关键词: Cephalalgia Migraine Mmanual therapy Osteopathic medicine physical therapy practice-based research network

Mesh : Humans Migraine Disorders / therapy Australia Cross-Sectional Studies Female Male Middle Aged Adult Manipulation, Osteopathic / methods Osteopathic Medicine / methods Temporomandibular Joint Disorders / therapy Practice Patterns, Physicians' / statistics & numerical data

来  源:   DOI:10.1016/j.jbmt.2024.03.041

Abstract:
BACKGROUND: Individuals who experience migraines often seek out a variety of treatment options including manual or physical therapy. Evidence suggests that manual therapy, including osteopathy, can play a role in the management of migraines. Whilst there is some literature on the role osteopathy therapy plays in migraine management, none describes the treatment approaches used by practitioners.
OBJECTIVE: To explore the demographic, practice and clinical management characteristics of Australian osteopaths who report treating migraine \'often\' in clinical practice.
METHODS: Secondary analysis of a cross-sectional survey of 988 osteopaths from the Osteopathy Research and Innovation Network (ORION), an Australian practice-based research network. Regression analysis was used to identify demographic, practice and clinical management characteristics of Australian osteopaths who reported \'often\' treating migraine patients.
RESULTS: Over 40% of respondents (n = 400) indicated treating patients with migraines \'often\'. These osteopaths were less likely to be involved in research and be co-located with a dietician compared to osteopaths who do \'not often\' treat migraine. Osteopaths who reported \'often\' treating migraine were: five times as likely to treat non-English speaking ethnic groups; 2.5 times as likely to treat chronic pain, temporomandibular joint disorders and hand musculoskeletal complaints; compared to those that do not treat migraines \'often\'.
CONCLUSIONS: Australian osteopaths who treat migraine are five times more likely to treat non-English speaking ethnic groups; twice as likely to treat chronic pain; temporomandibular joint disorders, and hand musculoskeletal complaints. More research is needed to identify the practices and patient outcomes associated with osteopathy care for those experiencing migraines.
摘要:
背景:经历偏头痛的个体通常寻求各种治疗选择,包括手动或物理治疗。证据表明,手动治疗,包括骨病,可以在偏头痛的管理中发挥作用。虽然有一些关于骨病治疗在偏头痛管理中的作用的文献,没有描述从业者使用的治疗方法。
目的:探索人口统计,澳大利亚骨科医生的实践和临床管理特征报告在临床实践中经常治疗偏头痛。
方法:对来自骨病研究与创新网络(ORION)的988名骨病患者的横断面调查进行了二次分析,澳大利亚基于实践的研究网络。回归分析用于识别人口统计,澳大利亚骨科医生报告“经常”治疗偏头痛患者的实践和临床管理特征。
结果:超过40%的受访者(n=400)表示治疗偏头痛患者“经常”。与“不经常”治疗偏头痛的骨科医生相比,这些骨科医生不太可能参与研究并与营养学家共同定位。报告“经常”治疗偏头痛的骨科医生是:治疗非英语种族的可能性是其五倍;治疗慢性疼痛的可能性是其2.5倍,颞下颌关节紊乱和手部肌肉骨骼不适;与那些不治疗偏头痛的患者相比。
结论:治疗偏头痛的澳大利亚骨科医生治疗非英语种族的可能性是其五倍;治疗慢性疼痛的可能性是其两倍;颞下颌关节紊乱病,和手部肌肉骨骼不适。需要更多的研究来确定与偏头痛患者的骨病护理相关的实践和患者预后。
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