Four-year musculoskeletal examinations among elementary and junior high school students across a single city

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  • Kamada Hiroshi
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan Center for Sports Medicine and Health Science, University of Tsukuba Hospital, Japan
  • Tomaru Yohei
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan
  • Kimura Mio
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan
  • Tsukagoshi Yuta
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan
  • Nakagawa Shogo
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan Department of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences Hospital, Japan
  • Mataki Yuki
    Department of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences Hospital, Japan
  • Takeuchi Ryoko
    Department of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences Hospital, Japan
  • Kasai Taishu
    Faculty of Medicine, University of Tsukuba, Japan
  • Nakajima Ryoichi
    Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
  • Tanaka Kenta
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan
  • Miyakawa Shumpei
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan
  • Yamazaki Masashi
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan Center for Sports Medicine and Health Science, University of Tsukuba Hospital, Japan

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Abstract

<p>Objective: In 2016, Japan started conducting musculoskeletal examinations that included “limb status” of students as an essential item. Our institution implemented a unified musculoskeletal examination for all public elementary and junior high schools in T-city. In this study, we aimed to report the progress in the past 4 years.</p><p>Patients and Methods: The Tsukuba Childhood Locomotive-Organ Screening Sheet (T-CLOSS), which is a questionnaire that includes some nationwide-recommended questions, was prepared and distributed to students. Results of the questionnaires were analyzed, and the orthopedic surgeon conducted examinations for the extracted items. From these questionnaires, the ratio of each item, rate of advisory for screening, and content of the advisory were investigated.</p><p>Results: During 2016–2019, musculoskeletal examinations were conducted in every public schools, with nearly 20,000 students in T-city. The consultation advisory rate was 6.7% in 2019. Of the 524 students who received the third screening recommendation, the actual consultation rate was 248 (40.8%). After the third screening, the proportion of students requiring treatment and outpatient visits was 46.7% (n=248), which accounted for 1.2% of all elementary and junior high school students in the city.</p><p>Conclusion: We reported the results of 4-year musculoskeletal examinations in a city. In our screening, we distributed a uniform questionnaire throughout the city, and orthopedic surgeons performed secondary examinations of identified students in all schools. This appears to be an advanced effort to prevent musculoskeletal impairment in students. We hope to conduct more sophisticated musculoskeletal examinations using our results, aiming at early detection, early treatment, and improvement of musculoskeletal function in elementary and junior high school students.</p>

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