Insights from Rivera-Martinez et al. (2002) In 2002, Rivera-Martinez, Wells, and Capobianco published a retrospective study in the Journal of the American Osteopathic Association examining whether patients with idiopathic Parkinson's disease demonstrate distinctive cranial strain patterns. The study explored an intriguing clinical observation: Do patients with Parkinson’s exhibit consistent cranial findings detectable through osteopathic examination? Why This Question Matter