Ndetan Harrison T, Rupert Ronald L, Bae Sejong, Singh Karan P
Parker College Research Institute, Dallas, Tex, USA.
J Manipulative Physiol Ther. 2009 Feb;32(2):134-9. doi: 10.1016/j.jmpt.2008.12.011.
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.
本研究旨在报告整脊疗法专业学生入学前受伤的患病率、分布情况及严重程度，并探讨这些损伤可能的人口统计学风险因素。
对一所整脊疗法学院的一年级整脊疗法专业学生（n = 255）进行了横断面调查。调查问题采用标准化北欧和结果评估健康状况问卷。收集了学生在进入整脊疗法学院之前，下背部、手/腕部（HW）和颈部/肩部（NS）受伤的严重程度和最后一次受伤时间的数据。
回复率为98.8%（N = 252），其中66.7%为男性。整脊疗法专业学生入学前下背部、HW和NS的受伤患病率分别为50.4%、40.1%和53.2%。在受访者中，48.8%超重/肥胖，与体重正常者相比，他们更有可能报告HW（优势比，2.10；95%置信区间，1.25 - 3.51）和NS（优势比，1.70；95%置信区间，1.04 - 2.73）受伤。在受伤者中，女性的平均体重指数显著高于男性。
本研究发现，在进入这所特定的整脊疗法学院之前，学生中肌肉骨骼损伤的患病率很高。只有一小部分损伤严重到足以妨碍正常的日常工作。从这个研究样本来看，进入这所整脊疗法学院的男性似乎比女性报告的受伤情况更多。然而，体重指数高的女性似乎报告的既往受伤情况更多。
