Prévalence, retentissement et facteurs associés aux rachialgies chez le parachutiste militaire français. Par K. PORINO, J. SAYEH, A. HAAR, L. AIGLE, L. THEFENNE, B. MMADI MRENDAet G. MORAND, France∑ ∏ π ∫ ∏ ª º Karim PORINO Entré à l’Ecole du service du service de santé de Lyon-Bron en 2010, le médecin PORINO a été affecté à la 176èmeantenne médicale soutenant le 17èmeRGP à l’issue de son internat à l’HIA Laveran de Marseille. Breveté parachutiste depuis 2018, il pratique le parachutiste sportif depuis 2013 et totalise plus de 800 sauts. Titulaire du Brevet de médecine aéronautique de défense, ilest l’auteur d’une thèse de médecine sur « Prévalence, facteur de risques et retentissement des rachialgies chez le parachutiste militaire français. ». Il a été projeté pour la première fois en OPEX en Afrique au cours de l’année 2021. SUMMARY Prevalence, impact and factors associated with spinal pain in French military parachutists. Introduction: Spinal pain is one of the priority objectives in military public health. These pathologies have indeed a significant socio-economic and operational impact. The spine is one of the main sites of injury in paratroopers. This population is particularly exposed because of the common and usual constraints of the military and those caused by parachuting. The main objective was to determine the prevalence of spinal pain in a population of French military parachutists. The secondary objectives were to evaluate the impact of spinal pain and to search for associated factors. Material and method: The data of our multicentric descriptive study were collected via an anonymous paper questionnaire filled in by paratroopers in the waiting room before their annual periodic medical check-up. It took place in the 14 medical branches supporting an airborne troops unit (TAP) during four months, from September 1, 2018 to December 31, 2018. It was approved by the Committee on Personal Protection under number 18.074. Results: The instantaneous prevalence during our study was 15.8%, 39.8% over the past 12 months, and 52.8% over the entire career in airborne troops. Statistical associations with spinal pain were found such as the number of parachute jumps (both automatic and delayed opening), age, marital status, handling, and job dissatisfaction. Concerning the repercussions, the average numerical pain scale was 4.7, the average duration of work stoppage was 29.2 days and the median duration of TAP incapacity was 3 months. Conclusion: Our study shows a low prevalence of spinal pain in parachutists in comparison with existing data. Nevertheless, the repercussions of this pathology could be important with an average duration of work stoppage of nearly one month and a median of 3 months of TAP incapacity. Statistical associations were found which would deserve to be evaluated in a dedicated study in order to identify potential risk factors which would be accessible to a targeted prevention. MOTS-CLÉS: Militaire, Parachutiste, Prévalence, Rachialgies, Retentissement. KEYWORDS:Military, Paratrooper, Prevalence, Spinal pain, Impact. INTRODUCTION En France, elles seraient responsables d’un coût médical Rationnel direct de 1.4 milliards d’euros et de 10.7 millions de journées de travail perdues en 2009. La prévalence sur2 Les lombalgies seraient la première cause d’incapacité 12 mois (aiguës, subaiguës et chroniques confondues) VOL. globale à l’échelle mondiale.1 au sein de la population française serait estimée chez 94/3 International Review of the Armed Forces Medical Services 27 Revue Internationale des Services de Santé des Forces Armées SELCITRASELCITRA