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新手和经验丰富的澳大利亚整骨医生对颈部疼痛的临床管理:全国代表性样本的二次分析。

The clinical management of neck pain of novice and experienced Australian osteopaths: A secondary analysis of a nationally representative sample.

机构信息

Institute for Health & Sport (IHeS), Victoria University, Melbourne, Australia.

Institute for Health & Sport (IHeS), Victoria University, Melbourne, Australia.

出版信息

J Bodyw Mov Ther. 2021 Jan;25:87-93. doi: 10.1016/j.jbmt.2020.11.006. Epub 2020 Nov 12.

Abstract

INTRODUCTION

Neck pain is one of the most common musculoskeletal disorders worldwide. Osteopaths are primary contact health professionals who predominantly manage musculoskeletal complaints. How Australian osteopaths manage neck pain is beginning to emerge in the literature and there may be differences based on clinical experience. This work presents a secondary data analysis of the Australian osteopathy practice-based research network and aims to examine the clinical management characteristics of experienced and novice osteopaths who often treat neck pain.

METHODOLOGY

Secondary analysis of a cross-sectional survey of osteopaths registered with the Osteopathy Research and Innovation Network (ORION), an Australian practice-based research network. Demographic, practice and treatment characteristics of osteopaths who 'often' treat neck pain. Data was split into two groups: novice practitioners (up to nine years in clinical practice), and experienced practitioners (10 years or more in clinical practice), and clinical management was compared.

RESULTS

Most (98%) of the 971 osteopaths reported that they treat neck pain often. Of those that treat neck pain often, 58% reported being male. The mean number of patient care hours per week was 28.1 ± 12.1 and the mean number of patient visits per week was 36.7 ± 18.7. There was a statistically significant difference between novice and experienced groups for discussing occupation (p < 0.01; d = 0.26) and stress (p = 0.045; d = 0.13) during their consultations, with a low to medium and low effect size, respectively.

CONCLUSION

This work demonstrates differences in the management strategies of experienced and novice Australian osteopaths that includes utilisation of a multidisciplinary approach to patient management. The results support the conclusion that there are differences in the clinical management strategies employed by experienced versus novice Australian osteopaths.

摘要

引言

颈部疼痛是全球最常见的肌肉骨骼疾病之一。整骨师是主要管理肌肉骨骼疾病的首要接触型健康专业人员。澳大利亚整骨师如何治疗颈部疼痛开始在文献中显现,并且可能因临床经验而异。这项工作是对澳大利亚整骨实践研究网络的二次数据分析,旨在检查经常治疗颈部疼痛的经验丰富和新手整骨师的临床管理特征。

方法

对澳大利亚整骨实践研究网络(ORION)注册的整骨师进行横断面调查的二次数据分析。ORION 是一个基于实践的研究网络。分析经常治疗颈部疼痛的整骨师的人口统计学、实践和治疗特征。数据分为两组:新手从业者(临床实践时间不超过 9 年)和经验丰富的从业者(临床实践时间超过 10 年),并比较临床管理。

结果

971 名整骨师中,98%的人报告经常治疗颈部疼痛。其中,58%的人报告自己是男性。每周的患者护理时间平均为 28.1±12.1 小时,每周的患者就诊次数平均为 36.7±18.7 次。新手组和经验丰富组在讨论职业(p<0.01;d=0.26)和压力(p=0.045;d=0.13)方面存在统计学差异,具有低到中、低效应量。

结论

这项工作表明,经验丰富和新手澳大利亚整骨师在管理策略上存在差异,包括多学科方法的应用。结果支持这样的结论,即经验丰富的澳大利亚整骨师与新手的临床管理策略存在差异。

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