The epidemiology of low back pain in chiropractors and chiropractic students: a systematic review of the literature.

IF 2 4区医学 Q2 REHABILITATION Chiropractic & Manual Therapies Pub Date : 2024-11-26 DOI:10.1186/s12998-024-00559-8

Lauren Ead, Jessica Wong, Sheilah Hogg-Johnson, Silvano Mior, Joshua Plener, Pierre Côté

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Abstract

Background: Chiropractors and chiropractic students commonly report low back pain (LBP). However, the burden of LBP in this occupational group has not been synthesized in the literature. This systematic review aims to describe the epidemiology of LBP in chiropractors and chiropractic students.

Methods: We searched MEDLINE, Embase, CINAHL, and PsycINFO from inception to May 1, 2023. Eligible studies were cross-sectional, cohort, or case-control studies investigating the prevalence, incidence, associated factors, or risk factors of LBP in chiropractors or chiropractic students. Reviewers independently screened articles and assessed risk of bias using the appropriate JBI Checklists for the observational study design. We descriptively synthesized studies that were rated as low or moderate risk of bias.

Results: Of 2012 citations screened, we included 2 cross-sectional studies in the evidence synthesis (1 study rated as moderate risk of bias on chiropractors, and 1 rated as low risk of bias on chiropractic students). For chiropractors, the 12-month prevalence of work-related overuse injuries to the low back was 35.6% (95% CI 29.1, 42.0) in women and 22.4% (95% CI 16.3, 29.6) in men. The 12-month prevalence of work-related acute physical injuries to the low back in chiropractors were 3.4% (95% CI 1.6, 6.8) for women and 0.7% (95% CI 0.1, 3.7) for men. Among chiropractic students, the 1-week prevalence of LBP was 69% (95% CI 64.8, 73.0). This was higher among female students (72.5%, 95% CI 67.1, 77.4) and lower among male students (64%, 95% CI 57.0, 70.6).

Conclusion: There is limited high-quality evidence on the epidemiology of LBP in chiropractors and chiropractic students. Our systematic review provides a synthesis of the body of literature, highlighting that chiropractors and chiropractic students commonly report LBP. Future high-quality research is needed to address the incidence, associated factors, and risk factors of LBP.

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脊骨神经科医生和脊骨神经科学生腰背痛的流行病学：文献系统回顾。

背景：脊骨神经科医生和脊骨神经科学生经常报告腰背痛（LBP）。然而，文献尚未对这一职业群体的腰背痛负担进行综述。本系统综述旨在描述脊骨神经科医生和脊骨神经科学生腰背痛的流行病学：我们检索了从开始到 2023 年 5 月 1 日的 MEDLINE、Embase、CINAHL 和 PsycINFO。符合条件的研究为横断面研究、队列研究或病例对照研究，这些研究调查了脊骨神经科医生或脊骨神经科学生枸杞痛的患病率、发病率、相关因素或风险因素。审稿人独立筛选文章，并根据观察性研究设计使用相应的 JBI 检查表评估偏倚风险。我们对被评为低度或中度偏倚风险的研究进行了描述性综合：在筛选出的 2012 篇引文中，我们将 2 项横断面研究纳入了证据综述（1 项针对脊骨神经科医生的研究被评为中度偏倚风险，1 项针对脊骨神经科学生的研究被评为低度偏倚风险）。就脊骨神经科医生而言，12个月内女性腰背部工作相关过劳损伤发生率为35.6%（95% CI 29.1-42.0），男性为22.4%（95% CI 16.3-29.6）。在脊骨神经科医生中，12个月内与工作相关的腰背部急性物理损伤发生率为：女性3.4%（95% CI 1.6-6.8），男性0.7%（95% CI 0.1-3.7）。在脊骨神经科学生中，1周的腰背痛患病率为69%（95% CI 64.8，73.0）。女生的发病率较高（72.5%，95% CI 67.1-77.4），男生的发病率较低（64%，95% CI 57.0-70.6）：关于脊骨神经科医生和脊骨神经科学生腰背痛流行病学的高质量证据非常有限。我们的系统综述提供了文献综述，强调了脊骨神经科医生和脊骨神经科学生报告腰背痛的普遍性。未来需要开展高质量的研究来探讨腰椎间盘突出症的发病率、相关因素和风险因素。

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来源期刊

Chiropractic & Manual Therapies Medicine-Complementary and Alternative Medicine

CiteScore

3.20

自引率

15.80%

发文量

审稿时长

20 weeks

期刊介绍： Chiropractic & Manual Therapies publishes manuscripts on all aspects of evidence-based information that is clinically relevant to chiropractors, manual therapists and related health care professionals. Chiropractic & Manual Therapies is an open access journal that aims to provide chiropractors, manual therapists and related health professionals with clinically relevant, evidence-based information. Chiropractic and other manual therapies share a relatively broad diagnostic practice and treatment scope, emphasizing the structure and function of the body''s musculoskeletal framework (especially the spine). The practices of chiropractic and manual therapies are closely associated with treatments including manipulation, which is a key intervention. The range of services provided can also include massage, mobilisation, physical therapies, dry needling, lifestyle and dietary counselling, plus a variety of other associated therapeutic and rehabilitation approaches. Chiropractic & Manual Therapies continues to serve as a critical resource in this field, and as an open access publication, is more readily available to practitioners, researchers and clinicians worldwide.