Profile of osteopathic practice in Spain: results from a standardized data collection study
Álvarez Bustins G, López Plaza P-V, Carvajal SR. Profile of osteopathic practice in Spain: results from a standardized data collection study. BMC Complement Altern Med. 2018;18(1):129. doi:10.1186/s12906-018-2190-0.
There is limited research regarding patients’ profiles and consumer attitudes and habits of osteopathy in Spain. The purpose of this study was to profile patients who regularly receive osteopathic care in Spain using an internationally developed standardized data collection tool. Method: During the period between April 2014 and December 2015, a UK-developed standardized data collection tool was distributed to Spanish osteopaths who voluntarily agreed to participate in this cross-sectional study. Result: Thirty-six osteopaths participated in this study and returned a total of 314 completed datasets. Of 314 patients, 61% were women and 39% were men, with a mean age of 40 years (SD 17.02 years, range 0 to 83 years). Forty-four percent were full-time salaried workers, and in 78% of cases, receiving osteopathic treatment was the patient’s own choice. Chronic spinal pain presentations were the most frequent reasons for consultation. Seventy-five percent of patients presented with a coexisting condition, mainly gastrointestinal disorders and headaches. The main treatment approach consisted of mobilization techniques, followed by soft tissue, cranial and high velocity thrust techniques. Improvement or resolution of the complaint was experienced by 93% of patients after a small number of sessions. Adverse events were minor and occurred in 7% of all cases. Conclusion: This is the first study carried out in Spain analyzing the profile of patients who receive osteopathic care. The typical patient who receives osteopathic care in Spain is middle-aged, presents mainly with chronic spinal pain, and voluntarily seeks osteopathic treatment. Osteopathic treatment produces a significant improvement in the majority of cases with a low rate of minor adverse events reported.
Using the template for intervention description and replication (TIDieR) as a tool for improving the design and reporting of manual therapy interventions.
Gerard Alvarez, Francesco Cerritelli, Gerard Urrutia, Using the template for intervention description and replication (TIDieR) as a tool for improving the design and reporting of manual therapy interventions. 2016;24:85-89. doi:10.1016/j.math.2016.03.004.
The detailed reporting of any research intervention is crucial to evaluate its applicability into a routinely practice-based context. However, it has been estimated that, especially in non-pharmacological interventions, the published literature typically includes incomplete intervention details. In the field of manual medicine, where interventions are delivered with a high degree of individualization and variability, poorly reported studies could compromise internal and external validity of the results. Among the various initiatives that have been undertaken to improve the intervention description, the T emplate for I ntervention D escription and R eplication ( TID ie R ) has to be highlighted as the most promising. TID ie R offers both to researchers and clinicians a helpful and comprehensive guidance on how manual therapy interventions have to be designed and reported, taking into account the clinical complexity of manual therapy and the need to satisfy research gold standards.
Comentarios a raíz del vídeo “La Osteopatía a juicio”
Gerard Alvarez MSc DO, Sonia Roura MSc DO, Daniel Ruiz MSc CO, Mayte Serrat MSc DO
YouFisio es un reciente canal de YouTube cuya finalidad es la divulgación científica en el entorno de la Fisioterapia. La acogida de este canal ha sido relevante en España acumulando actualmente más de 1000 seguidores y un fuerte impacto mediático en el colectivo. El pasado 5 de Noviembre del 2017 se publicó en dicho canal el vídeo “La Osteopatía a juicio”. Visualizado el documento, varios miembros de COME Spain, hemos sentido la necesidad de complementar y matizar algunos de los aspectos que se mencionan en el vídeo con el fin de ampliar la visión que se ofrece de las bases científicas de la Osteopatía. Manifestamos la presencia de un sesgo de publicación y la omisión de datos relevantes para poder juzgar adecuadamente las fortalezas y debilidades de la base científica de la Osteopatía. Esta no es una réplica al contenido del vídeo el cual compartimos en buena medida. Nuestra intención no es otra que la de mostrar la Osteopatía que no ha sido reflejada en el vídeo, una Osteopatía contemporánea que acepta el método científico como herramienta de progreso y evolución y que lo utiliza como elemento crítico para mejorar su aplicación.