Elite track and field athletes' perspective and experiences of osteopathic treatments: A descriptive phenomenological study.

Background and objectives: Despite widespread osteopathic intervention, elite athletes' preferences for osteopathic care remain unclear, with limited evidence on musculoskeletal management. This study aimed to investigate elite track and field athletes' perspectives on their experiences of osteopathic treatment to inform the development of integrated models of care.

Methods: Purposive sampling was used during the enrolment phase. Semi-structured interviews were utilised to obtain data, and they were first piloted on two participants. A descriptive phenomenological method was used to undertake an inductive analysis of the interviews. Three following interviews were carried out to confirm data saturation.

Results: Data saturation was reached with 13 participants (female = 6; male = 7). Participants' ages ranged from 20 to 36 years old. The analysis showed 1 overarching theme, "Elite athletes look for a trusted specialised osteopath in their team to enhance their awareness and pursuit of specific goals," 3 themes, and 17 categories. Themes were: "Elite athletes perceive the need to build a helping relationship with the osteopath based on trust", "Elite athletes expect that the increase in body awareness influences the outcome of the osteopathic treatment leading to performance enhancement, injury prevention and biomechanical adjustments" and "Elite athletes are satisfied and feel more self-confident when they have consistent access to a specifically trained osteopath who works in an interdisciplinary team".

Conclusion: Results from the present study can lead to quantitative experimental designs for efficacy studies and integrated models of care that take into account, not just organisational and social factors but also technical factors.