Jerry Draper-Rodi , Tristan Delion , Andrew MacMillan , Alexander I. Storey , Jonathan Spadaccini , Wahida Jebi , Oliver P. Thomson , David Hohenschurz-Schmidt
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引用次数: 0
Abstract
Background
Musculoskeletal prevention is a key priority in public health and for national health systems due to the increasing number of people living with persistent conditions, including musculoskeletal (MSK) complaints. There is no robust review of the evidence on COP interventions and MSK prevention, such as what the current state of conceptual debate is about a possible role of COP interventions in prevention, where and how this has been studied, and what the evidence for effectiveness is.
Objectives
A scoping review was conducted to chart and appraise the available evidence regarding primary and secondary prevention in MSK care in the chiropractic, osteopathic and physiotherapy (COP) professions.
Methods
The review was prospectively registered (https://osf.io/bqe5x/). Studies were eligible if they were primary quantitative research on COP interventions for primary and secondary prevention, delivered in clinical settings, and to patients of any age who were asymptomatic or had any MSK pain or disability. Screening, data extraction, and risk of bias assessment were conducted in duplicate by independent reviewers. The data was synthesised narratively.
Results
Twenty-one articles were included in the final synthesis: 17 randomized controlled trials, 3 cross sectional studies, and 1 experimental study. Studies were mostly moderate-quality clinical trials (n = 17) on manual therapy (n = 14) for low back pain (n = 10) that measured prevention by assessing healthcare use (n = 14) or symptom recurrence (n = 11). Heterogeneity of methods, low numbers, and mixed quality did not allow for conclusions about the effectiveness of COP interventions in preventing MSK complaints.
Conclusions
The evidence base is heterogeneous and of moderate quality making clinical recommendations challenging, but future research priorities have been identified, including a need for further research into primary, but mostly in secondary and tertiary prevention in COP; future research in COP should be designed in line with best practices and existing guidelines; and a need for the development and validation of reliable tools to stratify risks and management options.
期刊介绍：
The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine.
The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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