Borody Cameron, D'Arcy Janet, Waters Jaime, Leung Mark, Busse Jason
Canadian Memorial Chiropractic College, 6100 Leslie St, Toronto, ON, M2H 3J1, Canada.
The Open University, Milton Keynes, United Kingdom.
Chiropr Man Therap. 2025 May 20;33(1):19. doi: 10.1186/s12998-025-00581-4.
Previous surveys of physicians revealed diverse attitudes towards chiropractic. One of several strategies proposed by leaders in chiropractic to support the advancement of the profession in North America is to increase opportunities for interprofessional collaboration. One area where chiropractic has achieved some degree of integration in Canada is in the field of sports medicine. A result of the increased integration of chiropractic in the field of sports medicine has been more opportunity for interprofessional collaboration, development of interprofessional relationships and increased exposure to chiropractic. The attitudes of Canadian sport and exercise medicine physicians (CSPs) towards chiropractic are unknown. The purpose of this study is to determine the attitudes and their contributing factors of CSPs toward chiropractic and its use for treatment of athletes and/or Canadians who are participating in sports or exercise (ACSE).
An invitation to complete the survey was included in a newsletter emailed to active physician members of CASEM (Canadian Academy of Sports and Exercise Medicine) in March and April 2023 and attendees of their symposium. The survey included the Chiropractic Attitude Questionnaire (CAQ), which allowed respondents to indicate their attitudes towards chiropractic care for ACSE using a 5-point Likert scale. The responses to the CAQ were the primary outcome measure. Descriptive statistics, including mean, median, standard deviation, maximum, minimum and range, regression analysis, t-tests, and ANOVAs were used to analyse the data.
Seventy CSPs completed the survey (response rate: 11%). The summed CAQ scores ranged from 0 to 68 with a mean of 39.03 and a standard deviation of 15.30. CSPs who worked with a chiropractor in a multidisciplinary setting hold a more positive opinion of chiropractic. An independent samples t-test indicated that there was a significant difference between CAQ scores for those with experience of working with a chiropractor (M = 42.03, SD = 14.99) and those without (M = 29.41, SD = 13.10); t(58) = 3.27, p < 0.05.
CSPs attitudes toward chiropractic and its use for treatment of ACSE range from very positive to extremely negative. CSPs who reported to have worked with a chiropractor have more positive attitudes than those that have not.
先前对医生的调查显示，他们对整脊疗法的态度各不相同。整脊疗法领域的领导者提出的多项促进该行业在北美发展的策略之一，是增加跨专业合作的机会。在加拿大，整脊疗法在运动医学领域已实现了一定程度的融合。整脊疗法在运动医学领域融合度提高的一个结果是，跨专业合作的机会增多、跨专业关系得到发展，整脊疗法的曝光度也有所增加。加拿大运动与运动医学医生（CSPs）对整脊疗法的态度尚不清楚。本研究的目的是确定CSPs对整脊疗法的态度及其影响因素，以及整脊疗法在治疗运动员和/或参与运动或锻炼的加拿大人（ACSE）方面的应用情况。
2023年3月和4月，向加拿大运动与运动医学学会（CASEM）的在职医生会员及其研讨会参会者发送的时事通讯中包含了一份完成调查的邀请。该调查包括整脊态度问卷（CAQ），受访者可使用5分量表表明他们对ACSE整脊治疗的态度。对CAQ的回答是主要的结果指标。使用描述性统计，包括均值、中位数、标准差、最大值、最小值和范围、回归分析、t检验和方差分析来分析数据。
70名CSPs完成了调查（回复率：11%）。CAQ总分在0至68分之间，平均分为39.03分，标准差为15.30分。在多学科环境中与整脊治疗师合作的CSPs对整脊疗法的看法更为积极。独立样本t检验表明，有与整脊治疗师合作经验的人（M = 42.03，SD = 14.99）和没有此经验的人（M = 29.41，SD = 13.10）的CAQ得分存在显著差异；t(58) = 3.27，p < 0.05。
CSPs对整脊疗法及其在治疗ACSE方面的应用态度从非常积极到极其消极不等。报告曾与整脊治疗师合作过的CSPs比未合作过的人态度更积极。
