title: Primary reasons for osteopathic consultation: a prospective survey in Quebec.
abstract: BACKGROUND
  Osteopathy is an increasingly popular health care modality to address pain and function in the musculoskeletal system, organs and the head region, as well as functional somatic syndromes. Although osteopathy is recommended principally in guidelines for management of back pain, osteopaths' scope of practice is wide, albeit poorly defined. In order to understand better the practice of osteopathy, this study aimed to investigate the most common reasons for osteopathic consultations in clinical settings in Quebec.
  
  
  METHODS
  A prospective survey of members of the Registre des ostéopathes du Québec was conducted to examine demographics in osteopathic practices, as well as patients' primary reasons for consultations over a two-week period. The questionnaire was devised following a literature review and refined and verified with two stages of expert input.
  
  
  RESULTS
  277 osteopaths (60[corrected]% response rate) responded to the survey notice. 14,002 patients' primary reasons for consultations were reported in completed questionnaires and returned by practicing osteopaths. Musculoskeletal pain located in the spine, thorax, pelvis and limbs was the most common reason for consultations (61.9%), with females consulting most commonly for cervical pain and males for lumbar pain. Perinatal and paediatric (11.8%), head (9.1%), visceral (5.0%) and general concerns (4.8%) were the other most common reasons for consultations. Preventive care represented the remaining 0.3%.
  
  
  CONCLUSIONS
  The nature of primary reasons for osteopathic consultations, coupled with documented satisfaction of patients with this approach, suggest a future for multidisciplinary collaborative health care including osteopathy. Results of this survey may contribute to informing physicians and others pending regulation of Quebec osteopaths, and also provide direction for future clinical research and guidelines development.
authors.affiliation: Centre ostéopathique du Québec, Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Québec, Canada.
authors.forename: Chantal
authors.initials: C
authors.lastname: Morin
authors.affiliation: Centre ostéopathique du Québec, Montréal, Québec, Canada.
authors.forename: Andrée
authors.initials: A
authors.lastname: Aubin
mesh_terms: D000328:Adult; D001416:Back Pain / Q000503:physiopathology / Q000628:therapy*; D002648:Child; D005121:Extremities / Q000503:physiopathology; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D026301:Manipulation, Osteopathic / Q000706:statistics & numerical data*; D008875:Middle Aged; D019547:Neck Pain / Q000503:physiopathology / Q000628:therapy*; D055360:Osteopathic Physicians / Q000706:statistics & numerical data*; D010388:Pelvis / Q000503:physiopathology; D011446:Prospective Studies; D011792:Quebec; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012042:Registries; D013131:Spine / Q000503:physiopathology; D011795:Surveys and Questionnaires; D013909:Thorax / Q000503:physiopathology