Musculoskeletal Healthcare Professionals' perspectives on objective postural assessment (Expectation and Experience): A UK (Multiprofessional) nationwide survey

Abstract

Background: Spinal pain is commonly assessed by physiotherapists, osteopaths and chiropractors in musculoskeletal practice in the UK. Typically, assessment involves some form of visual estimation, but further objective measurement is not preferred due to logistical factors. This study explored the views of physiotherapists, osteopaths, and chiropractors around objective postural assessment and factors that may influence clinical reasoning. Methods: An online, exploratory, ad-hoc, cross-sectional survey was designed to collect data on views around objective postural assessment. The survey was distributed among relevant professional groups. Results: A total of 431 respondents (343 physiotherapists, 43 osteopaths, and 45 chiropractors) took part. As much as 85% of respondents use some form of postural assessment within clinical practice. Most respondents perceived that posture can change and that the changes can be short-term and long-standing. Exercise, education, and behavioural change were perceived as top interventions to change posture. Conclusion: These results provide insights into the current position of MHPs' views within the UK and facilitate conversation regarding the objective measurement of posture in the 21^st century.