Chiropractic & Manual Therapies 2025 (Jan 10); 33: 3
Table 4.
Clinical care characteristics
MANAGEMENT CHARACTERISTICS RESPONSE (n = 77) Self-reported management expertise, n (%)* Chronic pain 53 (69%) Headaches 51 (66%) Athletic injuries 45 (58%) Dizziness and vertigo 25 (32%) Pregnancy and post-partum pain 21 (27%) Paediatrics 4 (5%) Other 7 (9%) None 5 (6%) Types of manual therapy routinely used, n (%)* High-velocity low-amplitude manipulation 73 (95%) Instrument-assisted joint manipulation 42 (55%) Joint mobilisation 65 (84%) Flexion-distraction 31 (40%) Drop-piece 47 (61%) Pelvic blocking 24 (31%) Soft tissue therapy, trigger point therapy, or massage 73 (95%) Instrument-assisted soft tissue mobilisation 44 (57%) Other 9 (12%) Chiropractic technique systems routinely used, n (%)* Activator methods 17 (22%) Advanced Biostructural Correction Technique 1 (1%) Applied Kinesiology 3 (4%) Chiropractic Biophysics 2 (3%) Cox Flexion-Distraction 16 (21%) Gonstead Technique 10 (13%) Sacro-Occipital Technique 8 (10%) Thompson Technique 13 (17%) Webster Technique 5 (6%) Other 7 (9%) Do not use a technique system 50 (65%) Adjunct therapies routinely used, n (%)* At-home exercise 73 (95%) Supervised exercise 45 (58%) Heat or cold therapy 35 (45%) Rigid taping 13 (17%) Biomechanical taping 33 (43%) Dry needling or acupuncture 35 (45%) Orthotics 18 (23%) TENS 13 (17%) Laser therapy 15 (19%) Therapeutic ultrasound 11 (14%) Other 12 (16%) Do not use adjunct therapies 0 (0%) Topics of routine patient education, n (%)* Physical activity 77 (100%) Sleep hygiene 56 (73%) Stress management 61 (79%) Smoking, drugs, or alcohol 37 (48%) Weight management 33 (43%) Diet or nutrition 43 (56%) Pain science or pain education 64 (83%) Workplace modifications 61 (79%) Other 4 (5%) Do not use patient education 0 (0%) Practitioners routinely referred to, n (%)* Other chiropractor 22 (29%) Physical therapist/physiotherapist 45 (58%) Osteopath 5 (6%) General practitioner 63 (82%) Medical specialist 41 (53%) Dietician or nutritionist 19 (25%) Podiatrist 16 (21%) Occupational therapist 6 (8%) Speech pathologist 1 (1%) Counsellor or psychologist 30 (39%) Fitness professional 31 (40%) Massage therapist 49 (64%) Other 5 (6%) Do not routinely refer patients 2 (3%) *Sub-groups may sum to more than 77 (100%) as participants
were able to select multiple options