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

Description
スポーツクラブ,運動部に所属している小中学生219名を対象に運動器検診を実施し,骨・関節の痛み,柔軟性,運動器障害の状況を明らかにし,よりよい学校運動器検診のあり方について検討することを目的に研究を行った.骨・関節の痛みがある人は,小学3~4年生で13.3~20.0%,中学1~2年生は36.1~48.5%と中学生が多かった.柔軟性では,しゃがみ込みができない人は,小学4年生が50.0%,前屈ができない人は,小学5年生が66.7%と小学校高学年に多く,成長スパートの開始時期と一致していた.運動器障害は,小学生20.0~75.0%,中学生12.0~23.2%であった.問診票や自己チェックの陽性的中率は1割程度であった.成長期の運動器障害を予防するためには,専門職と連携して痛みや柔軟性の評価を盛り込んだ運動器検診,ストレッチ指導を継続することが重要である.また,成長スパート開始時期にある人や運動をしている人など運動器障害のリスクが高い人には超音波検査を併用するなどの対応が必要である.
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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