Epidemiology of musculoskeletal injuries among students entering a chiropractic college.
ABSTRACT The purpose of this study was to report the prevalence, distribution, and severity of injuries to students before entering chiropractic college and to explore the possible demographic risk factors to these injuries.
A cross-sectional survey was administered to first-year chiropractic students (n = 255) of one chiropractic college. Survey questions were adopted from the Standardized Nordic and Outcome Assessment Health Status Questionnaires. Data were collected on severity and period of last perception of low back, hand/wrist (HW), and neck/shoulder (NS) injuries of the students before attending chiropractic college.
The response rate was 98.8% (N = 252), among which 66.7% were males. Injury prevalence to low back, HW, and NS before attending chiropractic college was 50.4%, 40.1%, and 53.2%, respectively. Of the respondents, 48.8% were overweight/obese and they were more likely to report injuries to HW (odds ratio, 2.10; 95% confidence interval, 1.25-3.51) and NS (odds ratio, 1.70; 95% confidence interval, 1.04-2.73) compared with those with normal weight. Among those with injuries, the mean body mass index for the females was significantly greater than for the males.
This study identified a high prevalence of musculoskeletal injuries among students before attending this particular chiropractic college. Only a small percentage of those injuries were severe enough to impede normal daily work. From this study sample, it seems that males entering this chiropractic college tend to report more injuries than females. However, females with high BMI seemed to report more previous injuries.
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ABSTRACT: The objective of this narrative review is to discuss the potential for burnout in chiropractic practitioners. This discussion is grounded in the job demands-resource model, the conservation of resources model, the unique profession-specific stressors experienced by chiropractors, and information from similar health care professions. A search using both the indexed (PubMed and PsychLit) and nonindexed psychosocial literature was used. Other resources included the Cochrane Library, articles from governing bodies of the chiropractic profession, trade magazines, and research conferences and symposium proceedings. Articles were analyzed following the grounded theory principles: open coding and memos for conceptual labeling, axial coding and memos for category building, and selective coding for model building. Potential stressors unique to doctors of chiropractic include factors associated with physical workload, role stress, and mental and emotional demands. There are unique chiropractic-specific occupational characteristics that possibly contribute to burnout in the chiropractic professionals. These findings emphasize the need for assessing and measuring burnout and attrition within the chiropractic profession.Journal of Chiropractic Humanities 12/2011; 18(1):86-93. DOI:10.1016/j.echu.2011.09.003
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ABSTRACT: Chiropractic students often serve as subjects in laboratories where they and their classmates practice examinations, various soft tissue techniques, physiological therapeutic modalities, and active rehabilitation. There are contraindications and risks associated with these procedures. This article describes how a procedure was developed to identify potential health concerns and risks that students may face while serving as subjects or performing procedures in clinical skills laboratories. Screening questions and examination procedures were developed through a consensus process. Findings from the screening process determine whether students may engage in full participation or limited participation (precautions) or are prohibited from receiving certain procedures (contraindications). Skills laboratory students and their instructors are informed of any identifiable precautions or contraindications to participation. Since its implementation, precautions regarding delivery of manual therapies were found in 4% of those examined and precautions regarding receiving manual therapies in 11.5%. Contraindications to receiving specified manual therapies were found in 8%, and 4% had contraindications to certain physiological therapeutic modalities. Further work is necessary to improve compliance with follow-up regarding diagnosis of conditions revealed or suspected. Future efforts should address how well students adhered to precautions and contraindications, the nature and frequency of injuries sustained within the laboratories, and what specific measures were taken by faculty to help students with special needs. This chiropractic college now has a method to describe potential risks, explain rules of laboratory participation, and obtain consent from each student.The Journal of chiropractic education 04/2011; 25(1):16-29. DOI:10.7899/1042-5055-25.1.16
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ABSTRACT: Aim of the work: Musculoskeletal disorders (MSD) represent a significant occupational problem among hospital staff; however, data on musculoskeletal health of hospital staff are sparse. This study sought to determine the prevalence of MSD, their epidemiologic data and the associated risk factors. Methods: A previously self administered questionnaire sought information on demographics, prevalence and pattern of MSD, associated risk factors was employed as the survey instrument. A total of 520 questionnaires were distributed to hospital staff but only 433 questionnaires was valid. Eighty-seven of the returned questionnaires were excluded because of incomplete data. Results: The prevalence of MSD among hospital staff was 65.4%. Musculoskeletal disorders occurred mostly in low back (74.5%), neck (38.1%), and knees (31.1%). Factors associated to MSD were age (P <0.001), female gender (P < 0.001), years of service (P <0.001) as well as prolonged standing or sitting (P = 0.016 and 0.023, respectively). No significant association was found between repetitive movement, uncomfortable postures, heavy load handling, working on night shifts, stress and the presence of MSD. Conclusion: A high proportion of hospital staff reported MSD at some body site with the low back being injured most often. Education programs on prevention and coping strategies for musculoskeletal disorders are recommended for hospital staff in order to reduce the rate of occupational hazards and also promote efficiency in patient care.02/2013; 35(2). DOI:10.1016/j.ejr.2013.01.002