Evidence map›Paper›PMID 41566539›Full record

ArticleBMC research notes2026

Indigenous knowledge of traditional bonesetters and bone setting practice in Southwest Ethiopia: towards integration with modern health care system.

Kitachew Hailemicheal, Biruk Endalkachew, Solomon Ejigu, Nikodimos Eshetu, Ephrem Fisseha, Dawit Getachew

Abstract read
In one paragraph

Article in BMC research notes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kitachew HailemichealDepartment of Biomedical Sciences, School of Medicine, College of Medicine and Health Sciences, Mizan Tepi University, Mizan Aman, Ethiopia.ORCID http://orcid.org/0009-0003-9121-5268
Biruk EndalkachewDepartment of Biomedical science, School of Allied Health science, Menelik II Medical and Health Science, Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0003-3577-376X
Solomon EjiguDepartment of Biomedical Sciences, School of Medicine, College of Medicine and Health Sciences, Mizan Tepi University, Mizan Aman, Ethiopia.
Nikodimos EshetuDepartment of Biomedical Sciences, School of Medicine, College of Medicine and Health Sciences, Mizan Tepi University, Mizan Aman, Ethiopia.ORCID http://orcid.org/0000-0001-5763-6729
Ephrem FissehaDepartment of Biomedical Sciences, School of Medicine, College of Medicine and Health Sciences, Mizan Tepi University, Mizan Aman, Ethiopia.ORCID http://orcid.org/0009-0004-3466-9391
Dawit GetachewDepartment of Public Health, School of Public Health, College of Medicine and Health Sciences, Mizan Tepi University, Mizan Aman, Ethiopia. getdawit2011@gmail.com.ORCID http://orcid.org/0000-0002-4056-1019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe indigenous knowledge of bonesetters and the practice of bone setting has contributed a lot to the modern medicine, and yet serving as primary source of care in low- and middle-income countries but got little attention. This study explored the indigenous knowledge of traditional bonesetters and bone-setting practice in Southwest Ethiopia.

methodsA mixed study design approach was done in southwest of Ethiopia, from August 15 to December 15, 2022. A total of 80 traditional bonesetter who predominantly manage injury and disorder to the bone and the musculoskeletal, and also health professionals were interviewed regarding their traditional knowledge and range of practice.

resultThe mean age of the study participant was 69 ± 6 and majority (99%) of them were male. Traditional bonesetters participated in this study primarily acquired their knowledge through family transmission (45%), spiritual belief or divine gift (30%), and observation or experience (25%). Qualitative interviews revealed three themes: transgenerational learning, spiritual grant often linked to twin births, and experiential practice. Most TBSs had over 20 years of experience treating fractures, dislocations, and sprains, mainly at home or via mobile visits. Diagnostic methods included history-taking, palpation, and inspection. Treatment relied on massage, splinting, and natural materials like leaves, butter, and animal skin. All TBSs emphasized that healing power resides in their hands, often viewed as a divine gift.

conclusionTraditional bonesetters in Southwest Ethiopia possess rich indigenous knowledge rooted in family heritage, spiritual beliefs, and experiential learning. Their practices reflect deep cultural traditions and community trust, often passed down through generations or revealed through personal experience. Despite limited formal training, they demonstrate diagnostic skill and therapeutic effectiveness using locally available materials. Massage and splinting remain central to their treatment approach. Recognition and documentation of these practices are essential to preserve Ethiopia's healing heritage. Future collaboration with formal healthcare could enhance integration and mutual learning.

Indexed as

Delivery of Health CareHealth Knowledge, Attitudes, PracticeMedicine, African TraditionalAgedEthiopiaFemaleHumansMaleMiddle AgedTraditional Medicine PractitionersBone setterIndigenous knowledgeSouthwest Ethiopia

Identifiers

PMID41566539
PMCPMC12908313

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.