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A major goal for a significant portion of the osteopathic community is to reconceptualize osteopathic foundational concepts satisfying three needs: sourcing from the origin, proposing original and unique practical approaches, and describing the entire process in a scientifically updated way. On this line, several interprofessional proposals for health care providers have already been made by implementing patient-centered care, and touch-based strategies informed by the enactive model, to improve therapeutic alliance biobehavioural synchrony and achieve better health outcomes in musculoskeletal care. The enactivism principles can provide a foundation for rethinking osteopathic care by integrating environmental, psychological, social, and spiritual factors to facilitate the patient's biobehavioral synchronization with the environment and social context, addressing health needs, and enhancing the quality of multi-professional healthcare services. However, there is a need to develop a conceptual model that offers a framework for organizing and interpreting disciplinary knowledge, guiding clinical observation, and practical strategies while also defining both interprofessional collaboration and the unique focus of the profession. This narrative review and integrative hypothesis aim to fulfill the need for a more detailed and comprehensive understanding of the distinctive osteopathic approaches to bio-behavioral synchrony, emphasizing both interprofessional collaboration and the profession's unique competencies.