Departmental Bulletin Paper 小中学生のスポーツ検診の取り組み  ―運動器障害と柔軟性の評価―
An initiative on musculoskeletal examinations for elementary and junior high school students: Assessment of musculoskeletal disorders and flexibility

大高, 麻衣子  ,  平元, 泉  ,  皆川, 洋至  ,  松崎, 正史  ,  齊藤, 明  ,  石郷岡, 真巳  ,  OHTAKA, Maiko  ,  HIRAMOTO, Izumi  ,  MINAGAWA, Hiroshi  ,  MATSUZAKI, Masashi  ,  SAITO, Akira  ,  ISHIGOUOKA, Mami

To determine better ways of conducting musculoskeletal examinations at schools, in this study we performed musculoskeletal examinations on 219 elementary and junior high school students belonging to sports team and investigated the current levels of bone and joint pain, flexibility, and musculoskeletal disorders. Bone and joint pain was reported in 13.3% to 20.0% of Grade 3 and Grade 4 elementary school students, and 36.1% to 48.5% of first and second year junior high school students. There were more junior high school students who reported bone and joint pain. Many students in higher elementary school grades had issues with flexibility: 50.0% of Grade 4 students were not able to squat down and 66.7% of Grade 5 students could not do forward bends. This coincided with the beginning of their growth spurts. Musculoskeletal disorders were observed in 20.0% to 75.0% of elementary school students and 12.0% to 23.2 % of junior high school students. The positive predictive value of the responses given in the interview sheets and self-administered check lists was approximately 10%. To prevent musculoskeletal disorders during the growth stage, it is crucial to continue musculoskeletal examinations that integrate the assessment of pain and flexibility and to provide guidance in stretching in collaboration with specialists. Additional measures like combining ultrasound testing are needed to address individuals at high risk for musculoskeletal disorders, such as individuals starting to go through growth spurts and those who are physically active.

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