Étude exploratoire de la santé musculo-squelettique du rachis d’étudiants en ostéopathie |
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| Institution: | 1. Université de Clermont-Auvergne, CNRS, SIGMA Clermont, institut Pascal, 63000 Clermont-Ferrand, France;2. CHU de Clermont-Ferrand, service de santé publique, 63000 Clermont-Ferrand, France;1. Urology department, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium;2. Urology department, Hôtel Dieu de France, Université Saint-Joseph, Lebanon;3. Osteopathic Medicine department, Levant Hospital, Lebanon;4. Urology department, Cliniques Universitaires de Bruxelles, hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium;5. Urology department, Centre Hospitalier de Wallonie picarde, Belgium;1. Accademia Italiana di Osteopatia Tradizionale, Pescara, Italy;2. European Institute for Evidence Based Osteopathic Medicine, Chieti, Italy;3. COME Collaboration, Pescara, Italy;1. VA Central Iowa Health Care System, 3600 30th Street, Des Moines, IA 50310, USA;2. Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA;3. Minneapolis VA Health Care System, 1 Veterans Drive, Minneapolis, MN 55417, USA;4. Department of Rehabilitation Medicine, 500 Boynton Health Service Bridge, Minneapolis, MN 55455, USA;1. Department of Community and Health Services, Unitec Institute of Technology, Auckland, New Zealand;2. College of Health and Biomedicine, Victoria University, Melbourne, Australia;3. Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Australia;1. Collège d’Ostéopathie de Provence, Aix en Provence, France;2. Laboratoire de Biomécanique Appliquée, UMRT24 AMU/IFSTTAR, Aix Marseille Université, Marseille, France;3. iLab-Spine - Laboratoire International en imagerie et biomécanique du Rachis, Marseille, France |
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| Abstract: | BackgroundDuring their training, students in osteopathy regularly undergo spinal manipulation exercises. This exposes the students’ spine to unskilled gestures performed by their colleagues learning spinal manipulation. Discomfort, muscle soreness or moderate pain following spinal manipulations lasting two or three days are commonly reported. In addition, some students may have ongoing spinal musculoskeletal disease (SMSD) during their studies. The purpose of this study was to evaluate the prevalence of SMSDs and their maximum intensity in a population of osteopathy students and to determine whether individual differences exist.MethodAn exploratory cross-sectional study took place over three years. Data were collected by means of a self-administrated standardised questionnaire screening for MSD: the Nordic questionnaire.ResultsThere were 733 exploitable questionnaires, giving an average response rate of 91.5%. Average prevalence of SMSD was 98.4% during the last 12 months. Average maximum intensity perceived was 6/10 and 45% of students experienced an intense SMSD (scored between 7 and 10/10). Variation of the maximum intensity of SMSD between “before osteopathy studies” and “the last 12 months” was 1.2/10. This variation was influenced by the number of days students were manipulated during a week (p < 0.0001). On average, students underwent manipulation three days a week.ConclusionThis study confirms the important prevalence of SMSD among osteopathy students. This result led us to carry out a qualitative study for exploring students’ conceptions in health and spinal manipulative practices. |
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| Keywords: | Musculoskeletal diseases Spine Osteopathic medicine studies Spinal manipulations Health practices |
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