Beliefs, perceptions and practices of chiropractors and patients about mitigation strategies for benign adverse events after spinal manipulation therapy
| Autor: | Anthony Tibbles, Greg Kawchuk, Rachel Goldsworthy, Silvano Mior, Alexander D Lee, Katherine A. Pohlman, Martha Funabashi |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Manipulation Spinal Soft tissue therapy medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Patients Mitigation Culture Pain Physical Therapy Sports Therapy and Rehabilitation Spinal manipulation Young Adult 03 medical and health sciences Patient safety 0302 clinical medicine Physicians Surveys and Questionnaires Patient experience medicine Humans 030212 general & internal medicine Survey Response rate (survey) business.industry Research Headache lcsh:Chiropractic Middle Aged Chiropractic Quality assurance Cross-Sectional Studies Complementary and alternative medicine lcsh:RZ201-275 Adverse events Physical therapy Female Perception Chiropractics lcsh:RC925-935 Manual therapy business 030217 neurology & neurosurgery Patient education |
| Zdroj: | Chiropractic & Manual Therapies Chiropractic & Manual Therapies, Vol 28, Iss 1, Pp 1-9 (2020) |
| ISSN: | 2045-709X |
| Popis: | Background Approximately 50% of patients who receive spinal manipulative therapy (SMT) experience some kind of adverse event (AE), typically benign and transient in nature. Regardless of their severity, mitigating benign AEs is important to improve patient experience and quality of care. The aim of this study was to identify beliefs, perceptions and practices of chiropractors and patients regarding benign AEs post-SMT and potential strategies to mitigate them. Methods Clinicians and patients from two chiropractic teaching clinics were invited to respond to an 11-question survey exploring their beliefs, perceptions and practices regarding benign AEs post-SMT and strategies to mitigate them. Responses were analyzed using descriptive statistics. Results A total of 39 clinicians (67% response rate) and 203 patients (82.9% response rate) completed the survey. Most clinicians (97%) believed benign AEs occur, and 82% reported their own patients have experienced one. For patients, 55% reported experiencing benign AEs post-SMT, with the most common symptoms being pain/soreness, headache and stiffness. While most clinicians (61.5%) reported trying a mitigation strategy with their patients, only 21.2% of patients perceived their clinicians had tried any mitigation strategy. Clinicians perceived that patient education is most likely to mitigate benign AEs, followed by soft tissue therapy and/or icing after SMT. Patients perceived stretching was most likely to mitigate benign AEs, followed by education and/or massage. Conclusions This is the first study comparing beliefs, perceptions and practices from clinicians and patients regarding benign AEs post-SMT and strategies to mitigate them. This study provides an important step towards identifying the best strategies to improve patient safety and improve quality of care. |
| Databáze: | OpenAIRE |
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