Prevalence and profile of Australian chiropractors treating athletes or sports people: A cross-sectional study

Adams, Jon; Lauche, Romy; Luca, Katie de; Swain, M. V.; Peng, Wenbo; Sibbritt, David

doi:10.1016/j.ctim.2018.05.003

Cited by 12 publications

(14 citation statements)

References 18 publications

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“…This finding is not surprising, given that sport is one part of physical activity participation and chiropractors are among a wide range of health professionals, who treat athletes or sports people. 49,50 Sports injuries pose a substantial health burden 51,52 and constitute a common cause of pain and disability that can negatively impact an individual's quality of life and well-being. While physical activity is important to mitigate the risk of chronic disease and regular sports participation is likely to provide health benefits, it is also necessary to discuss physical activity in the context of a gradual return to sport, following sports injury for athletes and sports people.…”

Section: Discussionmentioning

confidence: 99%

“…55 Sports injury management is common among Australian chiropractors, with almost 50% frequently treating athletes or sports people. 50 Although the relationship between physical activity and treating athletes/ sports people is conceivable, i.e., physical activity can effectively reduce sports and overuse injuries, 56 it is also important to ensure the athlete's functional limits and milestones are agreed upon and honoured in the rehabilitation of musculoskeletal injuries. The reasons behind the relationship between physical activity and treating athletes/ sports people was not investigated in our study and warrant further research attention.…”

Section: Discussionmentioning

confidence: 99%

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The prevalence and determinants of physical activity promotion by Australian chiropractors: A cross sectional study

Fernandez

Moore

Eklund

et al. 2019

Complementary Therapies in Medicine

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Background: Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian chiropractors who frequently discuss patient physical activity. Methods: A national cross-sectional survey of chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. Results: Eighty-five percent of Australian chiropractors reported 'often' discussing physical activity as part of their patient management. The strongest factors associated with chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting. Conclusion: Discussing physical activity is a frequent feature of patient management among most chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of chiropractors in promoting this important public health topic among patients and communities is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The prevalence and determinants of physical activity promotion by Australian chiropractors: A cross sectional study

Fernandez

Moore

Eklund

et al. 2019

Complementary Therapies in Medicine

Self Cite

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“…(10) A recent survey by Adams et al describes that nearly half of the surveyed general chiropractors who treat athletes or sportspeople 'often' were more likely to use a multimodal approach to management more than their colleagues that did not treat athletes or sportspeople 'often'. (9) This compares to the 97.4% of sports chiropractors in this study who utilise a multimodal approach to the management of their athletes. Based on the above, some of these views are likely based on inferences drawn from the philosophical boundaries of how general chiropractors may treat as a Primary Spine Care Providers (15,16) in the past, and not how multimodal sports chiropractors (7-9, 17) currently manage patients.…”

Section: Discussionmentioning

confidence: 71%

“…The management differs from that of the general chiropractor as sports chiropractors give consideration to both the hard and soft/connective tissues (muscle, tendon, ligament, fascia etc) whilst often supplementing passive approaches to care with active care prescription. (2,9) Sports chiropractors are often considered to be uni-modal practitioners with limited regard for orthodox medical approaches. (2) However the literature shows that chiropractors are not limited to a manipulationonly approach, with the majority of treatments being multi-modal.…”

Section: Introductionmentioning

confidence: 99%

A descriptive study of sports chiropractors

Nelson¹,

Pollard²,

Ames³

et al. 2017

Journal of Science and Medicine in Sport

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BACKGROUND:This paper describes the education and case management pro le of sports chiropractors with the Federation of International Sports Chiropractors (FICS) postgraduate quali cation: International chiropractic sport science practitioner (ICSSP). The ICSSP is the predominant international sports chiropractic quali cation. METHODS:A 39-item web-based survey examining practitioner, practice and clinical management characteristics was distributed via email to all sports chiropractors who hold an ICSSP (n = 240) in 2015. RESULTS:The survey response rate was 64% (n = 154). The average age of the chiropractors was 31-40 years, just over three quarters were male and have been in practice for 5-10 years. The majority of respondents were based in North America.Sports chiropractors treat a wide range of musculoskeletal conditions with multimodal care (active and passive) and treat professional, semi-professional and Olympic athletes. Sports chiropractors have referral and co-management relationships with a range of conventional and allied health providers. CONCLUSIONS:There is often a lack of knowledge and misinformation about the background of sports chiropractors.This study refutes a number of commonly held misbeliefs, and describes a workforce that is well educated, treat high-level athletes, utilise a multimodal approach to management, treat a wide variety of non-spinal musculoskeletal conditions, frequently prescribe rehabilitative exercise, and refer to and comanage with other members of the sports medicine team.

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“…Chiropractors are an integral part of injury management for the athlete. Fellows of the Royal College of Chiropractic Sports Sciences (Canada) (RCCSS(C)) report that up to 25% of their practice is comprised of athletes and 49.5% of Australian chiropractors report ‘often’ treating athletes [1, 2]. In addition, 29% of intercollegiate athletes use chiropractic treatment [3] and 31% of NFL teams employ chiropractors as an official part of their staff [4].…”

Section: Introductionmentioning

confidence: 99%

The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence

et al. 2019

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Introduction The effectiveness of spinal manipulative therapy (SMT) for improving athletic performance in healthy athletes is unclear. Assessing the effect of SMT on other performance outcomes in asymptomatic populations may provide insight into the management of athletes where direct evidence may not be available. Our objective was to systematically review the literature on the effect of SMT on performance-related outcomes in asymptomatic adults. Methods MEDLINE, CINAHL, SPORTDiscus, and Cochrane Central Register of Controlled Trials were systematically searched from 1990 to March 23, 2018. Inclusion criteria was any study examining a performance-related outcome of SMT in asymptomatic adults. Methodological quality was assessed using the SIGN criteria. Studies with a low risk of bias were considered scientifically admissible for a best evidence synthesis. We calculated the between group mean change and 95% confidence intervals. Results Of 1415 articles screened, 20 studies had low risk of bias, seven were randomized crossover trials, 10 were randomized controlled trials (RCT) and three were RCT pilot trials. Four studies showed SMT had no effect on physiological parameters at rest or during exercise. There was no effect of SMT on scapular kinematics or transversus abdominus thickness. Three studies identified changes in muscle activation of the upper or lower limb, compared to two that did not. Five studies showed changes in range of motion (ROM). One study showed an increase lumbar proprioception and two identified changes in baropodometric variables after SMT. Sport-specific studies show no effect of SMT except for a small increase in basketball free-throw accuracy. Conclusion The preponderance of evidence suggests that SMT in comparison to sham or other interventions does not enhance performance-based outcomes in asymptomatic adult population. All studies are exploratory with immediate effects. In the few studies suggesting a positive immediate effect, the importance of such change is uncertain. Further high-quality performance specific studies are required to confirm these preliminary findings. Electronic supplementary material The online version of this article (10.1186/s12998-019-0246-y) contains supplementary material, which is available to authorized users.

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Prevalence and profile of Australian chiropractors treating athletes or sports people: A cross-sectional study

Cited by 12 publications

References 18 publications

The prevalence and determinants of physical activity promotion by Australian chiropractors: A cross sectional study

The prevalence and determinants of physical activity promotion by Australian chiropractors: A cross sectional study

A descriptive study of sports chiropractors

The effects of spinal manipulation on performance-related outcomes in healthy asymptomatic adult population: a systematic review of best evidence

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