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Patient's and therapist's knowledge and beliefs regarding spinal manipulation: A narrative review

Lemmens, Cerise
(2023)

Files

Lemmens_Cerise_64911600_2022-2023.pdf
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Details

Supervisors
Hidalgo, Benjamin ; Demoulin, Christophe
Faculty
Faculté des sciences de la motricité
Degree label
Master [120] en sciences de la motricité, orientation générale, à finalité spécialisée: kinésithérapie musculo-squelettique
Abstract
Background: High-velocity low-amplitude thrust spinal manipulation (SM) is frequently used by osteopaths, chiropractors, and physiotherapists and is also a part of clinical recommendations for the management of back pain. The mechanisms of SM include specific and non-specific effects. Among these non-specific effects, the patients' and healthcare providers' beliefs and expectations may have nocebo effects. This narrative review aimed to summarize the knowledge and beliefs of the population and the healthcare providers regarding SM and examine their potential impact on the outcomes of treatment. Methods: Comprehensive literature research was performed through PubMed, Embase, Cochrane, and ScienceDirect. References were also identified by the references lists of recent articles of interest. Results: The results indicated that patients and healthcare providers had erroneous beliefs regarding SM, which impacted treatment outcomes. Indeed, certain beliefs were not in line with the current literature. Furthermore, knowledge about SM differed between the different osteopaths, chiropractors, and physiotherapists. Conclusion: Healthcare providers should pay attention to their patients' beliefs about SM as well as their own because of its impact on treatment. Furthermore, SM should be the result of a shared decision-making process between the patient and the healthcare provider.