Prevalence of Musculoskeletal Injuries Sustained by Students While Attending a Chiropractic College

Ndetan, Harrison; Rupert, Ronald L.; Bae, Sejong; Singh, Karan P.

doi:10.1016/j.jmpt.2008.12.012

Cited by 22 publications

(26 citation statements)

References 18 publications

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“…Studies show that chiropractic programs are demanding and have considerable impact on the physical and mental well-being of students. [6][7][8][9][10][11] A cross-sectional study exploring stress levels in 109 chiropractic students across the first 4 years of a program in the United Kingdom revealed that perceived stress was highest in year 4 respondents. 11 Fourth year students were almost 3 times more likely to experience stress related to financial issues and workload concerns compared to other year groups.…”

Section: Introductionmentioning

confidence: 99%

The relationship between levels of resilience and coping styles in chiropractic students and perceived levels of stress and well-being

Innes¹

2017

Journal of Chiropractic Education

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Objective The aim of this study was to explore the relationship between chiropractic students' coping styles and levels of resilience with their physical injuries, perceived levels of stress, and well-being. Methods A questionnaire was distributed to the entire student body of the chiropractic program at Murdoch University, and gathered demographic variables and responses to the Connor-Davidson Resilience Scale, Perceived Levels of Stress Scale, Everyday Feelings Questionnaire, and Coping Inventory for Stressful Situations. Linear regression analysis was used to calculate for significant relationships. Results Of 244 students, 194 (81%) completed the surveys. Being female and not having recovered from an injury within 12 months was significantly associated with lower levels of well-being and higher levels of stress. Being female, possessing an increased use of an emotional-based coping style, and having lower levels of well-being were associated with higher levels of stress (R2 = 0.65, F(6,164) = 50.47, p < .001). Lower levels of well-being were associated with being female, higher perceived levels of stress, lower levels of resilience, and an increased use emotional coping styles (R2 = 0.64, F[6,164] = 49.5, p < .001). Conclusion It is possible to identify chiropractic students at the university who are at risk of experiencing low levels of well-being and high levels of stress. These students may benefit from interventions aimed at enhancing their coping style choices and increasing their resilience levels. Future studies are recommended to see if these findings are consistent across chiropractic programs nationally and internationally.

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Section: Introductionmentioning

confidence: 99%

The relationship between levels of resilience and coping styles in chiropractic students and perceived levels of stress and well-being

Innes¹

2017

Journal of Chiropractic Education

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“…Clinically, symptoms in the neck may refer to the thoracic spine or vice versa, indicating an intricate link between the two regions. Ndetan et al 46) found that chiropractic students are predominantly exposed to injury risk factors during their first, third, and sixth academic trimesters. However, this finding may not necessarily reflect other student groups.…”

Section: Discussionmentioning

confidence: 99%

One-year Incidence and Risk Factors of Thoracic Spine Pain in Undergraduate Students

2013

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Abstract. [Purpose] This study aimed to examine the 1 year incidence and identify biopsychosocial factors predicting the onset and persistence of thoracic spine pain in undergraduate students.[Subject] A 1 year prospective study was carried out among 684 healthy undergraduate students.[Methods] At baseline, a self-administered questionnaire and standardized physical examination were employed to gather biopsychosocial data. Follow-up data on the incidence of thoracic spine pain were collected every 3 months. Two regression models were built to analyze factors predicting the onset and persistence of thoracic spine pain.[Results] The 1 year incidence of thoracic spine pain was 27%, and 23% of subjects reported persistent symptoms. The onset of thoracic spine pain was predicted by female gender, poor neck extensor muscle endurance and high percentage duration of mouse use during computer work. Female students being in the second year of their studies and unsupported elbows during computer use were predictors of persistent symptoms.[Conclusion] Thoracic spine pain is quite common among undergraduate students and many of them may have persistent symptoms. Interventions aimed at reducing the occurrence of symptoms in undergraduate students should, at the least, include teaching 2nd year female students how to perform computer work safely.

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“…There are risks associated with students practicing on each other. 16,17,19,20 Our study was conceived and carried out because we believe that as long as students are practicing skills on each other, it is wise to screen students for risks associated with such activities. This process identifies students with potential risks for injury when delivering treatments and provides insight for instructors to design teaching methods to help students adapt their treatment methods.…”

Section: Discussionmentioning

confidence: 99%

“…A concerted effort can now be made to limit the likelihood of injury during practice treatments. Ndetan et al 17 found that first-time injuries sustained while delivering adjustments were most prevalent in third-and sixth-semester students. These injuries may be associated with increasing repetitions of delivery in laboratory and clinical settings.…”

Section: Discussionmentioning

confidence: 99%

“…16 A recent study reported that 31.5% of chiropractic students at one college sustained injuries claimed as a result of either delivering or receiving chiropractic adjustments. 17 Interestingly, 44.4% were exacerbations of previous complaints. In another study by the same authors, 18 incoming students at a chiropractic college were surveyed for history of previous injuries.…”

Section: Introductionmentioning

confidence: 98%

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Laboratory Pre-Participation Screening Examination in a Chiropractic College: Development, Implementation, and Results

Funk

Cantito

2011

Journal of Chiropractic Education

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Introduction: 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. Methods: 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. Results: 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. Discussion: 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. Conclusion: This chiropractic college now has a method to describe potential risks, explain rules of laboratory participation, and obtain consent from each student. ( INTRODUCTIONStudents in chiropractic colleges must learn several complex psychomotor skills to become proficient chiropractors. In order to develop these skills, students often serve as subjects for classmates to practice examination and treatment procedures. The development of complex psychomotor skills takes time, practice, and attention to details of physical performance. For example, to develop the skill of delivering a proper high-velocity, low-amplitude (HVLA) manipulation, one must learn how to isolate contact and leverage landmarks, maintain good practitioner posture and balance, transfer weight efficiently, obtain joint pretension with a light contact, and thrust with proper amplitude and speed.1 There are different instructional methods to foster this type of learning, including physical and affective skill acquisition, 2,3 segmentation of learning objectives and skill development, 4 and quantitative feedback training methods. 5,6 Some instructors believe that the best way for students to learn is to practice each component of delivery on live subjects, culminating in a thrust with the intent to cavitate the joint. Others believe that the level of skill necessary before a thrust can be attempted i...

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Prevalence of Musculoskeletal Injuries Sustained by Students While Attending a Chiropractic College

Cited by 22 publications

References 18 publications

The relationship between levels of resilience and coping styles in chiropractic students and perceived levels of stress and well-being

The relationship between levels of resilience and coping styles in chiropractic students and perceived levels of stress and well-being

One-year Incidence and Risk Factors of Thoracic Spine Pain in Undergraduate Students

Laboratory Pre-Participation Screening Examination in a Chiropractic College: Development, Implementation, and Results

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