Manual Medicine Related Injuries Experienced by Physicians: A Missing Aspect in Therapies Using Manipulation of JointsReport as inadecuate

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Evidence-Based Complementary and Alternative Medicine - Volume 2015 2015, Article ID 507051, 4 pages -

Research Article

Department of General Practice and Health Services Research, University Hospital of Heidelberg, Vossstrasse 2, 69115 Heidelberg, Germany

Institute of Family Medicine, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany

Orthopedic Practice, Wilhelm-Becker-Strasse 11 b, 75179 Pforzheim, Germany

Institute of General Practice, University Hospital of Tübingen, Österbergstraße 9, 72074 Tübingen, Germany

Received 7 December 2014; Revised 3 February 2015; Accepted 16 February 2015

Academic Editor: Lise Hestbaek

Copyright © 2015 Jost Steinhaeuser et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. In 2010 Manual Medicine MM was the second most common additional qualification among physicians in Germany, which is recommended to be used in several guidelines. Aim of this analysis was to raise the amount of information on MM related injuries MMri experienced by physicians at any point of their career while applying MM. Methods. Data on MMri of a questionnaire that was used to gain first insights into MM in Germany from a health services research perspective was analysed. Results. A total of 301 physicians 20% female participated in this study. The participants’ mean age was 46. 11% of the participants experienced some kind of MMri during their career as a MM provider. In the three worst cases these MMri were fractures and therefore classified as moderate. Mild MMri were joint dysfunction syndromes , distortions of fingers , and shoulder pain . Subgroup analyses showed no significant differences in the rate of MMri when comparing gender, provider organizations for postgraduate MM courses, and medical disciplines. Conclusion. Our analysis shows risks for providers of MM. As this analysis suffers from the risk of recall bias, future studies should be performed to get more insights into this aspect of MM.

Author: Jost Steinhaeuser, Katja Goetz, Andreas Oser, and Stefanie Joos



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