Prévalence, facteurs de risque et retentissement des rachialgies chez le parachutiste militaire français

Abstract : Introduction: In modern society, lower back pain and, a fortiori, back pain in general have been identified as critical issues in military health care. These issues have major socio-economic and operational impacts. To our knowledge, military parachuting has never been defined as a risk factor for back pain. However, the spine is one of the most injured locations for paratroopers. This population is particularly at risk due to the traditional strains on soldiers in addition to those caused by parachuting. Our main objective was to determine the prevalence of back pain in a population of French paratroopers. Our secondary objectives were to assess the impacts of back pain, as well as to identify additional risk factors. Materials and methods: The data in our multicentric descriptive study were collected via an anonymous questionnaire. This was filled out by paratroopers while they waited for their annual medical examination. The questionnaires were provided to 14 different medical units, each supporting a single paratrooper unit, over a period of 4 months, from September 1st, 2018 to December 31st, 2018. The design of this study has been approved by the Comité de Protection des Personnes (institutional review board) under the number 18.074. Results: In our study, the point prevalence was 15.8%, 39.8% over the previous twelve months and 52.8% over the entire career in the paratroopers’ unit. The risk factors uncovered were parachute jumps (automatic opening or delayed), age, marital status, cargo handling, and job dissatisfaction. Regarding repercussions, the average numeric scale for pain was 4.7, and the average duration of leave taken due to back pain was 29.2 days. The median duration of disability was 3 months. Conclusions: Our study revealed a low prevalence of back pain in paratroopers compared to existing data, even though parachuting has been defined as a risk factor. Nevertheless, back pain among paratroopers is responsible for significant human, professional, and financial impacts that negatively affect operational readiness. The reduction of these impacts can only be achieved through preventative measures with a basis of biopsychosocial models of acute episodes and their evolution to chronic pain. These measures must be coordinated by a multidisciplinary team of therapists as well as sport and parachuting professionals.
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Jordan Sayeh, Karim Porino. Prévalence, facteurs de risque et retentissement des rachialgies chez le parachutiste militaire français. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02117677⟩

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