Back Pain in Osteopathic Practice

Burton, A. Kim

doi:10.1093/rheumatology/20.4.239

Cited by 21 publications

(9 citation statements)

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“…Patients reported symptoms duration of 0-6 weeks in 48.3% of cases, 7-12 weeks in 11.9% of patients, and 13 weeks or more in 39.8%, indicating a mix of acute and chronic patients consistent with other studies [11,13,24]. Low back pain was the most common complaint among our responding patients (55,8%) this compares to 36% (Fawkes et al, 2014), 52% (Burton, 1981), 68% (McIlwraith, 2003), and 49% (Hinkley and Drysdale, 1995) [10][11][12][13][14].…”

Section: Plos Onesupporting

confidence: 87%

“…included retrospective data collection [10][11][12][13] and one undertook prospective data collection [14]. The sample of patients in this study are very similar to previous studies on UK osteopathic populations and can be said to be representative of that population: the age ranges of respondents in previous studies were similar with the largest group of patients being in age range 41-60 (44%) in Pringle and Tyreman, 1993; 47% in the 35-54 age range in Burton, 1981;40-49 in McIlwraith, 2003, and22% in 30-39 in Fawkes et al, 2014. The gender distribution in this study was: 61.1% females and 38.9.1% males compared with 48% of females in Pringle and Tyreman; 49.8% of females in Burton; 37% females in McIlwraith; 60.5% in Hinkley and Drysdale, and 57% in Fawkes et al [10][11][12][13][14]. All these previous studies used paper data collection methods, thus indicating little difference in age and gender profiles of respondents and predilection assumptions regarding the use of electronic data capture.…”

Section: Plos Onementioning

confidence: 99%

“…Osteopaths in the UK are mainly comprised of clinicians who currently undergo training to BSc or MSc level [8] who practise osteopathy, however some osteopaths are medically-qualified doctors who undergo part-time training over a period of 18 months [9] who can practise as an osteopath and as a medical physician. Osteopaths in the UK treat a wide variety of patients presenting with a range of symptoms which include musculoskeletal and non-musculoskeletal symptoms [10][11][12][13][14]. The aim of this study was to establish an electronic PROMs data capture system, to create a national electronic dataset of outcomes using PROMS from osteopathic patients.…”

Section: Introductionmentioning

confidence: 99%

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Patient reported outcomes in a large cohort of patients receiving osteopathic care in the United Kingdom

Fawkes

Carnes

2021

PLoS ONE

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Objective The use of Patient Reported Outcome Measures (PROMs) to evaluate care is being advocated increasingly in clinical settings. Electronic data capture is both resource and environmentally friendly and convenient. This purpose of this study was to test and implement a nationwide system to collect routine PROM data from osteopathic patients using a web and mobile app. Methods A prospective study design was used to monitor outcomes of care for patients attending osteopathic clinics. Demographic and service data were collected, the primary outcomes were the Bournemouth Questionnaire and a Global Rating of Change score. Data concerning patients’ satisfaction and experience of care were collected also. Data were collected at baseline, one week, and six weeks post-treatment. Results A total of 1721 patients completed the PROM app questionnaire. The majority (65.8%) of patients who used the PROM app were between 40 and 69 years old with 11% being 70 years and over. At baseline 39.8% of patients reported they’d had their symptoms for 13 weeks or more. Low back pain was the most common symptom (55.8%). Patients reported high scores for both satisfaction and experience of osteopathic care: 88.1% were very satisfied at six weeks post-baseline and 93.5% reported very good experience at six weeks post-baseline. Data from the Global Rating of Change scale indicated that at one week post-baseline 89.1% of patients reported some measure of improvement, and at six weeks this figure rose to 92.8%. The mean sum score for the Bournemouth Questionnaire went from 30.8 at baseline to 13.3 at six weeks post-baseline. This represented a significant and clinically meaningful positive change score of 56.8%. Conclusion The app was well-completed and the data very encouraging. These data will help to form the basis for standards of care for patients attending osteopathic practices.

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Section: Plos Onesupporting

confidence: 87%

Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient reported outcomes in a large cohort of patients receiving osteopathic care in the United Kingdom

Fawkes

Carnes

2021

PLoS ONE

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“…Carnes and Fawkes [10], highlight the importance to the profession of collecting data regarding clinical practice. Previously data has been collected from small surveys mostly in single private practice settings and within a single osteopathic educational institution [11,12,13,14]. These previous works are descriptive in nature and do not compare demographic and symptomology data.…”

Section: Rationalementioning

confidence: 99%

The Patient Profile of a Uk Osteopathic Student Out-patient Clinic: a Retrospective Descriptive Study

MacMillan¹

2020

Preprint

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Osteopathy is a healthcare discipline regulated by statute within the UK. Little is known regarding the day-to-day practice of osteopaths. The aim of this study was to investigate the patient profile within a teaching institution. Data regarding patients and their presenting symptoms are routinely collected at UK OEIs. The data were analysed from a sample spanning three years. The demographic data collected described the patient population sample in terms of age range, gender, occupation and ethnicity. The patient symptom data collected was comprised of site of pain, aetiology, symptom duration and symptom pattern. The study first profiles the clinic patient population, describing the prevalence of the types of presenting complaint, and then profiles the demographics of the sample. The study then compared the demographic data to the symptom data to assess for trends within the sample.Methods Data from a total of 3,760 patient records attending between 02/01/13 and 24/12/15 were analysed. This data was cleansed leaving 3243 complete patient records. The data was then analysed using descriptive and inferential statistics via the StatisticalPackage for Social Sciences. The statistical tests used were the nonparametric test, Kendall’s rank order correlation, and Pearson’s Chi-Square correlations for the ordinal data. Distributions and frequency counts were performed to describe the data using Microsoft excel.Results The sample of the clinic population analysed included 3243 patient records, of which 1834 were female (57%) and 1408 (43%) were male. The ethnic profile of included records was predominantly Caucasian at 68%, with 13% of Black Minority Ethnic origin and 12% South Asian. The age range is from 0 to 80+ years, and the majority of participants are aged 30-39 (31%). The most common sites of pain were: low back (33%), neck (23%), upper back (9%), mid back (7%), and shoulder (6%). The results suggest that gender may influence site of pain, and that ethnicity is not associated with symptom duration but may be associated with symptom site and pattern, however the association is weak and may not be generalizable beyond this cohort. No statistical significance was found between occupation and pain. Conclusion This study is a detailed profile of a UK OEIs clinic’s patient population. It investigated potential links between demographic data and presenting complaints. Further study with a larger sample size would allow more reliable analysis of data, repeating similar investigation at other institutions may enhance understanding of this topic and highlight if regional differences occur. This study highlights that there are no discernable correlation between pain presentation and occupation or ethnicity. IMPLICATIONS FOR PRACTICEThis study adds to the existing research literature by:Profiles the patient population of a UK OEI with reference to; ethnicity, age and gender.Demonstrates a relationship between gender and sites of pain and no link between occupation and presenting complaint.

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“…Chiropractors and osteopaths were using today's evidence-based approach in the 1970s. 9,10 They were still using them at the time of the last major practice survey, 11 and before the first evidence-based guideline on back pain was published in 1994. 12 They are still using them today.…”

mentioning

confidence: 99%