Osteopathic Techniques vs. Other Approaches: A Comparison

In the vast landscape of healthcare, a multitude of approaches exist, each with its unique philosophy and techniques. Among these, osteopathy stands out, offering a holistic approach that emphasizes the body’s ability to heal itself. This article aims to shed light on osteopathy, particularly in the Canadian context, and compare it with other medical approaches. We’ll delve into the legal and practical aspects of osteopathy in Canada, and guide you on how to find reputable osteopathic practitioners. Whether you’re a healthcare professional seeking to expand your knowledge or a patient exploring different treatment options, this article will provide a comprehensive understanding of osteopathy and its place in the healthcare system.

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Introduction

The world of healthcare is as diverse as the patients it serves. From allopathic medicine to chiropractic, physiotherapy to osteopathy, each approach offers unique perspectives and techniques to promote health and well-being. Among these, osteopathy is a distinctive field that emphasizes the body’s interrelated systems and their harmonious function. Originating in the late 19th century, osteopathy was founded on the principle that the body has an inherent ability to self-regulate and self-heal. This philosophy still underpins osteopathic practice today, guiding practitioners in their approach to patient care.

In Canada, osteopathy is a growing field, with increasing recognition and integration into the broader healthcare system. However, understanding osteopathy and its place within the Canadian healthcare landscape can be challenging. This article aims to demystify osteopathy, providing a comprehensive overview of its philosophy, techniques, and practical applications. We’ll also compare osteopathy with other medical approaches, highlighting the unique aspects that set it apart.

Whether you’re a healthcare professional seeking to expand your knowledge, a patient exploring different treatment options, or simply curious about osteopathy, this article will serve as a guide. We’ll delve into the legal and practical aspects of osteopathy in Canada, helping you navigate the complex landscape of healthcare options. By the end of this article, you’ll have a deeper understanding of osteopathy and its role in promoting health and well-being.

Key Takeaways:

  • Osteopathy is a unique field in healthcare, emphasizing the body’s inherent ability to self-regulate and self-heal.
  • Understanding osteopathy and its place within the Canadian healthcare landscape can be challenging.
  • This article aims to demystify osteopathy, providing a comprehensive overview of its philosophy, techniques, and practical applications in Canada.

Understanding Osteopathy

Osteopathy is a distinctive branch of healthcare that emphasizes the body’s inherent ability to self-regulate and self-heal. Founded in the late 19th century by Dr. Andrew Taylor Still, osteopathy was born out of dissatisfaction with the prevailing healthcare practices of the time. Dr. Still believed that many of the treatments used were ineffective and even harmful, leading him to develop a new approach that focused on promoting the body’s natural healing processes.

At the heart of osteopathy is the belief that the body is an integrated whole. This means that all of its systems – the musculoskeletal system, the nervous system, the circulatory system, and so on – are interconnected and interdependent. A disturbance in one system can therefore affect the functioning of others. Osteopathic practitioners, known as osteopaths, use this understanding to diagnose and treat a wide range of health conditions.

Osteopaths use a variety of techniques to promote health and treat disease. These include manual techniques such as soft tissue manipulation, joint mobilization, and cranial osteopathy, as well as exercise prescription and lifestyle advice. The choice of techniques depends on the patient’s individual needs and the osteopath’s clinical judgement.

In Canada, osteopathy is a regulated profession, with standards of practice and a code of ethics that practitioners must adhere to. The Canadian Federation of Osteopaths is the national organization representing osteopathy in Canada, and it works to promote the profession and ensure high standards of practice.

Key Takeaways:

  • Osteopathy is a distinctive branch of healthcare that emphasizes the body’s inherent ability to self-regulate and self-heal.
  • Osteopaths use a variety of techniques to promote health and treat disease, including manual techniques and lifestyle advice.
  • In Canada, osteopathy is a regulated profession, with the Canadian Federation of Osteopaths representing the profession nationally.

The Philosophy of Osteopathy

Osteopathy is more than just a set of techniques; it’s a philosophy of health and well-being. At its core, osteopathy holds that the body is a self-regulating, self-healing entity. This means that given the right conditions, the body can often heal itself without the need for drugs or surgery. This philosophy is encapsulated in the words of osteopathy’s founder, Dr. Andrew Taylor Still: “The body contains all substances necessary to maintain life. It has the power to manufacture those substances and to eliminate them when they are toxic or in excess.”

This philosophy informs every aspect of osteopathic practice. Osteopaths don’t just treat symptoms; they look for the underlying causes of disease. They understand that health is more than just the absence of disease; it’s a state of physical, mental, and social well-being. This holistic approach allows osteopaths to address a wide range of health conditions, from musculoskeletal problems to digestive issues, respiratory conditions, and more.

In the Canadian context, this philosophy aligns well with the country’s emphasis on preventive healthcare and wellness. The Canadian Osteopathic Association states that osteopathy “emphasizes the interrelationship between structure and function of the body and recognizes the body’s ability to heal itself; it is the role of the osteopathic practitioner to facilitate that process.”

Key Takeaways:

  • Osteopathy is a philosophy of health that emphasizes the body’s ability to self-regulate and self-heal.
  • Osteopaths take a holistic approach to health, looking for the underlying causes of disease rather than just treating symptoms.
  • In Canada, osteopathy aligns well with the country’s emphasis on preventive healthcare and wellness.

Key Techniques in Osteopathy

Osteopaths use a wide range of techniques to diagnose and treat health conditions. These techniques can be broadly categorized into two types: direct and indirect.

Direct techniques involve applying force to a specific part of the body to improve function and reduce pain. These techniques include soft tissue manipulation, where the osteopath uses their hands to apply pressure to the muscles, tendons, and ligaments; joint mobilization, where the osteopath moves the joints in specific ways to improve mobility and reduce pain; and high-velocity, low-amplitude thrust (HVT), where the osteopath applies a quick, forceful thrust to a joint to improve its range of motion.

Indirect techniques, on the other hand, involve guiding the body to self-correct. These techniques include counterstrain, where the osteopath positions the body in a way that reduces strain and promotes healing; and cranial osteopathy, where the osteopath applies gentle pressure to the skull to improve the flow of cerebrospinal fluid and reduce tension in the body.

In Canada, osteopaths are trained in a wide range of techniques and are skilled at selecting the most appropriate techniques for each patient. The Canadian College of Osteopathy provides rigorous training in these techniques, ensuring that Canadian osteopaths are well-equipped to provide effective, patient-centered care.

Key Takeaways:

  • Osteopaths use a wide range of direct and indirect techniques to diagnose and treat health conditions.
  • Direct techniques involve applying force to a specific part of the body, while indirect techniques involve guiding the body to self-correct.
  • In Canada, osteopaths are trained in a wide range of techniques and are skilled at selecting the most appropriate techniques for each patient.

The Role of Osteopathy in Healthcare

Osteopathy plays a unique role in healthcare, offering a holistic, patient-centered approach to health and well-being. Osteopaths work in a variety of settings, from private practices to hospitals, sports clinics, and more. They treat a wide range of conditions, including musculoskeletal problems, digestive issues, respiratory conditions, and more.

In Canada, osteopathy is a growing field, with increasing recognition and integration into the broader healthcare system. The Canadian Institute of Osteopathy states that osteopathy “is a patient-centered approach to health care that takes into account the individual as a whole and includes manual therapy to achieve and maintain health.”

Osteopaths often work in collaboration with other healthcare professionals, such as doctors, physiotherapists, and chiropractors, to provide comprehensive care for their patients. This collaborative approach aligns well with Canada’s healthcare system, which emphasizes teamwork and coordination among healthcare providers.

Key Takeaways:

  • Osteopathy plays a unique role in healthcare, offering a holistic, patient-centered approach to health and well-being.
  • In Canada, osteopathy is a growing field, with increasing recognition and integration into the broader healthcare system.
  • Osteopaths often work in collaboration with other healthcare professionals to provide comprehensive care for their patients.

Osteopathy vs. Other Medical Approaches

When it comes to healthcare, patients today have a plethora of options. From traditional allopathic medicine to alternative therapies like chiropractic and physiotherapy, each approach offers unique perspectives and techniques. However, understanding the differences between these approaches can be challenging. In this section, we’ll compare osteopathy with other medical approaches, highlighting the unique aspects that set it apart.

Allopathic medicine, also known as conventional or Western medicine, is the most widely practiced approach to healthcare. It’s based on the use of drugs and surgery to treat or suppress symptoms or the ill effects of disease. While this approach can be highly effective for many conditions, it often focuses on treating symptoms rather than addressing the underlying causes of disease.

On the other hand, osteopathy takes a holistic approach to healthcare. Osteopaths view the body as an integrated whole and believe that disturbances in one part of the body can affect the functioning of others. They use a variety of manual techniques to promote health and treat disease, focusing on the underlying causes of disease rather than just treating symptoms.

Chiropractic and physiotherapy are two other approaches that, like osteopathy, use manual techniques to treat health conditions. However, there are key differences. Chiropractic primarily focuses on the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine. Physiotherapy, meanwhile, aims to restore function and mobility to people who have been affected by injury, illness, or disability.

In contrast, osteopathy takes a broader view of health. While osteopaths do treat musculoskeletal conditions, they also address a wide range of other health issues, from digestive problems to respiratory conditions. They understand that the body’s systems are interconnected and interdependent, and they use this understanding to guide their treatment.

In the Canadian context, all these approaches play important roles in the healthcare system. However, the holistic, patient-centered approach of osteopathy aligns well with Canada’s emphasis on preventive healthcare and wellness. The Canadian Federation of Osteopaths states that osteopathy “emphasizes the interrelationship between structure and function of the body and recognizes the body’s ability to heal itself; it is the role of the osteopathic practitioner to facilitate that process.”

Osteopathic Techniques Other Approaches
Osteopathic manipulative treatments (OMT) include hands-on manipulations of different body structures to increase systemic homeostasis and total body function. Techniques include manipulation of the lymphatics, rib raising, diaphragmatic manipulations, high-velocity low-amplitude, myofascial release, balanced ligamentous tension, muscle energy, and cranial concept. Other approaches include physical therapy, chiropractic care, massage therapy, and acupuncture. Physical therapy involves exercises and stretches to improve mobility and function. Chiropractic care involves spinal adjustments to improve alignment and function. Massage therapy involves manipulating soft tissues to improve circulation and reduce tension. Acupuncture involves inserting needles into specific points on the body to improve energy flow and reduce pain.
OMT techniques include high velocity low amplitude, muscle energy, counterstrain, myofascial release, craniosacral, and lymphatic. Other approaches may include medications, surgery, and other medical interventions depending on the condition being treated.
Osteopathic manipulative techniques can act as a complementary or alternative therapy in the management and treatment of many conditions. Other approaches may also be used as complementary or alternative therapies depending on the condition being treated.

Key Takeaways:

  • Osteopathy, allopathic medicine, chiropractic, and physiotherapy are all important approaches to healthcare, each with its unique perspectives and techniques.
  • Unlike allopathic medicine, which often focuses on treating symptoms, osteopathy takes a holistic approach, focusing on the underlying causes of disease.
  • While chiropractic and physiotherapy primarily focus on musculoskeletal conditions, osteopathy takes a broader view of health, addressing a wide range of health issues.
  • In Canada, the holistic, patient-centered approach of osteopathy aligns well with the country’s emphasis on preventive healthcare and wellness.

Osteopathy and Allopathic Medicine

Allopathic medicine, also known as conventional or Western medicine, is the most widely practiced approach to healthcare. It is based on the use of drugs and surgery to treat or suppress symptoms or the ill effects of disease. This approach is highly effective for many conditions, particularly acute illnesses and emergencies. However, it often focuses on treating symptoms rather than addressing the underlying causes of disease.

In contrast, osteopathy takes a more holistic approach. Osteopaths view the body as an integrated whole and believe that disturbances in one part of the body can affect the functioning of others. They use a variety of manual techniques to promote health and treat disease, focusing on the underlying causes of disease rather than just treating symptoms.

This is not to say that osteopathy and allopathic medicine are at odds. In fact, they can complement each other well. For example, an osteopath might work alongside a medical doctor to provide comprehensive care for a patient with chronic pain. The doctor might prescribe medication to manage the patient’s pain, while the osteopath uses manual techniques to improve the patient’s mobility and reduce muscle tension.

In Canada, osteopaths are recognized as complementary healthcare providers. They often work in collaboration with medical doctors and other healthcare professionals to provide patient-centered care. The Canadian Federation of Osteopaths states that osteopaths “work in partnership with allopathic medical practitioners and all other branches of healthcare to ensure the patient receives the most beneficial treatment.”

Key Takeaways:

  • Allopathic medicine and osteopathy are different approaches to healthcare, each with its unique perspectives and techniques.
  • While allopathic medicine often focuses on treating symptoms, osteopathy takes a holistic approach, focusing on the underlying causes of disease.
  • In Canada, osteopaths often work in collaboration with medical doctors and other healthcare professionals to provide patient-centered care.

Osteopathy and Chiropractic

Chiropractic is another approach to healthcare that, like osteopathy, uses manual techniques to treat health conditions. However, there are key differences between the two.

Chiropractic primarily focuses on the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine. Chiropractors believe that these disorders can affect general health through the nervous system. They often use a type of manipulation called spinal adjustment or chiropractic adjustment as a core treatment technique.

Osteopathy, on the other hand, takes a broader view of health. While osteopaths do treat musculoskeletal conditions, they also address a wide range of other health issues, from digestive problems to respiratory conditions. They understand that the body’s systems are interconnected and interdependent, and they use this understanding to guide their treatment.

In Canada, both osteopaths and chiropractors are recognized as complementary healthcare providers. They often work in collaboration with other healthcare professionals to provide patient-centered care. The Canadian Federation of Osteopaths and the Canadian Chiropractic Association both emphasize the importance of collaboration and communication among healthcare providers to ensure the best possible outcomes for patients.

Key Takeaways:

  • Chiropractic and osteopathy are different approaches to healthcare, each with its unique perspectives and techniques.
  • While chiropractic primarily focuses on disorders of the musculoskeletal system, especially the spine, osteopathy takes a broader view of health, addressing a wide range of health issues.
  • In Canada, both osteopaths and chiropractors are recognized as complementary healthcare providers and often work in collaboration with other healthcare professionals.

Osteopathy and Physiotherapy

Physiotherapy is another healthcare profession that, like osteopathy, uses manual techniques as part of its approach to patient care. However, there are key differences between the two.

Physiotherapy, also known as physical therapy, aims to restore function and mobility to people who have been affected by injury, illness, or disability. Physiotherapists use a variety of techniques, including exercise, manual therapy, and education about lifestyle factors that can affect health. They often work with patients to manage chronic conditions and prevent future health problems.

Osteopathy, on the other hand, takes a more holistic approach to health. While osteopaths do use manual techniques and exercise prescription, they also consider other aspects of the patient’s health, including nutrition, stress levels, and overall lifestyle. They understand that the body’s systems are interconnected and interdependent, and they use this understanding to guide their treatment.

In Canada, both osteopaths and physiotherapists are recognized healthcare professionals. They often work in collaboration with other healthcare providers to provide comprehensive care for their patients. The Canadian Federation of Osteopaths and the Canadian Physiotherapy Association both emphasize the importance of a patient-centered approach to care, which aligns well with the principles of osteopathy.

Key Takeaways:

  • Physiotherapy and osteopathy are different approaches to healthcare, each with its unique perspectives and techniques.
  • While physiotherapy focuses on restoring function and mobility, osteopathy takes a holistic approach to health, considering all aspects of the patient’s health.
  • In Canada, both osteopaths and physiotherapists are recognized healthcare professionals and often work in collaboration with other healthcare providers.

Osteopathy in Canada: A Legal Perspective

In Canada, the practice of osteopathy is governed by a complex legal framework. This framework is designed to ensure that osteopathic practitioners meet high standards of practice and that patients receive safe, effective care. Understanding this legal framework can be challenging, but it’s essential for anyone seeking to practice or receive osteopathy in Canada.

In this section, we’ll delve into the legal aspects of osteopathy in Canada, including the regulation and licensing of osteopathic practitioners. We’ll also discuss the role of professional organizations in promoting the profession and ensuring high standards of practice.

Key Takeaways:

  • The practice of osteopathy in Canada is governed by a complex legal framework.
  • This framework is designed to ensure that osteopathic practitioners meet high standards of practice and that patients receive safe, effective care.
  • Understanding this legal framework is essential for anyone seeking to practice or receive osteopathy in Canada.

The Legal Framework for Osteopathy in Canada

In Canada, the practice of osteopathy is regulated at the provincial level. Each province has its own laws and regulations governing the practice of osteopathy. These laws and regulations cover a range of issues, including the scope of practice for osteopaths, the standards of practice they must adhere to, and the process for obtaining a license to practice.

In some provinces, osteopathy is recognized as a distinct profession and is regulated by a professional college, similar to other healthcare professions like medicine and nursing. In these provinces, osteopaths must be registered with the college and meet certain requirements to practice.

In other provinces, osteopathy is not recognized as a distinct profession, but osteopaths can still practice under certain conditions. For example, they may be able to practice as part of a multidisciplinary healthcare team, or they may be able to practice independently if they meet certain qualifications.

The Canadian Federation of Osteopaths provides information on the legal status of osteopathy in each province and can be a valuable resource for anyone seeking to practice or receive osteopathy in Canada.

Key Takeaways:

  • In Canada, the practice of osteopathy is regulated at the provincial level, with each province having its own laws and regulations.
  • In some provinces, osteopathy is recognized as a distinct profession and is regulated by a professional college.
  • In other provinces, osteopathy is not recognized as a distinct profession, but osteopaths can still practice under certain conditions.

Regulation and Licensing of Osteopathic Practitioners

The regulation and licensing of osteopathic practitioners in Canada is also handled at the provincial level. Each province has its own process for licensing osteopaths, but in general, practitioners must meet certain educational requirements, pass a licensing exam, and demonstrate competency in the practice of osteopathy.

In provinces where osteopathy is recognized as a distinct profession, the professional college is responsible for licensing osteopaths. The college sets the standards of practice for osteopaths, oversees the licensing process, and handles complaints and disciplinary matters.

In provinces where osteopathy is not recognized as a distinct profession, osteopaths may be licensed under another healthcare profession, such as physiotherapy or chiropractic. In these cases, the licensing process is overseen by the regulatory body for that profession.

The Canadian Federation of Osteopaths provides information on the licensing process in each province and can be a valuable resource for anyone seeking to practice osteopathy in Canada.

Key Takeaways:

  • The regulation and licensing of osteopathic practitioners in Canada is handled at the provincial level.
  • In provinces where osteopathy is recognized as a distinct profession, the professional college is responsible for licensing osteopaths.
  • In provinces where osteopathy is not recognized as a distinct profession, osteopaths may be licensed under another healthcare profession.

Practical Applications of Osteopathy in Canada

Osteopathy is a versatile field with a wide range of practical applications. In Canada, osteopaths work in a variety of settings, from private practices to hospitals, sports clinics, and more. They treat a wide range of conditions, using their unique approach to promote health and well-being.

In this section, we’ll explore some of the practical applications of osteopathy in Canada. We’ll look at how osteopaths work with patients to diagnose and treat health conditions, and we’ll delve into some case studies that illustrate the power of osteopathy in action.

Key Takeaways:

  • Osteopathy has a wide range of practical applications in Canada, with osteopaths working in a variety of settings and treating a wide range of conditions.
  • Osteopaths use their unique approach to promote health and well-being, working with patients to diagnose and treat health conditions.
  • Case studies can provide valuable insights into the power of osteopathy in action.

Receptionist at a clean modern massage therapy

What to Expect During Your First Visit

Your first visit to an osteopathic practitioner will typically involve a comprehensive assessment. Here’s what you can expect:

  1. Medical History: The practitioner will ask you about your medical history, including any current health conditions, past illnesses or injuries, and any medications or supplements you’re taking. They’ll also ask about your lifestyle, including your diet, exercise habits, and stress levels.

  2. Physical Examination: The practitioner will conduct a physical examination. This may involve observing your posture, assessing your mobility, and palpating (feeling) various parts of your body to identify areas of tension or restriction.

  3. Diagnosis: Based on your medical history and physical examination, the practitioner will make a diagnosis. They’ll explain their findings to you and discuss how osteopathy can help.

  4. Treatment Plan: The practitioner will develop a treatment plan tailored to your needs. This may involve a series of osteopathic treatments, as well as recommendations for exercises or lifestyle changes you can make at home.

  5. Treatment: Depending on the practitioner and your needs, you may receive your first osteopathic treatment during your initial visit. This could involve a variety of techniques, such as soft tissue manipulation, joint mobilization, or cranial osteopathy.

Remember, it’s important to feel comfortable with your practitioner and to ask any questions you have about osteopathy and your treatment plan.

Key Takeaways:

  • Your first visit to an osteopathic practitioner will typically involve a comprehensive assessment, including a medical history and physical examination.
  • The practitioner will make a diagnosis based on your medical history and physical examination, and will develop a treatment plan tailored to your needs.
  • You may receive your first osteopathic treatment during your initial visit.
  • It’s important to feel comfortable with your practitioner and to ask any questions you have about osteopathy and your treatment plan.

Conclusion: Embracing Osteopathy for a Healthier Canada

As we’ve seen, osteopathy offers a unique and valuable approach to healthcare. With its emphasis on the interrelationship between structure and function of the body, its holistic view of health, and its patient-centered approach, osteopathy has much to offer Canadians seeking to maintain their health and well-being.

In this final section, we’ll summarize the key points we’ve covered in this article. We’ll also provide some final thoughts on the value of osteopathy and its potential to contribute to a healthier Canada.

Key Takeaways:

  • Osteopathy offers a unique and valuable approach to healthcare, with its emphasis on the interrelationship between structure and function of the body, its holistic view of health, and its patient-centered approach.
  • Despite the challenges facing the profession, the future of osteopathy in Canada looks bright, with significant opportunities for growth.
  • By embracing osteopathy, Canadians can access a form of healthcare that aligns with the values of preventive healthcare and wellness, contributing to a healthier Canada.

Frequently Asked Questions

Is osteopathy recognized in Canada?

Yes, osteopathy is recognized in Canada, but the level of recognition varies by province. In some provinces, osteopathy is recognized as a distinct profession and is regulated by a professional college. In other provinces, osteopathy is not recognized as a distinct profession, but osteopaths can still practice under certain conditions. The Canadian Federation of Osteopaths provides information on the legal status of osteopathy in each province.

How does osteopathy compare to physiotherapy?

While both osteopathy and physiotherapy use manual techniques as part of their approach to patient care, there are key differences between the two. Physiotherapy focuses on restoring function and mobility to people who have been affected by injury, illness, or disability. Osteopathy, on the other hand, takes a more holistic approach to health, considering all aspects of the patient’s health, including nutrition, stress levels, and overall lifestyle. Both professions play important roles in the Canadian healthcare system.

What conditions can osteopathy treat?

Osteopathy can treat a wide range of health conditions. While osteopaths are perhaps best known for treating musculoskeletal conditions, such as back pain and neck pain, they also treat a variety of other conditions, including digestive problems, respiratory conditions, and more. The holistic approach of osteopathy means that osteopaths view the body as an integrated whole and consider how disturbances in one part of the body can affect the functioning of others.

How can I find a reputable osteopathic practitioner in Canada?

The Canadian Federation of Osteopaths maintains a directory of osteopathic practitioners who are members of the federation. These practitioners have met the CFO’s standards of practice and adhere to their code of ethics. You can also ask for recommendations from people you trust, such as friends, family members, or other healthcare providers.

Is osteopathy covered by Canadian health insurance?

Coverage for osteopathic treatment varies by province and by insurance plan. Some provinces include osteopathy in their provincial health insurance plans, while others do not. Many private insurance plans in Canada do cover osteopathy, but it’s important to check the specifics of your plan to see what is covered.

Sources

  • “Osteopathy | Canadian Federation of Osteopaths (FCO).” Fédération Canadienne Des Ostéopathes, 2019, www.osteopathy.ca/. Accessed 7 July 2023.
  • Montreal, CEO. “84 Nouveaux Diplômés.” Collegeosteo.com, CEO Montreal, 12 June 2023, collegeosteo.com/montreal/index.php. Accessed 7 July 2023.
  • “Canadian Chiropractic Association (CCA).” Canadian Chiropractic Association (CCA), 15 June 2023, chiropractic.ca/. Accessed 7 July 2023.
  • “Homepage – Canadian Physiotherapy Association.” Canadian Physiotherapy Association, 6 July 2023, physiotherapy.ca/. Accessed 7 July 2023.
  • Precision Wellbeing. “London Osteopath: What’s the Difference between an Osteopath and a Chiropractor.” YouTube, YouTube Video, 13 Feb. 2014, www.youtube.com/watch?v=0TCFL3kgirQ. Accessed 10 July 2023.