Abstract
Objective : Osteopathic manipulative
treatment (OMT) aims to improve patients' quality of life. However, it also
entails risks when those manipulations are carried out repeatedly over a short
period of time. We aim to describe the impact of osteopathic over-solicitation
in osteopathy students, and to find solutions in order to improve their
care.
Method : 152 students were selected, then
divided into 4 groups (1 group of osteopathy students from the first to the
third year (PopA), 1 group of osteopathy students from the fourth and fifth
year (PopB), 1 group of bachelor students (PopC), 1 group of Master students
(PopD)). Spine and/or pelvis pain have been rated according to «Dallas
back pain» scale. The comparison of results have been evaluated by the
Chi-squared sampling methodology for the presence of pain (p £ 0.001), and
the Pearson correlation for «Dallas back pain» scale (p = 0.07 for
phase 1, p £ 0.05 for phase 2).
Results : Osteopathy students show almost 1.4
times more pain in the spine and/or pelvis than other students (p £
0.001). The impacts of the pain according to «Dallas back pain» scale
are greater in osteopathy students (p = 0.07). However, the results do not show
a significative difference after a reassessment of the values 3 months later
with the same osteopathy students (p £ 0.05). The proposed solutions are
active muscle mobilization, technical preparatory work of the studied areas,
and cranial sacral therapy.
Conclusion : The impact of osteopathic
over-solicitation in osteopathy students is exacerbated pain of the
spine-pelvis axis, as well as consequences on their living conditions on a
social, professional and moral level. It would be efficient to reassess the
impact at the end of the school year and to test the solutions provided, in
order to improve their care throughout their studies.
Key words : osteopathic over-solicitation,
effects, students.
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Impact de la sursollicitation ostéopathique chez les
étudiants en ostéopathie, Franceschi Nina, COP AM,
2019-2020
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