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A Comparison of the Views of Chiropractors and Osteopathic Physicians in Western Oregon Regarding the Clinical Indications for and the Scientific Rationale Underlying Manipulative Treatment of the Low Back

Journal: Unpublished PhD thesis University of Oregon, Date: 1982/01, Pages: 164, type of study: cross sectional study

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Keywords:

clinical reasoning [56]
chiropractors [4]
cross sectional study [597]
low back [418]
OMT [2951]
osteopathic manipulative treatment [2973]
osteopaths [138]
USA [1086]

Abstract:

This study examined the scientific beliefs of osteopathic physicians and chiropractors in western Oregon regarding spinal manipulative therapy of the low back. It focused on two areas in particular: the scientific basis for manipulative therapy and the clinical indications for its use. A mailed questionnaire and a direct contact interview were utilized with twenty osteopathic physicians and twenty chiropractors who were selected by random sampling. Five research questions were asked to determine if osteopathic and chiropractic physicians were similar or different with regard to: (1) The clinical entities that each group of professionals treated using lumbar spinal manipulative therapy. (2) The views of doctors of osteopathy and chiropractic physicians regarding the scientific rationale underlying spinal manipulative therapy. This question was subdivided into four sub-questions. The statistical tests used to analyze the data included multiple t-tests and multiple Chi-Square contingency analyses. All levels of significance were calculated at an alpha level of .05. Analysis of the data indicated that there were significant differences between chiropractors and osteopaths in western Oregon with regard to their beliefs in the scientific basis for spinal manipulative therapy. In addition, the proportion of each group treating various clinical conditions via manipulative therapy was significantly different. Examination of comparative demographic data and differential responses to the questionnaire and oral interviews provided insight into the differences between the two professions. It was concluded that the views of osteopathic and chiropractic physicians were different in some key areas and that the beliefs of the latter group were further removed from current literature than the former. In addition, chiropractic care was more prolonged and therefore more expensive than osteopathic manipulative medicine. Manipulation was offered by chiropractors to nearly 100 percent of their patients, whereas the likelihood of receiving manipulation by an osteopath was practitioner dependent.


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