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澳大利亚整骨疗法中运动处方的应用:对该专业全国代表性样本的二次分析。

The Use of Exercise Prescription in Australian Osteopathy Practice: Secondary Analysis of a Nationally Representative Sample of the Profession.

机构信息

School of Health and Biomedical Science, RMIT University, Melbourne, Australia.

Osteopathy College of Sport, Health and Engineering (CoSHE), Victoria University, Melbourne, Australia.

出版信息

ScientificWorldJournal. 2024 Jun 14;2024:1977684. doi: 10.1155/2024/1977684. eCollection 2024.


DOI:10.1155/2024/1977684
PMID:38911694
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11192601/
Abstract

INTRODUCTION: Exercise is beneficial for improving general health, wellbeing, and specific medical conditions. In musculoskeletal conditions such as chronic low back and neck pain, prescribed exercise has been found to be moderately effective in decreasing pain and improving function. Osteopaths are primary contact health professionals who manage predominantly musculoskeletal complaints. This work presents a secondary data analysis of the Australian osteopathy practice-based research network and profiles the characteristics of osteopaths who often use exercise prescription in patient care. . Secondary analysis of a cross-sectional survey of 992 osteopaths was registered with the Osteopathy Research and Innovation Network, an Australian practice-based research network. Demographics, practice, and treatment characteristics of Australian osteopaths who "often" use exercise prescription in patient care were examined. RESULTS: Seven-hundred and thirty-three Australian osteopaths (74%) indicated that they use exercise prescription "often" in patient care. Australian osteopaths who often use exercise prescription are more likely to be colocated with another osteopath (ORa 1.54) and send referrals to an exercise physiologist (ORa 1.94) and a specialist medical practitioner (ORa 1.72). Those osteopaths who often used exercise prescription were also more likely to discuss physical activity (ORa 5.61) and nutrition (ORa 1.90). Australian osteopaths who use exercise prescription often were more likely to treat patients with sports injuries (ORa 2.43) and use soft tissue techniques (ORa 1.92), trigger point techniques (ORa 2.72), and sports taping (ORa 1.78). CONCLUSION: Osteopaths who utilise exercise prescription were more likely to discuss physical activity, diet, and nutrition and utilise referral networks with specialist medical practitioners and exercise physiologists. Australian osteopaths who often use exercise prescriptions were also more likely to treat patients with sport injury. The results suggest that most Australian osteopaths use exercise prescription and have referral networks with other health professionals for patient management. Further work is required to explore the type of exercise prescription used and for what conditions.

摘要

简介:运动有益于改善整体健康、幸福感和特定的医疗状况。在慢性下腰痛和颈痛等肌肉骨骼疾病中,已发现规定的运动对于减轻疼痛和改善功能具有中等效果。整骨医生是主要接触健康专业人员,他们主要管理肌肉骨骼投诉。这项工作是对澳大利亚整骨医学实践研究网络的二次数据分析,并介绍了经常在患者护理中使用运动处方的整骨医生的特征。 对澳大利亚整骨医学实践研究网络的一项横断面调查的二次分析,注册了 992 名整骨医生。研究了经常在患者护理中使用运动处方的澳大利亚整骨医生的人口统计学、实践和治疗特征。 结果:733 名澳大利亚整骨医生(74%)表示,他们经常在患者护理中使用运动处方。经常使用运动处方的澳大利亚整骨医生更有可能与另一位整骨医生共同执业(ORa 1.54),并将转诊给运动生理学家(ORa 1.94)和专科医生(ORa 1.72)。那些经常使用运动处方的整骨医生也更有可能讨论身体活动(ORa 5.61)和营养(ORa 1.90)。经常使用运动处方的澳大利亚整骨医生更有可能治疗运动损伤患者(ORa 2.43),使用软组织技术(ORa 1.92)、触发点技术(ORa 2.72)和运动贴扎(ORa 1.78)。 结论:使用运动处方的整骨医生更有可能讨论身体活动、饮食和营养,并利用与专科医生和运动生理学家的转诊网络。经常使用运动处方的澳大利亚整骨医生也更有可能治疗运动损伤患者。结果表明,大多数澳大利亚整骨医生使用运动处方,并与其他健康专业人员建立了转诊网络,以管理患者。需要进一步工作来探索所使用的运动处方的类型和用于哪些病症。

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[7]
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引用本文的文献

[1]
A national survey of osteopaths' conceptions of practice in France: structural validity of the Osteo-TAQfr and the tendency toward technical rationality.

BMC Health Serv Res. 2025-3-27

[2]
Osteopathy and Mental Health: An Embodied, Predictive, and Interoceptive Framework.

Front Psychol. 2021-10-27

本文引用的文献

[1]
Does aerobic exercise effect pain sensitisation in individuals with musculoskeletal pain? A systematic review.

BMC Musculoskelet Disord. 2022-2-3

[2]
Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis.

Res Sports Med. 2023

[3]
Practitioner and practice characteristics of Australian osteopaths who discuss lifestyle factors with patients: Findings from a national practice-based research network.

Health Soc Care Community. 2022-7

[4]
Utilisation of pain counselling in osteopathic practice: secondary analysis of a nationally representative sample of Australian osteopaths.

Scand J Pain. 2021-4-27

[5]
Exercise/physical activity and health outcomes: an overview of Cochrane systematic reviews.

BMC Public Health. 2020-11-16

[6]
Introducing national osteopathy practice-based research networks in Australia and New Zealand: an overview to inform future osteopathic research.

Sci Rep. 2020-1-21

[7]
Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis.

Br J Sports Med. 2019-10-30

[8]
The prevalence and determinants of physical activity promotion by Australian chiropractors: A cross sectional study.

Complement Ther Med. 2019-6-18

[9]
Effectiveness of taping on functional performance in elite athletes: A systematic review.

J Biomech. 2019-4-13

[10]
Prevalence and profile of Australian osteopaths treating older people.

Complement Ther Med. 2019-1-17

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