'-0"/($ professionnelles communes ($(#'%!!-#/)8&0)82%!Q$? _f@]s $A--0($(5+&$,+1,(60+('C-0($65"/$-0$14:0-5660=0+&$12"+0$,10+3&4$6/5F0((, $0&$65"/$65":5,/$4-'C5/0/$-0$F"&"/$6/5H-$10$-'$6/5F0((,5+? _^$B0D0$14&0/=,+'35+$10$:'-0"/($.5=="+0($(0/'$0+(",&0$4;'-0=0+&$+4.0((',/0$65"/$6'/:0+,/$M$"+$6/5H-$6/5F0((,5++0-$0"/5640+$"+,F5/=0?$!$6'/3/$ 12"+0$14H+,35+$1"$.7'=6$5(&456'&7,<"0$C'(40$("/$.0$6/5H-$6/5F0((,5++0-@$5+$65"//'$'-5/($14H+,/$10($5CN0.3F($ clairs pour l enseignement ostéopathique. K-$>$'$"+0$'"&/0$/',(5+$,=65/&'+&0$65"/$6'/:0+,/$M$"+0$1,(."((,5+$.5=="+0$("/$-0($:'-0"/($6/5F0((, ($0&$10$ -0($=0D/0$0+$6/'3<"0?$m5"&0$.5=="+'"&4$0(&$&I&$5"$&'/1$.5+F/5+&40$'"$.5+o,&$F5+1'=0+&'-$0+&/0$-'$&/'1,35+$ 17

6 P}$:,0,--0($:'-0"/($.5+&/,C"'+&$M$F5/;0/$-2,10+3&4p-'$6/5F0((,5+Q$0&$-2,++5:'35+$P}$+5":0--0$F5/='35+$12,10+3&4$ (5.,4&4$0&$10($(>(&J=0($<",$>$(5+&$-,4($(5+&$-0($4-4=0+&($=5&0"/($10$-'$/45/,0+&'35+$10$-'$6/5F0((,5+? qui reprend le concept de H%!%/&2/.&>%!+)8+$12"+0$~":/0$10$v'+($ 7+? 70 Il est certain que le concept de +20(&$N'=',($0&$+"--0$6'/&$,10+3<"0?$`5"/&'+&$(,="-&'+4=0+&$+5"($+0$10:5+($6'($60/1/0$10$:"0$<"0$(0$.'.70$ 0E0.3:0=0+&$"+0$X.5+(&'+&0Y$6'/=,$&5"($.0($.5"/'+&($0&$.5+&/0).5"/'+&($7,(&5/,<"0($<",$.7'+;0+&$'"$.5"/($1"$ *+0$.5+(&'+&0$M$-'<"0--0$+5"($10:5+($5E/,/$&5"&0$+5&/0$'D0+35+ X;0(&'-&Y? 10:'+&$-0($>0"#$0&$<",$(24-J:0$1'+($-0($7'"&0($(67J/0($67,-5(567,<"0($=',($-25(&456'&7,0$/40--0$'"$=,-,0"$1"$ =5+10$0&$10$-27,(&5,/0$10$-'$=410.,+0$0&$10$-'$('+&4$6"C-,<"0?$K-$+20#,(&0$+"--0$6'/&$"+0$0((0+.0$10$-25(&456'&7,0$ dissociées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v'C,.7&(y'-1 Tel.: $ 6?:'+1"+.5/66?5/; 789"06)$04 Z?$!--0+$mw?$ 9(&056'&7,.$67>(,.,'+2$10H+0($5"/$,10+3&>?$i!9!$Zkk^ $k^$pkqt$[[_ \?$ B'=0/5+$R?$!$.5=6'/,(5+$5F$5(&056'&7,.$7,(&5/>@$01".'35+$'+1$6/'.3.0$,+$!"(&/'-,'$'+1$&70$*+,&01$d&'&0($5F$!=0/,.'?$!"(&/'-'(,'+$9(&056'&7,.$R01,.,+0$a0:,0y$Zkk[ $\PZQt$fVZ\ ^?$ j0:,&n$l?$m70$8?9?(t$9(&056'&7,.$r01,.,+0$,+$!=0/,.'@$\tt_@$\+1$01,35+?$m70$i57+($v56r,+($*+,:0/(,&>$`/0((@$ b'-3=5/0$ƒ$o

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