Physical activity promotion in chiropractic: a systematic review of clinician-based surveys

Chiropractic & Manual Therapies

Systematic Review

Anika Young¹  Jeffrey Hebert²  Marina Pinhiero³  Karen Milton⁴  Matthew Fernandez⁵  Katie de Luca⁵  Paulo Ferreira⁶ 

[1] Department of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia;Faculty of Kinesiology, University of New Brunswick, Fredericton, Canada;Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia;School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;Norwich Medical School, University of East Anglia, Norwich, UK;School of Health, Medical and Applied Sciences, Central Queensland University, Brisbane, Australia;Sydney Musculoskeletal Health, School of Health Sciences, Charles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia;

关键词: Physical activity;    Exercise;    Fitness;    Promotion;    Counselling;    Advice;    Practice;    Systematic review;    Healthcare;    Chiropractic;   

DOI  :  10.1186/s12998-022-00467-9

 received in 2022-05-16, accepted in 2022-11-28,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundPhysical inactivity is a global health pandemic. Allied healthcare providers, including chiropractors, are well placed to integrate individual physical activity (PA) promotion into routine care. A previous systematic review identified that approximately 90% of chiropractors held a positive opinion towards healthier patient lifestyles; however, the extent to which chiropractors promote PA to their patients within routine care is unclear. This systematic review aimed to describe chiropractors' attitudes towards and current practice in advising, counselling, discussing, supporting, or recommending PA to patients.MethodsFive databases were searched from inception to December 2021 for cross-sectional surveys that explored PA promotion by chiropractors in practice. We assessed the risk of bias of the included studies with the ‘Risk of Bias in Cross-Sectional Surveys of Attitudes and Practices’ tool. Descriptive data were extracted, grouping similar survey questions and responses into emerging categories. Chiropractors’ views regarding the perceived importance and/or their preparedness to counsel and provide PA or exercise information are reported.ResultsFrom 661 studies, 15 met the selection criteria. Surveys included 7999 chiropractors primarily from the USA, UK, Australia, and Sweden. All studies were rated as moderate-to-high risk of bias, with methodological weaknesses characterised by inconsistent reporting of missing data, non-representative samples, low response rates (i.e., less than 60%), and unknown validity of survey instruments. Chiropractors frequently recognised the importance of PA promotion, as demonstrated by the proportion of respondents reporting that they: (1) support the importance of providing PA or exercise information and counselling (64% to 100%); (2) are prepared to provide PA or exercise information and/or counselling to patients (91% to 92%,); (3) frequently obtain PA or exercise information from patients (87% to 97%,); 4) frequently discuss PA or exercise and/or provide PA or exercise information to patients (68% to 99%); and 5) frequently provide PA counselling to patients (50% to 81%.).ConclusionA large majority of practising chiropractors actively engage with PA promotion. However, the results should be interpreted with caution owing to the moderate-to-high risk of bias of the included studies. Forthcoming research initiatives should explore unbiased surveys, further PA education and training as well as capitalising on chiropractors’ own PA participation.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 6

Fig. 2

12936_2022_4386_Article_IEq117.gif