A questionnaire survey of the management and classification of patients presenting with neck pain to osteopathic and physiotherapy practices
| aut.embargo | No | en_NZ |
| aut.thirdpc.contains | Yes | en_NZ |
| aut.thirdpc.permission | No | en_NZ |
| aut.thirdpc.removed | Yes | en_NZ |
| dc.contributor.advisor | Reid, Duncan | |
| dc.contributor.advisor | Hing, Wayne | |
| dc.contributor.advisor | Moran, Robert | |
| dc.contributor.author | Hutchinson, James | |
| dc.date.accessioned | 2016-03-06T23:07:12Z | |
| dc.date.available | 2016-03-06T23:07:12Z | |
| dc.date.copyright | 2015 | |
| dc.date.created | 2016 | |
| dc.date.issued | 2015 | |
| dc.date.updated | 2016-03-05T11:09:19Z | |
| dc.description.abstract | Background: Little is known about the management practices of Australian and New Zealand osteopaths and physiotherapists for patients with neck pain. By assessing the practice patterns of practitioners using a case-by-case approach it is possible to investigate the extent to which practitioners may be in alignment with best-practice guidelines. By identifying a practice-research gap it is possible to tailor educational and research efforts to improve management practices where necessary. Aim: To survey the management approaches of Australian and New Zealand osteopaths and physiotherapists for patients with neck pain and describe their alignment with evidence-based practice. Methods: A web-based questionnaire was administered from September 2012 to April 2013 to survey the intervention utilisation, and consistency with a treatment-based classification scheme amongst Australian and New Zealand osteopaths and physiotherapists treating patients with neck pain. Results: The highest proportion of respondent practitioners (n=48) was from New Zealand (52%, n=25). Osteopaths accounted for 54% of the respondents and physiotherapists 46%. In the patient subset (n=109), osteopaths reported on n=51 patient interactions, and physiotherapists on n=58. The most frequently occurring age bracket for patients was 36-45 years (29%), and the patient subset was predominantly female (62%). The most frequently reported presenting complaint was neck pain and headache (35%). Odds ratio (OR) and Chi square (X2) analysis was performed to allow comparisons to be made between practitioner groups. Analysis indicated that both practitioner groups employed a multimodal approach in their management of patients with neck pain, with the interventions selected consistent with supporting evidence. Analysis of the classification subgroups showed a lack of evidence supporting practitioners applying a treatment-based classification system. Some of the interventions applied lacked evidential support in the literature. Osteopaths often applied a regional approach for the treatment of patients with neck pain, applying interventions more frequently than physiotherapists to the thoracic region as well as the cervical region. Conclusion: The two groups of practitioners demonstrated a multimodal approach to their management of patients with neck pain and did not appear to apply groupings of interventions that were consistent with a treatment-based classification system. In addition, there were differences between osteopaths and physiotherapists in the frequency of utilisation of spinal manipulation, and the anatomical regions addressed. | en_NZ |
| dc.identifier.uri | https://hdl.handle.net/10292/9589 | |
| dc.language.iso | en | en_NZ |
| dc.publisher | Auckland University of Technology | |
| dc.rights.accessrights | OpenAccess | |
| dc.subject | Survey | en_NZ |
| dc.subject | Neck Pain | en_NZ |
| dc.subject | Osteopaths | en_NZ |
| dc.subject | Physiotherapists | en_NZ |
| dc.subject | Practice Patterns | en_NZ |
| dc.subject | Questionnaire | en_NZ |
| dc.subject | Practice patterns | en_NZ |
| dc.subject | Multimodal management | en_NZ |
| dc.subject | treatment-based classification | en_NZ |
| dc.title | A questionnaire survey of the management and classification of patients presenting with neck pain to osteopathic and physiotherapy practices | en_NZ |
| dc.type | Thesis | |
| thesis.degree.discipline | ||
| thesis.degree.grantor | Auckland University of Technology | |
| thesis.degree.level | Masters Theses | |
| thesis.degree.name | Master of Philosophy | en_NZ |