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Jon Adams - One of the best experts on this subject based on the ideXlab platform.
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The prevalence and determinants of physical activity promotion by Australian Chiropractors: A cross sectional study.
Complementary therapies in medicine, 2019Co-Authors: Matthew Fernandez, Craig Moore, Jon Adams, David Sibbritt, Katie De Luca, Michael Swain, Andreas Eklund, Wenbo PengAbstract:Abstract Background Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about Chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian Chiropractors who frequently discuss patient physical activity. Methods A national cross-sectional survey of Chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. Results Eighty-five percent of Australian Chiropractors reported ‘often’ discussing physical activity as part of their patient management. The strongest factors associated with Chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting. Conclusion Discussing physical activity is a frequent feature of patient management among most Chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest Chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of Chiropractors in promoting this important public health topic among patients and communities is needed.
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The profile of Chiropractors managing patients with low back-related leg pain: analyses of 1907 Chiropractors from the ACORN practice-based research network
Chiropractic & Manual Therapies, 2019Co-Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie De Luca, Michael Swain, Katherine A. Pohlman, Jon AdamsAbstract:Background Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided by Chiropractors. However, limited empirical data has examined the characteristics of Chiropractors managing patients with low back-related leg pain (LBRLP). Our objective is to describe the prevalence, profile and practice characteristics of Australian Chiropractors who often treat LBRLP, compared to those who do not often treat LBRLP. Methods This is a cross-sectional analysis of a nationally representative sample from the Australian Chiropractic Research Network (ACORN). This study investigated the demographic and practice characteristics as well as clinical management of Chiropractors who ‘often’ treated patients with LBRLP compared to those who treated LBRLP ‘never/rarely/sometimes’. Multiple logistic regression models identified independent factors associated with Chiropractors who ‘often’ treated patients with LBRLP. Results A total of 1907 Chiropractors reported treating patients experiencing LBRLP, with 80.9% of them ‘often’ treating LBRLP. Chiropractors who ‘often’ treated LBRLP were more likely to manage patients with multi-site pain including axial low back pain (OR = 21.1), referred/radicular neck pain (OR = 10.8) and referred/radicular thoracic pain (OR = 3.1). While no specific management strategies were identified, Chiropractors who ‘often’ treated LBRLP were more likely to discuss medication (OR = 1.8), manage migraine (OR = 1.7) and degenerative spine conditions (OR = 1.5), and treat women during pregnancy (OR = 1.6) and people with work-related injuries (OR = 1.5), compared to those not treating LBRLP frequently. Conclusions Australian Chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform policy makers and educators interested in upskilling Chiropractors to deliver safe and effective treatment of LBRLP.
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The profile of Chiropractors managing patients with low back-related leg pain: analyses of 1907 Chiropractors from the ACORN practice-based research network.
Chiropractic & manual therapies, 2019Co-Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie De Luca, Michael Swain, Katherine A. Pohlman, Jon AdamsAbstract:Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided by Chiropractors. However, limited empirical data has examined the characteristics of Chiropractors managing patients with low back-related leg pain (LBRLP). Our objective is to describe the prevalence, profile and practice characteristics of Australian Chiropractors who often treat LBRLP, compared to those who do not often treat LBRLP. This is a cross-sectional analysis of a nationally representative sample from the Australian Chiropractic Research Network (ACORN). This study investigated the demographic and practice characteristics as well as clinical management of Chiropractors who ‘often’ treated patients with LBRLP compared to those who treated LBRLP ‘never/rarely/sometimes’. Multiple logistic regression models identified independent factors associated with Chiropractors who ‘often’ treated patients with LBRLP. A total of 1907 Chiropractors reported treating patients experiencing LBRLP, with 80.9% of them ‘often’ treating LBRLP. Chiropractors who ‘often’ treated LBRLP were more likely to manage patients with multi-site pain including axial low back pain (OR = 21.1), referred/radicular neck pain (OR = 10.8) and referred/radicular thoracic pain (OR = 3.1). While no specific management strategies were identified, Chiropractors who ‘often’ treated LBRLP were more likely to discuss medication (OR = 1.8), manage migraine (OR = 1.7) and degenerative spine conditions (OR = 1.5), and treat women during pregnancy (OR = 1.6) and people with work-related injuries (OR = 1.5), compared to those not treating LBRLP frequently. Australian Chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform policy makers and educators interested in upskilling Chiropractors to deliver safe and effective treatment of LBRLP.
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Characteristics of Chiropractors who manage people aged 65 and older: A nationally representative sample of 1903 Chiropractors.
Australasian journal on ageing, 2019Co-Authors: Craig Moore, Jon Adams, Katie De Luca, Michael Swain, Arnold Y. L. Wong, Matthew Fernandez, Jan Hartvigsen, Wenbo PengAbstract:OBJECTIVE To examine the prevalence and profile of Chiropractors who frequently manage people aged 65 years and older. METHODS A national cross-sectional survey collected practitioner characteristics, practice settings and clinical management characteristics. Multiple logistic regression was conducted on 1903 Chiropractors to determine the factors associated with the frequent treatment of people 65 years and older. RESULTS In total, 73.5% of participants report "often" treating those aged 65 years and older. These Chiropractors were associated with treating degenerative spine conditions (OR [odds ratio] 2.25; 95% [confidence interval] CI 1.72-2.94), working in a non-urban area (OR 1.85; 95% CI 1.35-2.54), treating low back pain (referred/radicular) (OR 1.74; 95% CI 1.26-2.40) and lower limb musculoskeletal disorders (OR 1.50; 95% CI 1.15-1.96). CONCLUSIONS The majority of Chiropractors report often providing treatment to older people. Our findings call for more research to better understand older patient complaints that are common to chiropractic practice and the care provided by Chiropractors for this patient group.
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Prevalence and practice characteristics of urban and rural or remote Australian Chiropractors: Analysis of a nationally representative sample of 1830 Chiropractors.
The Australian journal of rural health, 2019Co-Authors: Jon Adams, David Sibbritt, Katie De Luca, Michael Swain, Martha Funabashi, Arnold Y. L. Wong, Isabelle Pagé, Wenbo PengAbstract:OBJECTIVE To determine the prevalence and clinical management characteristics of Chiropractors practising in urban and rural or remote Australia. DESIGN A cross-sectional analysis of the Australian Chiropractic Research Network project data. SETTING Nationally representative sample of registered Chiropractors practising in Australia. PARTICIPANTS Chiropractors who participated in the Australian Chiropractic Research Network project and answered a question about practising in urban or rural or remote areas in the practitioner questionnaire. MAIN OUTCOME MEASURE The demographics, practice characteristics and clinical management of Chiropractors. RESULTS The majority of Chiropractors indicated that they practise in urban areas only, while 22.8% (n = 435) practice in rural or remote areas only and 4.0% (n = 77) practice in both urban and rural or remote areas. Statistically significant predictors of Chiropractors who practice in rural or remote areas, as compared to urban areas, included more patient visits per week, practising in more than one location, no imaging facilities on site, often treating degenerative spinal conditions or migraine, often treating people aged over 65 years, frequently treating Aboriginal and Torres Strait Islander people and frequently using biomechanical pelvic blocking or the sacro-occipital technique. CONCLUSION A substantial number of Chiropractors practice in rural or remote Australia and these rural or remote-based Chiropractors are more likely to treat a wide range of musculoskeletal cases and include an Indigenously diverse group of patients than their urban-located colleagues. Unique practice challenges for rural or remote Chiropractors include a higher workload and a lack of diagnostic tools. Chiropractors should be acknowledged and considered within rural or remote health care policy and service provision.
Kent Stuber - One of the best experts on this subject based on the ideXlab platform.
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Attitudes toward drug prescription rights: a survey of Ontario Chiropractors
Chiropractic & manual therapies, 2015Co-Authors: Peter C. Emary, Kent StuberAbstract:Several published surveys have shown that Chiropractors are generally split in their opinions regarding the right to prescribe drugs in chiropractic practice. Many of these studies have been limited by low response rates, leaving the generalizability of their findings open to question. The aim of the current study was to ascertain the general attitudes of Chiropractors in Ontario, Canada toward the inclusion of drug prescription rights in their scope of practice. Relationships between these attitudes and the number of years in practice including differences in philosophical orientation were also explored. A 14-item questionnaire was developed and invitations sent via e-mail to all eligible 2,677 Chiropractors in active practice registered electronically with the College of Chiropractors of Ontario in February 2015. Data were collected and analyzed using descriptive and inferential statistics. 960 questionnaires were completed for a 36 % response rate. The majority of respondents agreed that Chiropractors should be permitted to prescribe musculoskeletal medications such as over-the-counter and prescription-based analgesics, anti-inflammatories, and muscle relaxants. Over two-thirds also felt that with limited prescriptive authority Chiropractors could help reduce patients’ reliance on these types of drugs. Over three-quarters were opposed however to Chiropractors having full prescribing rights. The majority indicated they recommend over-the-counter medications to acute and chronic patients to some extent in clinical practice. Nearly two-thirds perceived their knowledge of musculoskeletal medications as high or very high, while a similar proportion perceived their knowledge of drugs for non-musculoskeletal conditions to be low or very low. A majority of respondents felt that further education in pharmacology would be necessary for those in the profession wishing to prescribe medications. More recent graduates and those who espoused a broad scope of chiropractic practice were most in favour of limited prescribing rights for the profession. A majority of responding Ontario Chiropractors expressed interest in expanding their scopes of practice to include limited drug prescription. These results together with those of other recent surveys could indicate a shift in Chiropractors’ attitudes toward drug prescription rights within the profession. Further surveys and/or qualitative studies of Chiropractors in other jurisdictions are still needed.
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The treatment experience of patients with low back pain during pregnancy and their Chiropractors: a qualitative study
Chiropractic & manual therapies, 2012Co-Authors: Shabnam Sadr, Neda Pourkiani-allah-abad, Kent StuberAbstract:Background Chiropractors regularly treat pregnant patients for low back pain during their pregnancy. An increasing amount of literature on this topic supports this form of treatment; however the experience of the pregnant patient with low back pain and their Chiropractor has not yet been explored. The objective of this study is to explore the experience of chiropractic treatment for pregnant women with low back pain, and their Chiropractors.
Craig Moore - One of the best experts on this subject based on the ideXlab platform.
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The prevalence and determinants of physical activity promotion by Australian Chiropractors: A cross sectional study.
Complementary therapies in medicine, 2019Co-Authors: Matthew Fernandez, Craig Moore, Jon Adams, David Sibbritt, Katie De Luca, Michael Swain, Andreas Eklund, Wenbo PengAbstract:Abstract Background Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about Chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian Chiropractors who frequently discuss patient physical activity. Methods A national cross-sectional survey of Chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. Results Eighty-five percent of Australian Chiropractors reported ‘often’ discussing physical activity as part of their patient management. The strongest factors associated with Chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting. Conclusion Discussing physical activity is a frequent feature of patient management among most Chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest Chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of Chiropractors in promoting this important public health topic among patients and communities is needed.
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The profile of Chiropractors managing patients with low back-related leg pain: analyses of 1907 Chiropractors from the ACORN practice-based research network
Chiropractic & Manual Therapies, 2019Co-Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie De Luca, Michael Swain, Katherine A. Pohlman, Jon AdamsAbstract:Background Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided by Chiropractors. However, limited empirical data has examined the characteristics of Chiropractors managing patients with low back-related leg pain (LBRLP). Our objective is to describe the prevalence, profile and practice characteristics of Australian Chiropractors who often treat LBRLP, compared to those who do not often treat LBRLP. Methods This is a cross-sectional analysis of a nationally representative sample from the Australian Chiropractic Research Network (ACORN). This study investigated the demographic and practice characteristics as well as clinical management of Chiropractors who ‘often’ treated patients with LBRLP compared to those who treated LBRLP ‘never/rarely/sometimes’. Multiple logistic regression models identified independent factors associated with Chiropractors who ‘often’ treated patients with LBRLP. Results A total of 1907 Chiropractors reported treating patients experiencing LBRLP, with 80.9% of them ‘often’ treating LBRLP. Chiropractors who ‘often’ treated LBRLP were more likely to manage patients with multi-site pain including axial low back pain (OR = 21.1), referred/radicular neck pain (OR = 10.8) and referred/radicular thoracic pain (OR = 3.1). While no specific management strategies were identified, Chiropractors who ‘often’ treated LBRLP were more likely to discuss medication (OR = 1.8), manage migraine (OR = 1.7) and degenerative spine conditions (OR = 1.5), and treat women during pregnancy (OR = 1.6) and people with work-related injuries (OR = 1.5), compared to those not treating LBRLP frequently. Conclusions Australian Chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform policy makers and educators interested in upskilling Chiropractors to deliver safe and effective treatment of LBRLP.
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The profile of Chiropractors managing patients with low back-related leg pain: analyses of 1907 Chiropractors from the ACORN practice-based research network.
Chiropractic & manual therapies, 2019Co-Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie De Luca, Michael Swain, Katherine A. Pohlman, Jon AdamsAbstract:Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided by Chiropractors. However, limited empirical data has examined the characteristics of Chiropractors managing patients with low back-related leg pain (LBRLP). Our objective is to describe the prevalence, profile and practice characteristics of Australian Chiropractors who often treat LBRLP, compared to those who do not often treat LBRLP. This is a cross-sectional analysis of a nationally representative sample from the Australian Chiropractic Research Network (ACORN). This study investigated the demographic and practice characteristics as well as clinical management of Chiropractors who ‘often’ treated patients with LBRLP compared to those who treated LBRLP ‘never/rarely/sometimes’. Multiple logistic regression models identified independent factors associated with Chiropractors who ‘often’ treated patients with LBRLP. A total of 1907 Chiropractors reported treating patients experiencing LBRLP, with 80.9% of them ‘often’ treating LBRLP. Chiropractors who ‘often’ treated LBRLP were more likely to manage patients with multi-site pain including axial low back pain (OR = 21.1), referred/radicular neck pain (OR = 10.8) and referred/radicular thoracic pain (OR = 3.1). While no specific management strategies were identified, Chiropractors who ‘often’ treated LBRLP were more likely to discuss medication (OR = 1.8), manage migraine (OR = 1.7) and degenerative spine conditions (OR = 1.5), and treat women during pregnancy (OR = 1.6) and people with work-related injuries (OR = 1.5), compared to those not treating LBRLP frequently. Australian Chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform policy makers and educators interested in upskilling Chiropractors to deliver safe and effective treatment of LBRLP.
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Characteristics of Chiropractors who manage people aged 65 and older: A nationally representative sample of 1903 Chiropractors.
Australasian journal on ageing, 2019Co-Authors: Craig Moore, Jon Adams, Katie De Luca, Michael Swain, Arnold Y. L. Wong, Matthew Fernandez, Jan Hartvigsen, Wenbo PengAbstract:OBJECTIVE To examine the prevalence and profile of Chiropractors who frequently manage people aged 65 years and older. METHODS A national cross-sectional survey collected practitioner characteristics, practice settings and clinical management characteristics. Multiple logistic regression was conducted on 1903 Chiropractors to determine the factors associated with the frequent treatment of people 65 years and older. RESULTS In total, 73.5% of participants report "often" treating those aged 65 years and older. These Chiropractors were associated with treating degenerative spine conditions (OR [odds ratio] 2.25; 95% [confidence interval] CI 1.72-2.94), working in a non-urban area (OR 1.85; 95% CI 1.35-2.54), treating low back pain (referred/radicular) (OR 1.74; 95% CI 1.26-2.40) and lower limb musculoskeletal disorders (OR 1.50; 95% CI 1.15-1.96). CONCLUSIONS The majority of Chiropractors report often providing treatment to older people. Our findings call for more research to better understand older patient complaints that are common to chiropractic practice and the care provided by Chiropractors for this patient group.
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The treatment of migraine patients within chiropractic: analysis of a nationally representative survey of 1869 Chiropractors
BMC Complementary and Alternative Medicine, 2017Co-Authors: Craig Moore, Romy Lauche, Jon Adams, Andrew Leaver, David SibbrittAbstract:Background While the clinical role of manual therapies in migraine management is unclear, the use of Chiropractors for this condition is considerable. The aim of this study is to evaluate the prevalence and characteristics of Chiropractors who frequently manage patients with migraine. Methods A national cross-sectional survey of Chiropractors collected information on practitioner characteristics, clinical management characteristics and practice settings. A secondary analysis was conducted on 1869 respondents who reported on their migraine caseload to determine the predictors associated with the frequent management of patients with migraine. Results A large proportion of Chiropractors report having a high migraine caseload (HMC) ( n = 990; 53.0%). The strongest factors predicting a Chiropractor having a HMC include the frequent treatment of patients with axial neck pain (OR = 2.89; 95%CI: 1.18, 7.07), thoracic pain (referred/radicular) (OR = 2.52; 95%CI: 1.58, 3.21) and non-musculoskeletal disorders (OR = 3.06; 95%CI: 2.13, 4.39). Conclusions Several practice-setting and clinical management characteristics are associated with Chiropractors managing a HMC. These findings raise key questions about the therapeutic approach to chiropractic migraine management that deserves further examination. There is a need for more primary research to assess the approach to headache and migraine management provided by Chiropractors and to understand the prevalence, burden and comorbidities associated with migraine found within chiropractic patient populations. This information is vital in helping to inform safe, effective and coordinated care for migraine sufferers within the wider health system.
David Sibbritt - One of the best experts on this subject based on the ideXlab platform.
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The prevalence and determinants of physical activity promotion by Australian Chiropractors: A cross sectional study.
Complementary therapies in medicine, 2019Co-Authors: Matthew Fernandez, Craig Moore, Jon Adams, David Sibbritt, Katie De Luca, Michael Swain, Andreas Eklund, Wenbo PengAbstract:Abstract Background Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about Chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian Chiropractors who frequently discuss patient physical activity. Methods A national cross-sectional survey of Chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. Results Eighty-five percent of Australian Chiropractors reported ‘often’ discussing physical activity as part of their patient management. The strongest factors associated with Chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting. Conclusion Discussing physical activity is a frequent feature of patient management among most Chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest Chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of Chiropractors in promoting this important public health topic among patients and communities is needed.
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Prevalence and practice characteristics of urban and rural or remote Australian Chiropractors: Analysis of a nationally representative sample of 1830 Chiropractors.
The Australian journal of rural health, 2019Co-Authors: Jon Adams, David Sibbritt, Katie De Luca, Michael Swain, Martha Funabashi, Arnold Y. L. Wong, Isabelle Pagé, Wenbo PengAbstract:OBJECTIVE To determine the prevalence and clinical management characteristics of Chiropractors practising in urban and rural or remote Australia. DESIGN A cross-sectional analysis of the Australian Chiropractic Research Network project data. SETTING Nationally representative sample of registered Chiropractors practising in Australia. PARTICIPANTS Chiropractors who participated in the Australian Chiropractic Research Network project and answered a question about practising in urban or rural or remote areas in the practitioner questionnaire. MAIN OUTCOME MEASURE The demographics, practice characteristics and clinical management of Chiropractors. RESULTS The majority of Chiropractors indicated that they practise in urban areas only, while 22.8% (n = 435) practice in rural or remote areas only and 4.0% (n = 77) practice in both urban and rural or remote areas. Statistically significant predictors of Chiropractors who practice in rural or remote areas, as compared to urban areas, included more patient visits per week, practising in more than one location, no imaging facilities on site, often treating degenerative spinal conditions or migraine, often treating people aged over 65 years, frequently treating Aboriginal and Torres Strait Islander people and frequently using biomechanical pelvic blocking or the sacro-occipital technique. CONCLUSION A substantial number of Chiropractors practice in rural or remote Australia and these rural or remote-based Chiropractors are more likely to treat a wide range of musculoskeletal cases and include an Indigenously diverse group of patients than their urban-located colleagues. Unique practice challenges for rural or remote Chiropractors include a higher workload and a lack of diagnostic tools. Chiropractors should be acknowledged and considered within rural or remote health care policy and service provision.
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Prevalence and profile of Australian Chiropractors treating athletes or sports people: A cross-sectional study
Complementary therapies in medicine, 2018Co-Authors: Jon Adams, Romy Lauche, Wenbo Peng, Katie De Luca, Michael Swain, David SibbrittAbstract:Abstract Objectives A range of health-care professionals including Chiropractors provide treatment for sports-related health problems. This study reports analyses from the first national workforce survey to determine practitioner and practice-related factors associated with the frequent treatment of athletes or sports people by Australian Chiropractors. Design and setting A 21-item questionnaire collecting information pertaining to practitioner and practice-related characteristics was distributed to all Australian registered Chiropractors, as part of the Australian Chiropractic Research Network (ACORN) project and attracted a response rate of 43% (n = 2005). Statistical analyses compared the frequency of treating athletes or sports people against a wide range of relevant practitioner and practice characteristics. Results Of the respondents, 49.5% (n = 936) reported frequently treating athletes or sports people, and these Chiropractors were more likely to be male as well as report more patient care hours and patient visits per week than those Chiropractors who did not frequently treat athletes or sports people. Chiropractors who frequently treat athletes or sports people were also more likely to perform multi-modal management, have multi-disciplinary practitioner relations, use diagnostic equipment and discuss nutrition and medication use as part of their patient care than those Chiropractors who did not frequently treat athletes or sports people. Conclusions Nearly half of participating Australian Chiropractors treat athletes or sports people frequently. The current and potential role of Chiropractors in sports medicine appears significant. Further research is needed to examine the role, practices and outcomes of such chiropractic care helping to, provide treatment and policy development in this area of clinical management.
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The treatment of migraine patients within chiropractic: analysis of a nationally representative survey of 1869 Chiropractors
BMC Complementary and Alternative Medicine, 2017Co-Authors: Craig Moore, Romy Lauche, Jon Adams, Andrew Leaver, David SibbrittAbstract:Background While the clinical role of manual therapies in migraine management is unclear, the use of Chiropractors for this condition is considerable. The aim of this study is to evaluate the prevalence and characteristics of Chiropractors who frequently manage patients with migraine. Methods A national cross-sectional survey of Chiropractors collected information on practitioner characteristics, clinical management characteristics and practice settings. A secondary analysis was conducted on 1869 respondents who reported on their migraine caseload to determine the predictors associated with the frequent management of patients with migraine. Results A large proportion of Chiropractors report having a high migraine caseload (HMC) ( n = 990; 53.0%). The strongest factors predicting a Chiropractor having a HMC include the frequent treatment of patients with axial neck pain (OR = 2.89; 95%CI: 1.18, 7.07), thoracic pain (referred/radicular) (OR = 2.52; 95%CI: 1.58, 3.21) and non-musculoskeletal disorders (OR = 3.06; 95%CI: 2.13, 4.39). Conclusions Several practice-setting and clinical management characteristics are associated with Chiropractors managing a HMC. These findings raise key questions about the therapeutic approach to chiropractic migraine management that deserves further examination. There is a need for more primary research to assess the approach to headache and migraine management provided by Chiropractors and to understand the prevalence, burden and comorbidities associated with migraine found within chiropractic patient populations. This information is vital in helping to inform safe, effective and coordinated care for migraine sufferers within the wider health system.
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The treatment of migraine patients within chiropractic: analysis of a nationally representative survey of 1869 Chiropractors.
BMC complementary and alternative medicine, 2017Co-Authors: Craig Moore, Romy Lauche, Jon Adams, Andrew Leaver, David SibbrittAbstract:While the clinical role of manual therapies in migraine management is unclear, the use of Chiropractors for this condition is considerable. The aim of this study is to evaluate the prevalence and characteristics of Chiropractors who frequently manage patients with migraine. A national cross-sectional survey of Chiropractors collected information on practitioner characteristics, clinical management characteristics and practice settings. A secondary analysis was conducted on 1869 respondents who reported on their migraine caseload to determine the predictors associated with the frequent management of patients with migraine. A large proportion of Chiropractors report having a high migraine caseload (HMC) (n = 990; 53.0%). The strongest factors predicting a Chiropractor having a HMC include the frequent treatment of patients with axial neck pain (OR = 2.89; 95%CI: 1.18, 7.07), thoracic pain (referred/radicular) (OR = 2.52; 95%CI: 1.58, 3.21) and non-musculoskeletal disorders (OR = 3.06; 95%CI: 2.13, 4.39). Several practice-setting and clinical management characteristics are associated with Chiropractors managing a HMC. These findings raise key questions about the therapeutic approach to chiropractic migraine management that deserves further examination. There is a need for more primary research to assess the approach to headache and migraine management provided by Chiropractors and to understand the prevalence, burden and comorbidities associated with migraine found within chiropractic patient populations. This information is vital in helping to inform safe, effective and coordinated care for migraine sufferers within the wider health system.
Wenbo Peng - One of the best experts on this subject based on the ideXlab platform.
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The prevalence and determinants of physical activity promotion by Australian Chiropractors: A cross sectional study.
Complementary therapies in medicine, 2019Co-Authors: Matthew Fernandez, Craig Moore, Jon Adams, David Sibbritt, Katie De Luca, Michael Swain, Andreas Eklund, Wenbo PengAbstract:Abstract Background Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about Chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian Chiropractors who frequently discuss patient physical activity. Methods A national cross-sectional survey of Chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. Results Eighty-five percent of Australian Chiropractors reported ‘often’ discussing physical activity as part of their patient management. The strongest factors associated with Chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting. Conclusion Discussing physical activity is a frequent feature of patient management among most Chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest Chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of Chiropractors in promoting this important public health topic among patients and communities is needed.
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The profile of Chiropractors managing patients with low back-related leg pain: analyses of 1907 Chiropractors from the ACORN practice-based research network
Chiropractic & Manual Therapies, 2019Co-Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie De Luca, Michael Swain, Katherine A. Pohlman, Jon AdamsAbstract:Background Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided by Chiropractors. However, limited empirical data has examined the characteristics of Chiropractors managing patients with low back-related leg pain (LBRLP). Our objective is to describe the prevalence, profile and practice characteristics of Australian Chiropractors who often treat LBRLP, compared to those who do not often treat LBRLP. Methods This is a cross-sectional analysis of a nationally representative sample from the Australian Chiropractic Research Network (ACORN). This study investigated the demographic and practice characteristics as well as clinical management of Chiropractors who ‘often’ treated patients with LBRLP compared to those who treated LBRLP ‘never/rarely/sometimes’. Multiple logistic regression models identified independent factors associated with Chiropractors who ‘often’ treated patients with LBRLP. Results A total of 1907 Chiropractors reported treating patients experiencing LBRLP, with 80.9% of them ‘often’ treating LBRLP. Chiropractors who ‘often’ treated LBRLP were more likely to manage patients with multi-site pain including axial low back pain (OR = 21.1), referred/radicular neck pain (OR = 10.8) and referred/radicular thoracic pain (OR = 3.1). While no specific management strategies were identified, Chiropractors who ‘often’ treated LBRLP were more likely to discuss medication (OR = 1.8), manage migraine (OR = 1.7) and degenerative spine conditions (OR = 1.5), and treat women during pregnancy (OR = 1.6) and people with work-related injuries (OR = 1.5), compared to those not treating LBRLP frequently. Conclusions Australian Chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform policy makers and educators interested in upskilling Chiropractors to deliver safe and effective treatment of LBRLP.
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The profile of Chiropractors managing patients with low back-related leg pain: analyses of 1907 Chiropractors from the ACORN practice-based research network.
Chiropractic & manual therapies, 2019Co-Authors: Matthew Fernandez, Craig Moore, Wenbo Peng, Katie De Luca, Michael Swain, Katherine A. Pohlman, Jon AdamsAbstract:Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided by Chiropractors. However, limited empirical data has examined the characteristics of Chiropractors managing patients with low back-related leg pain (LBRLP). Our objective is to describe the prevalence, profile and practice characteristics of Australian Chiropractors who often treat LBRLP, compared to those who do not often treat LBRLP. This is a cross-sectional analysis of a nationally representative sample from the Australian Chiropractic Research Network (ACORN). This study investigated the demographic and practice characteristics as well as clinical management of Chiropractors who ‘often’ treated patients with LBRLP compared to those who treated LBRLP ‘never/rarely/sometimes’. Multiple logistic regression models identified independent factors associated with Chiropractors who ‘often’ treated patients with LBRLP. A total of 1907 Chiropractors reported treating patients experiencing LBRLP, with 80.9% of them ‘often’ treating LBRLP. Chiropractors who ‘often’ treated LBRLP were more likely to manage patients with multi-site pain including axial low back pain (OR = 21.1), referred/radicular neck pain (OR = 10.8) and referred/radicular thoracic pain (OR = 3.1). While no specific management strategies were identified, Chiropractors who ‘often’ treated LBRLP were more likely to discuss medication (OR = 1.8), manage migraine (OR = 1.7) and degenerative spine conditions (OR = 1.5), and treat women during pregnancy (OR = 1.6) and people with work-related injuries (OR = 1.5), compared to those not treating LBRLP frequently. Australian Chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform policy makers and educators interested in upskilling Chiropractors to deliver safe and effective treatment of LBRLP.
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Characteristics of Chiropractors who manage people aged 65 and older: A nationally representative sample of 1903 Chiropractors.
Australasian journal on ageing, 2019Co-Authors: Craig Moore, Jon Adams, Katie De Luca, Michael Swain, Arnold Y. L. Wong, Matthew Fernandez, Jan Hartvigsen, Wenbo PengAbstract:OBJECTIVE To examine the prevalence and profile of Chiropractors who frequently manage people aged 65 years and older. METHODS A national cross-sectional survey collected practitioner characteristics, practice settings and clinical management characteristics. Multiple logistic regression was conducted on 1903 Chiropractors to determine the factors associated with the frequent treatment of people 65 years and older. RESULTS In total, 73.5% of participants report "often" treating those aged 65 years and older. These Chiropractors were associated with treating degenerative spine conditions (OR [odds ratio] 2.25; 95% [confidence interval] CI 1.72-2.94), working in a non-urban area (OR 1.85; 95% CI 1.35-2.54), treating low back pain (referred/radicular) (OR 1.74; 95% CI 1.26-2.40) and lower limb musculoskeletal disorders (OR 1.50; 95% CI 1.15-1.96). CONCLUSIONS The majority of Chiropractors report often providing treatment to older people. Our findings call for more research to better understand older patient complaints that are common to chiropractic practice and the care provided by Chiropractors for this patient group.
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Prevalence and practice characteristics of urban and rural or remote Australian Chiropractors: Analysis of a nationally representative sample of 1830 Chiropractors.
The Australian journal of rural health, 2019Co-Authors: Jon Adams, David Sibbritt, Katie De Luca, Michael Swain, Martha Funabashi, Arnold Y. L. Wong, Isabelle Pagé, Wenbo PengAbstract:OBJECTIVE To determine the prevalence and clinical management characteristics of Chiropractors practising in urban and rural or remote Australia. DESIGN A cross-sectional analysis of the Australian Chiropractic Research Network project data. SETTING Nationally representative sample of registered Chiropractors practising in Australia. PARTICIPANTS Chiropractors who participated in the Australian Chiropractic Research Network project and answered a question about practising in urban or rural or remote areas in the practitioner questionnaire. MAIN OUTCOME MEASURE The demographics, practice characteristics and clinical management of Chiropractors. RESULTS The majority of Chiropractors indicated that they practise in urban areas only, while 22.8% (n = 435) practice in rural or remote areas only and 4.0% (n = 77) practice in both urban and rural or remote areas. Statistically significant predictors of Chiropractors who practice in rural or remote areas, as compared to urban areas, included more patient visits per week, practising in more than one location, no imaging facilities on site, often treating degenerative spinal conditions or migraine, often treating people aged over 65 years, frequently treating Aboriginal and Torres Strait Islander people and frequently using biomechanical pelvic blocking or the sacro-occipital technique. CONCLUSION A substantial number of Chiropractors practice in rural or remote Australia and these rural or remote-based Chiropractors are more likely to treat a wide range of musculoskeletal cases and include an Indigenously diverse group of patients than their urban-located colleagues. Unique practice challenges for rural or remote Chiropractors include a higher workload and a lack of diagnostic tools. Chiropractors should be acknowledged and considered within rural or remote health care policy and service provision.