Correlates of Manual Therapy and Acupuncture Use Among Rural Patients Seeking Conventional Pain Management: A Cross-sectional Study |
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| Authors: | Termeh M. Feinberg Brian Coleman Kim E. Innes Robert D. Kerns Brian Jackson Anthony Lisi Nathaniel Majoris Cynthia Brandt |
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| Affiliation: | 1. VA Healthcare Connecticut Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, West Haven, Connecticut;2. Yale University School of Medicine Center for Medical Informatics, New Haven, Connecticut;3. Department of Epidemiology, West Virginia University School of Public Health, Morgantown, West Virginia;4. Departments of Psychiatry, Neurology and Psychology, Yale University, New Haven, Connecticut;5. Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland;6. University of Maryland Orthopaedic Associates, Baltimore, Maryland;7. VA Healthcare Connecticut, Newington, Connecticut;1. Assistant Professor, Faculty of Physiotherapy, Shree Guru Gobind Singh Tricentenary University, Gurugram, Haryana-122505, India;2. Assistant Professor, Department of Physiotherapy, Jamia Hamdard University, New Delhi, India;3. Assistant Professor, Department of Computer Engineering, Faculty of Engineering and Technology, Jamia Millia Islamia (A Central University), New Delhi, India;4. Professor and Dean, Faculty of Physiotherapy & Allied Health Sciences, Shree Guru Gobind Singh Tricentenary University, Gurugram, Haryana-122505, India;1. Stress Physiology Lab, Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy;2. Stress Control Lab, Collegio Italiano di Osteopatia, Parma, Italy;3. Clinical Human-based Research Department, Foundation COME Collaboration, Pescara, Italy |
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| Abstract: | ObjectiveIn this cross-sectional study, we examined correlates of manual therapy (spinal manipulation, massage therapy) and/or acupuncture use in a population engaging in conventional pain care in West Virginia.MethodsParticipants were patients (aged 18+ years) from 4 Appalachian pain and rheumatology clinics. Of those eligible (N = 343), 88% completed an anonymous survey including questions regarding health history, pain distress (Short Form Global Pain Scale), prescription medications, and current use of complementary health approaches for pain management. We used age-adjusted logistic regression to assess the relation of sociodemographic, lifestyle, and health-related factors to use of manual therapies and/or acupuncture for pain (complete-case N = 253).ResultsThe majority of participants were white (92%), female (56%), and middle aged (mean age, 54.8 ± 13.4 years). Nearly all reported current chronic pain (94%), and 56% reported ≥5 comorbidities (mean, 5.6 ± 3.1). Manual therapy and/or acupuncture was used by 26% of participants for pain management (n = 66). Current or prior opioid use was reported by 37% of those using manual therapies. Manual therapy and/or acupuncture use was significantly elevated in those using other complementary health approaches (adjusted odds ratio, 3.0; 95% confidence interval, 1.5-5.8). Overall Short Form Global Pain Scale scores were not significantly associated with use of manual therapies and/or acupuncture after adjustment (adjusted odds ratio per 1-point increase, 1.01; 95% confidence interval, 1.00-1.03).ConclusionWe found no evidence for an association of pain-related distress and use of manual therapies and/or acupuncture, but identified a strong association with use of dietary supplements and mind-body therapies. Larger studies are needed to further examine these connections in the context of clinical outcomes and cost-effectiveness in rural adults given their high pain burden and unique challenges in access to care. |
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