Profile of osteopathic practice in Spain: results from a standardized data collection study

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Abstract

Background

There is limited research regarding patients’ profiles and consumer attitudes and habits of osteopathy in Spain. The purpose of this study was to profile patients who regularly receive osteopathic care in Spain using an internationally developed standardized data collection tool.

Method

During the period between April 2014 and December 2015, a UK-developed standardized data collection tool was distributed to Spanish osteopaths who voluntarily agreed to participate in this cross-sectional study.

Results

Thirty-six osteopaths participated in this study and returned a total of 314 completed datasets. Of 314 patients, 61% were women and 39% were men, with a mean age of 40 years (SD 17.02 years, range 0 to 83 years). Forty-four percent were full-time salaried workers, and in 78% of cases, receiving osteopathic treatment was the patient’s own choice. Chronic spinal pain presentations were the most frequent reasons for consultation. Seventy-five percent of patients presented with a coexisting condition, mainly gastrointestinal disorders and headaches. The main treatment approach consisted of mobilization techniques, followed by soft tissue, cranial and high velocity thrust techniques. Improvement or resolution of the complaint was experienced by 93% of patients after a small number of sessions. Adverse events were minor and occurred in 7% of all cases.

Conclusion

This is the first study carried out in Spain analyzing the profile of patients who receive osteopathic care. The typical patient who receives osteopathic care in Spain is middle-aged, presents mainly with chronic spinal pain, and voluntarily seeks osteopathic treatment. Osteopathic treatment produces a significant improvement in the majority of cases with a low rate of minor adverse events reported.

Electronic supplementary material

The online version of this article (10.1186/s12906-018-2190-0) contains supplementary material, which is available to authorized users.

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Most cited references 38

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Adverse events and manual therapy: a systematic review.

Dawn Carnes, Thomas S. Mars, Brenda Mullinger … (2010)

To explore the incidence and risk of adverse events with manual therapies. The main health electronic databases, plus those specific to allied medicine and manual therapy, were searched. Our inclusion criteria were: manual therapies only; administered by regulated therapists; a clearly described intervention; adverse events reported. We performed a meta-analysis using incident estimates of proportions and random effects models. Eight prospective cohort studies and 31 manual therapy RCTs were accepted. The incidence estimate of proportions for minor or moderate transient adverse events after manual therapy was approximately 41% (CI 95% 17-68%) in the cohort studies and 22% (CI 95% 11.1-36.2%) in the RCTs; for major adverse events approximately 0.13%. The pooled relative risk (RR) for experiencing adverse events with exercise, or with sham/passive/control interventions compared to manual therapy was similar, but for drug therapies greater (RR 0.05, CI 95% 0.01-0.20) and less with usual care (RR 1.91, CI 95% 1.39-2.64). The risk of major adverse events with manual therapy is low, but around half manual therapy patients may experience minor to moderate adverse events after treatment. The relative risk of adverse events appears greater with drug therapy but less with usual care. Copyright 2010 Elsevier Ltd. All rights reserved.

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Prevalence of neck and low back pain in community-dwelling adults in Spain: an updated population-based national study (2009/10-2011/12).

Domingo Palacios-Ceña, Cristina Alonso-Blanco, Valentin Hernández-Barrera … (2015)

To estimate time trends in the prevalence of neck (NP) and low back pain (LBP) from 2009 to 2012; and to determine the socio-demographic features, self-rated health status, co-morbidity, lifestyle-related habits, and health care service associated with NP and LBP in Spanish adults.

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The influence of patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain on the process of care: a systematic review of qualitative studies.

Suzanne Parsons, Tamar Pincus, Martin Underwood … (2006)

To review qualitative, empirical studies exploring the influence of patients' and primary care practitioners' beliefs and expectations on the process of care for chronic musculoskeletal pain. A multidisciplinary review group searched 9 bibliographic databases. The group worked in pairs to screen titles and abstracts for relevance, to quality appraise relevant studies, to extract data from high-quality studies and to undertake a thematic analysis of this data. We identified 12,994 abstracts from our searches, of which we obtained 113 full-text articles as their abstracts contained insufficient information for us to decide on their eligibility. We appraised 22 qualitative studies, 15 of which were included in the analysis. Themes identified included; (1) beliefs about pain, (2) expectations of treatment, (3) trust, and (4) patient education. Both patients and practitioners wanted clear communication within the consultation and to be respected, but conflicts existed on nearly all other aspects of the consultation, some of which at present may seem insurmountable and may lead to difficulties in achieving positive outcomes. To tackle the challenges and conflicts identified within the review, change may have to occur, not just in individual patient and practitioner beliefs and behavior, but also at an organizational and system level, for example, changes in undergraduate and postgraduate education and changes in the organization and availability of health services.

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Author and article information

Contributors

Gerard Alvarez Bustins: gerardalv@gmail.com

Pedro-Victor López Plaza: pedrovictorlp@gmail.com

Sonia Roura Carvajal: soniaroura6@gmail.com

Journal

Journal ID (nlm-ta): BMC Complement Altern Med

Journal ID (iso-abbrev): BMC Complement Altern Med

Title: BMC Complementary and Alternative Medicine

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-6882

Publication date (Electronic): 11 April 2018

Publication date PMC-release: 11 April 2018

Publication date Collection: 2018

Volume: 18

Electronic Location Identifier: 129

Affiliations

[1 ]Centre for Osteopathic Medicine – C.O.ME. Collaboration, Spain National Center, Clinical-based Human Research Department, Barcelona, Spain

[2 ]Iberoamerican Cochrane Centre – Biomedical Research Institute Sant Pau, IIB Sant Pau, Barcelona, Spain

[3 ]ISNI 0000 0001 2174 6723, GRID grid.6162.3, Blanquerna School of Health Sciences, , Ramon Llull University, ; Barcelona, Spain

[4 ]Fundació d’Osteopatia de Barcelona, Grup de Recerca en Osteopatia de Barcelona, Sant Just Desvern, Barcelona, Spain

Article

Publisher ID: 2190

DOI: 10.1186/s12906-018-2190-0

PMC ID: 5896131

PubMed ID: 29642901

SO-VID: 67bff1a5-002d-471b-a970-a755cde7914e

License:

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 12 May 2017

Date accepted : 26 March 2018

Funding

Funded by: Registro de Osteópatas de España (ROE)

Custom metadata

ScienceOpen disciplines: Complementary & Alternative medicine

Keywords: osteopathy,osteopathic medicine,cross-sectional survey,standardized data collection,scope of practice,clinical presentations

Data availability:

ScienceOpen disciplines: Complementary & Alternative medicine

Keywords: osteopathy, osteopathic medicine, cross-sectional survey, standardized data collection, scope of practice, clinical presentations

Profile of osteopathic practice in Spain: results from a standardized data collection study

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Abstract

Background

Method

Results

Conclusion

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The International Journal of Person Centered Medicine

Most cited references 38

Adverse events and manual therapy: a systematic review.

Prevalence of neck and low back pain in community-dwelling adults in Spain: an updated population-based national study (2009/10-2011/12).

The influence of patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain on the process of care: a systematic review of qualitative studies.

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