Repeated measures of recent headache, neck and upper back pain in Australian adolescents
Repeated measures of recent headache, neck and upper back pain in Australian adolescents
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DOI：
10.1111/j.1468-2982.2006.01120.x
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发表时间：
2006-07-01
期刊：
影响因子：
4.9
通讯作者：
Milanese, S.
中科院分区：
文献类型：
--
作者：
Grimmer, K.;Nyland, L.;Milanese, S.
流行病学和临床文献确定了成人头痛、颈椎和胸椎功能障碍与脊柱姿势之间的强相关性。本文报告了澳大利亚13-17岁城市居民在过去一周内头痛、颈部和上背痛的患病率和发病率。从1999年开始，我们通过5年的中学教育跟踪了一批南澳大利亚学生。在我们开始的学生队列中，132人（30%）每年提供身体疼痛的数据。对于女孩和男孩来说，在研究期间头痛的患病率显着下降，而颈部疼痛和上背部疼痛增加。随着时间的推移，男孩的上背痛有明显增加的趋势。20%的女孩和男孩持续报告头痛，颈部疼痛或上背部疼痛超过5年。早期青少年头痛向中期青少年颈部和上背部疼痛的进展可能反映了青少年对内在和外在压力的生物力学反应。这需要进一步调查，以了解青少年头痛，颈部和上胸部疼痛的原因。
The epidemiological and clinical literature identifies strong associations between adult headache, cervical and thoracic spine dysfunction and spinal posture. This paper reports on the prevalence and incidence of headache, neck and upper back pain which occurred in the previous week, in urban Australians aged 13-17 years. Commencing in 1999, we followed a cohort of South Australian students through 5 years of secondary schooling. Of our commencing cohort of students, 132 (30%) provided data on bodily pain every year. For both girls and boys, there was a significantly decreasing prevalence of headache over the study period, while neck pain and upper back pain increased. There was a significantly increasing trend over time for boys with upper back pain. Twenty percent of girls and boys consistently reported headache, neck pain or upper back pain over 5 years. The progression of early adolescent headaches to mid-adolescent neck and upper back pain potentially reflects the adolescents' biomechanical responses to intrinsic and extrinsic imposts. This requires further investigation to understand the causes of adolescent headache, neck and upper thoracic pain.