Wedderkopp N, Leboeuf-Yde C, Andersen L B, Froberg K, Hansen H S
Institute of Sportsscience and Clinical Biomechanics, Odense University, Denmark.
Spine (Phila Pa 1976). 2001 Sep 1;26(17):1879-83. doi: 10.1097/00007632-200109010-00012.
A cross-sectional survey of 806 pupils in Odense, Denmark was performed. This survey included children and adolescents ages 8 to 10 and 14 to 16 years obtained through two-stage cluster sampling from schools stratified according to school type, location, and socioeconomic character of the uptake area.
To establish the 1-month prevalence of neck, middle back, and low back pain and the consequences this disorder may have in relation to age and gender.
The differences in definitions of back pain and the variety of age groups included in previous studies make it difficult to draw clear conclusions about the onset of pain for various spinal regions in the young.
Information on back pain within the preceding month, obtained through a standardized interview of 481 children and 325 adolescents, was categorized according to area of pain, age, and gender. The consequences of back pain also were studied.
The 1-month prevalence of back pain was 39%. Thoracic pain is most common in childhood, whereas thoracic pain and lumbar pain are equally common in adolescence. Neck pain and pain in more than one area of the spine are rare in both age groups. No gender differences were found. Of those who had back pain, 38% also reported some type of consequence, usually either visits to a medical physician or diminished physical activities.
For clinical and research purposes, neck pain, middle back pain, and low back pain in childhood should be regarded as three specific entities. In future research the data for different age groups should be reported separately.
对丹麦欧登塞市的806名学生进行了横断面调查。该调查纳入了8至10岁以及14至16岁的儿童和青少年，通过两阶段整群抽样从根据学校类型、位置以及招生区域社会经济特征分层的学校中选取。
确定颈部、中背部和下背部疼痛的1个月患病率以及这种疾病与年龄和性别的关系。
背痛定义的差异以及先前研究中纳入的年龄组的多样性使得难以就年轻人不同脊柱区域疼痛的发作得出明确结论。
通过对481名儿童和325名青少年进行标准化访谈获取前一个月内背痛的信息，并根据疼痛部位、年龄和性别进行分类。还研究了背痛的后果。
背痛的1个月患病率为39%。胸痛在儿童期最为常见，而胸痛和腰痛在青少年期同样常见。两个年龄组中颈部疼痛和多个脊柱区域疼痛均较少见。未发现性别差异。在有背痛的人群中，38%还报告了某种类型的后果，通常是去看医生或身体活动减少。
出于临床和研究目的，儿童期的颈部疼痛、中背部疼痛和下背部疼痛应被视为三个特定实体。在未来研究中，应分别报告不同年龄组的数据。
