Demands and Supplies of Manipulative Therapies for Muscle-Skeletal Complaints in Japan.

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  • KAGAMIMORI Sadanobu
    Department of Welfare Promotion and Epidemiology, Toyama Medical and Pharmaceutical University
  • SEKINE Michikazu
    Department of Welfare Promotion and Epidemiology, Toyama Medical and Pharmaceutical University
  • KAJITA Etsuko
    Department of Community and Gerontological Nursing, Toyama Medical and Pharmaceutical University
  • MATSUBARA Isamu
    Ishikawa Prefecture Nursing University
  • OHMURA Sakae
    Akebi Hot Spring Clinic

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Other Title
  • わが国における筋骨格系症状の療養に関する需要と供給状況の検討
  • ワガクニ ニ オケル キンコッカクケイ ショウジョウ ノ リョウヨウ ニ カンスル ジュヨウ ト キョウキュウ ジョウキョウ ノ ケントウ

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The demand-supply status of manipulative therapies for muscle-skeletal complaints in Japan were observed and analyzed using data published in 1995.<br>The results were as follows.<br>1. In Japan, the average prevalence rate was 69.6 for shoulder stiffness, 71.8 for lower back pain, and 46.1 for joint pain as of 1995 (per 1, 000 population). The prevalence rates were higher in women than in men and higher in prefectures located in the west part than in the east part of Japan. Differences in prevalence rates of the three complaints of several times were seen among the 46 prefectures.<br>2. On average, there were 66.6 massagers/chiropractors, 45.0 acupuncturists, 44.0 moxibustionists, and 20.2 bonesetters as of 1995 in Japan (per 100, 000 population). These numbers were higher in prefectures located in the west part than in the east part of Japan.<br>3. The rate of outpatients attending massagers, chiropractors, acupuncturists, moxibustionists, or bonesetters as of 1995 in Japan was 23.7per 1, 000 population. The rate of outpatients was higher in women than in men and higher in prefectures located in the west part than in the east part of Japan.<br>4. The rate of outpatients in each prefecture showed a significant correlation with the prevalence rates of muscle-skeletal complaints (r=0.51 for shoulder stiffness, r=0.44 for low back pain, and r=0.68 for joint pain) and with the numbers of manipulative therapists (r=0.31 for massagers/chiropractors, r=0.36 for acupuncturists, r=0.35 for moxibustionists, and r=0.57 for bonesetters).<br>5. Based on multiple correlation analysis showing the correlation of the rate of outpatients with the number of therapists, the prevalence rate of shoulder stiffness (partial correlation coefficient: PCC=0.61) and the number of bonesetters (PCC=0.65) showed significant correlation with the number of outpatients visiting therapists, and its multiple correlation coefficient was 0.76 (<0.001).

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