非特异性颈部疼痛的整骨疗法:澳大利亚骨科医生横断面研究的初步发现

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Michael Fleischmann , Pat McLaughlin , Brett Vaughan , Alan Hayes
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引用次数: 0

摘要

目标颈部疼痛是一种高发疾病,会导致严重的疼痛和残疾。无论是从个人还是从更广泛的医疗系统层面来看,颈痛都会造成经济损失。如果没有可识别的潜在疾病或异常解剖结构,颈痛可归类为 "非特异性 "颈痛(NSNP)。整骨疗法在非特异性颈痛的治疗中发挥着一定的作用,但目前还不清楚整骨疗法是如何具体治疗这种病症的。本研究探讨了骨科医生如何治疗 NSNP 患者。结果本研究的所有参与者都表示,他们为 NSNP 患者应用了软组织技术、使用了运动处方、讨论了运动水平、体能、压力管理、疼痛教育以及姿势和人体工程学。本研究中只有不到一半的骨科医生表示在临床实践中使用PROMs来治疗非特异性颈痛,只有少数骨科医生完成了与NSNP临床治疗相关的继续职业发展(CPD)。结论本研究表明,澳大利亚骨科医生在临床实践中根据临床实践指南使用了一系列手法治疗技术和教育策略来治疗NSNP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Osteopathic management of non-specific neck pain: Preliminary findings from a cross sectional study of Australian osteopaths

Objective

Neck pain is a highly prevalent condition that leads to considerable pain and disability. There is an economic cost to neck pain at both a personal and broader health system level. Neck pain may be classified as ‘non-specific’ neck pain (NSNP) when there is an absence of identifiable underlying disease or abnormal anatomical structure. Osteopaths play a role in the management of NSNP, but it is unclear how osteopaths specifically manage this condition. This study explores what osteopaths do for patients with NSNP.

Methods

Cross sectional design. Via an online survey.

Results

All participants in this study reported applying soft tissue techniques, using exercise prescription, discussing physical activity levels, physical fitness, stress management, pain education and posture and ergonomics for patients with NSNP. Less than half of the osteopaths in this study reported using PROMs in clinical practice for the management of non-specific neck pain and only a small number completed continuing professional development (CPD) related to the clinical management of NSNP.

Conclusion

This study demonstrates Australian osteopaths use a range of manual therapy techniques and education strategies in clinical practice for the management of NSNP in line with clinical practice guidelines.

Implications for clinical practice

  • All osteopaths in this study reported applying soft tissue techniques, using exercise prescription, discussing physical activity levels, physical fitness, stress management, pain education and posture and ergonomics for patients with NSNP.

  • Less than half of the osteopaths in this study reported using PROMs in clinical practice for the management of non-specific neck pain.

  • Only a small number of Australian osteopaths completed continuing professional development (CPD) related to the clinical management of NSNP.

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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
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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