Survey of chiropractic clinicians on self-reported knowledge and recognition of concussion injuries

Taylor, David N.; Wynd, Shari

doi:10.1186/s12998-018-0186-y

Cited by 4 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Results from other studies which surveyed DC provider cohorts had similar responses to ours. A 2017 survey of chiropractic radiologist had a response rate of 38.4% [50], and a 2018 study of chiropractic practitioners had a response rate of 43.2% [51]. To our knowledge, this is the first study to survey any cohort of the chiropractic profession regarding the care of a patient with prior lumbar fusion, or any prior lumbar surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Management of patients with prior lumbar fusion: a cross-sectional survey of Veterans Affairs chiropractors’ attitudes, beliefs, and practices

et al. 2020

View full text Add to dashboard Cite

Background: Little is known about the preferred treatment strategies of chiropractors in managing low back pain patients with prior lumbar fusions. There are several case reports which describe chiropractic care following surgical intervention, but there are no cohort or experimental studies published. Therefore, we sought to examine selfreported management approaches and practice patterns related to the management of patients with prior surgical lumbar fusion, among United States Veterans Affairs (VA) chiropractors. Methods: An electronic survey was administered nationwide to all chiropractors providing clinical care within VA. Questions were informed by a prior survey and piloted on a sample of chiropractors external to VA. Statistical analysis included respondent background information, and quantitative analysis of chiropractic referral patterns and practices. This survey collect information on 1) provider demographics, 2) VA referral patterns, and 3) attitudes, beliefs, practices and interventions utilized by VA chiropractors to manage patients with a history of surgical lumbar fusion. Results: The survey response rate was 46.3% (62/134). The respondents were broadly representative of VA chiropractic providers in age, gender, and years in practice. The majority of respondents (90.3%) reported seeing at least 1 postfusion patient in the past month. The most common therapeutic approaches utilized by VA chiropractors were healthy lifestyle advice (94.9%), pain education (89.8%), exercise prescription (88.1%), stretching (66.1%) and soft tissue manual therapies (62.7%). A relatively smaller proportion described always or frequently incorporating lumbar (16.9%), thoracic (57.6%) or pelvic (39.0%) spinal manipulation. Conclusion: This survey provides preliminary data on VA chiropractic services in the management of patients with prior lumbar fusion. These patients are often seen by VA chiropractors, and our findings support the need for further study to advance understanding of interventions utilized by chiropractors in this patient population.

show abstract

Section: Discussionmentioning

confidence: 99%

Management of patients with prior lumbar fusion: a cross-sectional survey of Veterans Affairs chiropractors’ attitudes, beliefs, and practices

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Chiropractors have contributed predominantly in the broader area of systematic reviews of mild traumatic brain injuries (mTBIs) and concussion, with less of a focus on SRC and athletic populations specifically [10][11][12][13][14]. Papers referring to the involvement of chiropractic specifically in SRC primarily centre around knowledge surveys, case series, non-systematic narrative reviews, with only one consensus statement from 2012 [9,[14][15][16][17][18][19][20]. With chiropractors currently limited in their research investigating assessment and management of upper cervical spine-related post-concussion symptoms in athletes and important knowledge gaps in the recognition and management of SRC, raising professional awareness and knowledge standards of SRC among chiropractors is critically important [9,17,22].…”

Section: Current Chiropractic Contributionsmentioning

confidence: 99%

Sports-related concussion: assessing the comprehension, collaboration, and contribution of chiropractors

Shannon

Patricios

2022

Chiropr Man Therap

View full text Add to dashboard Cite

Over the last 2 decades, sports-related concussion (SRC) awareness and management have evolved from an emphasis on complete cognitive and physical rest to evidence-based protocols and interventions. Chiropractors are primary care providers with exposure to athletes and teams in collision sports and, in addition, manage patients with concussion-like symptoms including neck pain, dizziness, and headache. With SRC frequently occurring in the absence of a medical practitioner, the role of allied health practitioners like chiropractors should be emphasised when it comes to the recognition, assessment, and management of SRC. This commentary discusses the potential contribution of chiropractors in SRC and the specific role their expertise in the cervical spine may play in symptom evaluation and management. A PubMed and Google scholar review of the chiropractic SRC literature suggests that the chiropractic profession appears under-represented in concussion research in athletic populations compared to other medical and allied health fields. This includes an absence of chiropractic clinicians with a focus on SRC participating in the Concussion in Sport Group (CISG) and the International Consensus Conferences on Concussion. Furthermore, with evolving evidence suggesting the importance of cervicogenic manifestations in SRC, there is an opportunity for chiropractors to participate in SRC diagnosis and management more fully and contribute scientifically to an area of specialised knowledge and training. With a dearth of chiropractic orientated SRC science, clinical SRC expertise, and clinical chiropractic representation in the CISG; it is incumbent on chiropractic clinicians and scientists to take up this opportunity through meaningful contribution and involvement in the SRC field.

show abstract

“…Only 26% of physicians used standardized concussion tools, 10 medical residents failed to recognize up to 65% of common concussion symptoms, 11 and chiropractors scored, on average, 27% 6 22% on a concussionknowledge and -recognition quiz. 12 Only Naftel et al 13 assessed ATs' concussion knowledge, but the generalizability of their results to the entire athletic training profession was limited due to the small sample of 55 Alabama ATs. Despite investigations of other health care professionals' concussion knowledge, no authors have thoroughly addressed ATs' concussion knowledge or the influence of other clinicians' attributes on assessment and management.…”

mentioning

confidence: 99%

Concussion Knowledge and Clinical Experience Among Athletic Trainers: Implications for Concussion Health Care Practices

Lempke

Schmidt

Lynall

2020

Journal of Athletic Training

View full text Add to dashboard Cite

Context Athletic trainers (ATs) are heavily involved in concussion assessment and return-to-play (RTP) decision making. Despite ATs' crucial role, few researchers have directly examined ATs' knowledge of concussions or whether concussion knowledge or clinical experience affects clinical concussion-management practices. Objective To determine the overall concussion knowledge of ATs and whether concussion knowledge and clinical experience affect concussion-assessment and -management practices. Design Cross-sectional study. Setting Online survey. Patients or Other Participants Random convenience sample of 8725 (15.0% response rate [1307/8725]; certified, 15.0 ± 10.6 years) ATs surveyed from the National Athletic Trainers' Association membership. Main Outcome Measure(s) The survey collected demographics, concussion-assessment and -management tools used, and concussion knowledge (patient-clinician scenarios, signs and symptoms recognition). We used multiple logit models to determine the odds ratios (ORs) for using assessment and management tools based on signs and symptoms recognition and years of clinical experience. Results The ATs correctly identified 78.0% ± 15.1% of concussion signs and symptoms. Approximately 46% (357/770) of ATs indicated an athlete could RTP if the athlete stated he or she had a “bell rung.” Every additional year of clinical experience decreased the odds of using standardized sideline-assessment tools by 3% (OR = 0.97, 95% CI = 0.95, 0.99). The odds of using standardized sideline tools (OR = 0.98, 95% CI = 0.96, 0.99) and symptom checklists (OR = 0.98, 95% CI = 0.97, 0.99) for RTP assessment were significantly decreased for each additional year of clinical experience. No other tools used for RTP assessment were influenced by signs and symptoms recognition (P ≥ .136) or clinical experience (P ≥ .158). Conclusions The ATs with greater clinical experience had lower odds of using concussion-assessment and -management tools. Athletic trainers should frequently review and implement current consensus guidelines into clinical practice to improve concussion recognition and prevent improper management.

show abstract

Survey of chiropractic clinicians on self-reported knowledge and recognition of concussion injuries

Cited by 4 publications

References 19 publications

Management of patients with prior lumbar fusion: a cross-sectional survey of Veterans Affairs chiropractors’ attitudes, beliefs, and practices

Management of patients with prior lumbar fusion: a cross-sectional survey of Veterans Affairs chiropractors’ attitudes, beliefs, and practices

Sports-related concussion: assessing the comprehension, collaboration, and contribution of chiropractors

Concussion Knowledge and Clinical Experience Among Athletic Trainers: Implications for Concussion Health Care Practices

Contact Info

Product

Resources

About