Low back pain in schoolchildren: occurrence and characteristics
Low back pain in schoolchildren: occurrence and characteristics
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DOI：
10.1016/s0304-3959(02)00008-8
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发表时间：
2002-05-01
期刊：
影响因子：
7.4
通讯作者：
Macfarlane, GJ
中科院分区：
文献类型：
--
作者：
Watson, KD;Papageorgiou, AC;Macfarlane, GJ
在青少年腰痛被认为是不常见的在诊所设置。然而，先前的研究表明，这可能是这个年龄段一个重要且日益严重的问题。本研究的目的是确定腰痛的患病率和重要症状特征，如持续时间、周期性、强度、残疾和年轻时的求医行为。在英格兰西北部进行了一项以人群为基础的横断面研究，包括1446名11-14岁的儿童。采用一份自填问卷来评估腰痛的患病率、症状特征、相关残疾和求医行为。另一份家长自行完成的问卷旨在验证疼痛报告的有效性。1个月期间腰痛患病率为24%。女孩高于男孩（29比19%；chi(2) = 14.7, P < 0.001），且随年龄增长而增加（P < 0.001）。在那些报告腰痛的人中，94%的人有一些残疾，最常见的报告是背书包有困难。尽管残疾率如此之高，但很少有人寻求医疗照顾。青少年腰痛是常见的，但很少寻求医疗护理。儿童期的这些症状，特别是因为它们非常常见，可能对成年期的慢性腰痛有重要影响。(C) 2002年由Elsevier Science B.V.代表国际疼痛研究协会出版。
Low back pain in adolescents is perceived to be uncommon in the clinic setting. However, previous studies have suggested that it may be an important and increasing problem in this age-group. The aim of this study was to determine the prevalence and important symptom characteristics of low back pain such as duration, periodicity, intensity, disability and health seeking behaviour at young ages. A population-based cross-sectional study was conducted including 1446 children aged 11-14 years in the North-West of England. A self-complete questionnaire was used to assess low back pain prevalence, symptom characteristics, associated disability and health seeking behaviour. An additional self-complete questionnaire amongst parents sought to validate pain reporting. The 1-month period prevalence of low back pain was 24%. It was higher in girls than boys (29 vs. 19%; chi(2) = 14.7, P < 0.001) and increased with age in both sexes (P < 0.001). Of those reporting low back pain, 94% experienced some disability, with the most common reports being of difficulty carrying school bags. Despite this high rate of disability, few sought medical attention. Adolescent low back pain is common although medical attention is rarely sought. Such symptoms in childhood, particularly as they are so common, may have important consequences for chronic low back pain in adulthood. (C) 2002 Published by Elsevier Science B.V. on behalf of International Association for the Study of Pain.