PDF(Pubmed)
Abstract：
BACKGROUND: Osteopathic manipulative medicine (OMM) encompasses techniques guided by the tenets of osteopathy aimed at facilitating the body\'s natural self-healing capabilities as a treatment option for injury or illness. This approach recognizes the interrelationship of structure and function in promoting overall health. The clinical applications of OMM have been highly researched throughout different subspecialties of medicine; however, there is a notable lack of osteopathic-based research targeted toward neurosurgical patient populations.
METHODS: This cross-sectional descriptive study was conducted via a survey generated using SurveyMonkey (SurveyMonkey, San Mateo, CA, USA; accessed at www.surveymonkey.com). Subjects for this survey were gathered using a convenience sampling method in which emails of all neurosurgeons listed in the \"Member Directory\" on the American Association of Neurological Surgeons website were compiled into a mailing list. The survey was sent to all 6,503 emails collected, and the responses were recorded over the next month. The responses for each survey question were averaged and, when appropriate, compared using a two-tailed T-test, with statistical significance defined as a p<0.05. Where applicable, simple linear regression analysis was used to assess correlations between survey data. The measured outcomes included neurosurgeons\' (1) knowledge of and (2) attitudes toward OMM.
RESULTS: Both MD and DO neurosurgeons reported using OMM (or referring their patients for OMM) less than once per year. In comparison to their MD colleagues, neurosurgeons carrying a DO degree ranked their familiarity with the tenets of osteopathic medicine (p<0.0001) and their knowledge of the applications of OMM in their practice (p=0.0018) significantly higher. Greater reported familiarity with the tenets of osteopathic medicine and applications of OMM showed a positive correlation with neurosurgeons\' comfort in recommending OMM as a nonsurgical, preoperative treatment option, as a post-surgical, rehabilitative treatment option, and as a pain management option (p<0.0001 for all). There was a clear interest in seeing further osteopathic-based neurosurgery research by both MD and DO neurosurgeons, as well as a trend of interest in incorporating OMM into their practice if shown to be clinically beneficial.
CONCLUSIONS: Both MD and DO neurosurgeons are interested in seeing more research into the applications of OMM in their patient populations and, most importantly, are likely to integrate OMM into their practice if presented with research detailing clinical benefits to their patients. This study highlights the clinical interest of neurosurgeons in further research into the applications of OMM specific to the field of neurosurgery.
METHODS: This cross-sectional descriptive study was conducted via a survey generated using SurveyMonkey (SurveyMonkey, San Mateo, CA, USA; accessed at www.surveymonkey.com). Subjects for this survey were gathered using a convenience sampling method in which emails of all neurosurgeons listed in the \"Member Directory\" on the American Association of Neurological Surgeons website were compiled into a mailing list. The survey was sent to all 6,503 emails collected, and the responses were recorded over the next month. The responses for each survey question were averaged and, when appropriate, compared using a two-tailed T-test, with statistical significance defined as a p<0.05. Where applicable, simple linear regression analysis was used to assess correlations between survey data. The measured outcomes included neurosurgeons\' (1) knowledge of and (2) attitudes toward OMM.
RESULTS: Both MD and DO neurosurgeons reported using OMM (or referring their patients for OMM) less than once per year. In comparison to their MD colleagues, neurosurgeons carrying a DO degree ranked their familiarity with the tenets of osteopathic medicine (p<0.0001) and their knowledge of the applications of OMM in their practice (p=0.0018) significantly higher. Greater reported familiarity with the tenets of osteopathic medicine and applications of OMM showed a positive correlation with neurosurgeons\' comfort in recommending OMM as a nonsurgical, preoperative treatment option, as a post-surgical, rehabilitative treatment option, and as a pain management option (p<0.0001 for all). There was a clear interest in seeing further osteopathic-based neurosurgery research by both MD and DO neurosurgeons, as well as a trend of interest in incorporating OMM into their practice if shown to be clinically beneficial.
CONCLUSIONS: Both MD and DO neurosurgeons are interested in seeing more research into the applications of OMM in their patient populations and, most importantly, are likely to integrate OMM into their practice if presented with research detailing clinical benefits to their patients. This study highlights the clinical interest of neurosurgeons in further research into the applications of OMM specific to the field of neurosurgery.
摘要：
背景：整骨手法医学（OMM）包括以整骨疗法的原则为指导的技术，旨在促进身体的自然自我修复能力，作为损伤或疾病的治疗选择。这种方法认识到结构和功能在促进整体健康方面的相互关系。OMM的临床应用已经在医学的不同亚专业中得到了高度研究；然而，明显缺乏针对神经外科患者人群的基于整骨疗法的研究.
方法：这项横断面描述性研究是通过使用SurveyMonkey（SurveyMonkey，圣马特奥,CA,美国；通过www访问。surveymonkey.com)。这项调查的受试者是使用一种方便的抽样方法收集的，在这种方法中，美国神经外科医师协会网站上的“会员目录”中列出的所有神经外科医师的电子邮件都被编入邮件列表。该调查已发送到收集的所有6,503封电子邮件中，并记录了下个月的答复。每个调查问题的回答都是平均的，在适当的时候,使用双尾T检验进行比较，统计学意义定义为p<0.05。如果适用,使用简单线性回归分析评估调查数据之间的相关性.测量结果包括神经外科医生（1）对OMM的知识和（2）对OMM的态度。
结果：MD和DO神经外科医生都报告使用OMM（或将其患者转诊为OMM）每年少于一次。与他们的MD同事相比，拥有DO学位的神经外科医生对整骨医学原理的熟悉程度（p<0.0001）和对OMM在其实践中的应用的了解程度（p=0.0018）明显更高。据报道，对整骨医学原理和OMM应用的更熟悉程度与神经外科医生推荐OMM作为非手术药物的舒适度呈正相关，术前治疗选择，作为手术后，康复治疗方案，并作为疼痛管理选项（所有p<0.0001）。有明显的兴趣看到进一步的基于骨科的神经外科研究由MD和DO神经外科医生，以及将OMM纳入他们的实践中的兴趣趋势，如果证明是临床有益的。
结论：医学博士和医学博士都希望看到更多关于OMM在患者人群中应用的研究，最重要的是,如果提供详细说明对患者的临床益处的研究，则可能将OMM整合到他们的实践中。这项研究强调了神经外科医生在进一步研究OMM在神经外科领域的应用方面的临床兴趣。
方法：这项横断面描述性研究是通过使用SurveyMonkey（SurveyMonkey，圣马特奥,CA,美国；通过www访问。surveymonkey.com)。这项调查的受试者是使用一种方便的抽样方法收集的，在这种方法中，美国神经外科医师协会网站上的“会员目录”中列出的所有神经外科医师的电子邮件都被编入邮件列表。该调查已发送到收集的所有6,503封电子邮件中，并记录了下个月的答复。每个调查问题的回答都是平均的，在适当的时候,使用双尾T检验进行比较，统计学意义定义为p<0.05。如果适用,使用简单线性回归分析评估调查数据之间的相关性.测量结果包括神经外科医生（1）对OMM的知识和（2）对OMM的态度。
结果：MD和DO神经外科医生都报告使用OMM（或将其患者转诊为OMM）每年少于一次。与他们的MD同事相比，拥有DO学位的神经外科医生对整骨医学原理的熟悉程度（p<0.0001）和对OMM在其实践中的应用的了解程度（p=0.0018）明显更高。据报道，对整骨医学原理和OMM应用的更熟悉程度与神经外科医生推荐OMM作为非手术药物的舒适度呈正相关，术前治疗选择，作为手术后，康复治疗方案，并作为疼痛管理选项（所有p<0.0001）。有明显的兴趣看到进一步的基于骨科的神经外科研究由MD和DO神经外科医生，以及将OMM纳入他们的实践中的兴趣趋势，如果证明是临床有益的。
结论：医学博士和医学博士都希望看到更多关于OMM在患者人群中应用的研究，最重要的是,如果提供详细说明对患者的临床益处的研究，则可能将OMM整合到他们的实践中。这项研究强调了神经外科医生在进一步研究OMM在神经外科领域的应用方面的临床兴趣。
