Michael Fleischmann , Pat McLaughlin , Brett Vaughan , Alan Hayes
{"title":"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","authors":"Michael Fleischmann , Pat McLaughlin , Brett Vaughan , Alan Hayes","doi":"10.1016/j.ijosm.2023.100706","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>Cross sectional design. Via an online survey.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div><div><h3>Implications for clinical practice</h3><p></p><ul><li><span>•</span><span><p>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.</p></span></li><li><span>•</span><span><p>Less than half of the osteopaths in this study reported using PROMs in clinical practice for the management of non-specific neck pain.</p></span></li><li><span>•</span><span><p>Only a small number of Australian osteopaths completed continuing professional development (CPD) related to the clinical management of NSNP.</p></span></li></ul></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1746068923000500/pdfft?md5=39a94bb3fe5d75a7033cc3b8c337523a&pid=1-s2.0-S1746068923000500-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Osteopathic management of non-specific neck pain: Preliminary findings from a cross sectional study of Australian osteopaths\",\"authors\":\"Michael Fleischmann , Pat McLaughlin , Brett Vaughan , Alan Hayes\",\"doi\":\"10.1016/j.ijosm.2023.100706\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p>Cross sectional design. Via an online survey.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div><div><h3>Implications for clinical practice</h3><p></p><ul><li><span>•</span><span><p>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.</p></span></li><li><span>•</span><span><p>Less than half of the osteopaths in this study reported using PROMs in clinical practice for the management of non-specific neck pain.</p></span></li><li><span>•</span><span><p>Only a small number of Australian osteopaths completed continuing professional development (CPD) related to the clinical management of NSNP.</p></span></li></ul></div>\",\"PeriodicalId\":51068,\"journal\":{\"name\":\"International Journal of Osteopathic Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2023-12-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1746068923000500/pdfft?md5=39a94bb3fe5d75a7033cc3b8c337523a&pid=1-s2.0-S1746068923000500-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Osteopathic Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1746068923000500\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Osteopathic Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1746068923000500","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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.
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.