Low back pain in schoolchildren: the role of mechanical and psychosocial factors

Low back pain in schoolchildren: the role of mechanical and psychosocial factors
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DOI:
10.1136/adc.88.1.12
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发表时间:
2003-01-01
影响因子:
5.2
通讯作者:
Macfarlane, GJ
Macfarlane, GJ
中科院分区:
医学2区
文献类型:
--
作者:
Watson, KD;Papageorgiou, AC;Macfarlane, GJ

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背景资料:无明显临床原因的学龄儿童腰痛(LBP)是一个常见的问题,但对这种疼痛的病因了解甚少。目的:评估机械和心理社会因素的作用(包括情绪和行为问题和其他躯体疼痛的投诉)在儿童LBP。在1446名11-14岁的学龄儿童中进行了横断面研究。这些潜在的危险因素为LBP的信息,寻求使用自我完成的问卷调查和五天袋重diary.Results:机械因素,如体力活动和书包的重量与LBP。然而,强烈的协会与LBP观察到的情绪问题,行为问题,头痛,腹痛,喉咙痛,和白天tightening.Conclusion:结果表明,心理社会因素,而不是机械因素更重要的LBP发生在年轻人群中,可能是一个反映的困扰在学童。
Background: Low back pain (LBP) in schoolchildren with no apparent clinical cause is known to be a common problem, but considerably less is understood regarding the aetiology of such pain.Aim: To assess the role of both mechanical and psychosocial factors (including emotional and behavioural problems and other somatic pain complaints) in childhood LBP.Methods: A cross sectional study was carried out in a population of 1446 schoolchildren aged 11-14 years. Information on these potential risk factors for LBP was sought using a self complete questionnaire and a five day bag weight diary.Results: Mechanical factors such as physical activity and school bag weight were not associated with LBP. However, strong associations with LBP were observed for emotional problems, conduct problems, troublesome headaches, abdominal pain, sore throats, and daytime tiredness.Conclusion: Results suggest that psychosocial factors rather than mechanical factors are more important in LBP occurring in young populations and could possibly be a reflection of distress in school-children.