Cho Chiung-Yu, Hwang Ing-Shou, Chen Chwen Cheng
Department of Physical Therapy, Medical College, National Cheng Kung University, Tainan, Taiwan, Republic of China.
J Orthop Sports Phys Ther. 2003 Jun;33(6):344-53. doi: 10.2519/jospt.2003.33.6.344.
A cross-sectional nonexperimental study.
To determine the prevalence of musculoskeletal symptoms during a 6-month period and explore the contributing factors associated with these symptoms in Chinese senior class high school students. We also explored the relationship between psychological distress and musculoskeletal symptoms in this population.
Musculoskeletal symptoms with no underlying identifiable pathology are a management puzzle to medical professionals. Finding the prevalence of musculoskeletal symptoms is the first step in the prevention of further chronic pain syndromes in young adults. No study, however, has directly measured the prevalence of musculoskeletal symptoms in this population. Investigations of the contributing factors to these symptoms, though rare, can provide information to assist in the prevention of further injuries.
The Musculoskeletal Symptom Questionnaire (MSQ) and the 12-question version of the Chinese Health Questionnaire (CHQ-12) were randomly distributed to students (n = 550) in 4 different high schools in the Tainan area of Taiwan. Of these, 471 students returned the questionnaires for analysis. Descriptive statistics were computed for means, standard deviations, and frequencies. Chi-square statistics were used for analysis of the association between psychological distress and musculoskeletal symptoms.
The most frequent complaints of musculoskeletal symptoms among the adolescent Chinese student population were reported as being located in the following anatomical areas: neck (56%), shoulder (45%), and back (37%). Based on the results from the CHQ-12, all of the participants were divided into 2 groups: a high psychological (CHQ-12 score > or = 5) and a low psychological (CHQ-12 score < 5) distress group. There were significant differences of prevalence of musculoskeletal symptoms between these 2 groups (P < .05), especially for the neck region (P = .003).
The results showed that the prevalence of musculoskeletal symptoms was high in this adolescent population and demonstrated a certain association with psychological distress. We suggest that surveys of this type may serve as preclinical detectors of future musculoskeletal disorders and may permit early interventions. Developing an intervention that addresses both physical and psychological problems may be beneficial for this population.
一项横断面非实验性研究。
确定6个月期间肌肉骨骼症状的患病率，并探讨中国高中生中这些症状的相关影响因素。我们还研究了该人群中心理困扰与肌肉骨骼症状之间的关系。
无潜在可识别病理的肌肉骨骼症状对医学专业人员来说是一个管理难题。确定肌肉骨骼症状的患病率是预防年轻人进一步出现慢性疼痛综合征的第一步。然而，尚无研究直接测量该人群中肌肉骨骼症状的患病率。对这些症状的影响因素进行调查虽然少见，但可为预防进一步损伤提供信息。
将肌肉骨骼症状问卷（MSQ）和12项中文版健康问卷（CHQ - 12）随机分发给台湾台南地区4所不同高中的学生（n = 550）。其中，471名学生返回问卷进行分析。计算均值、标准差和频率的描述性统计量。采用卡方统计分析心理困扰与肌肉骨骼症状之间的关联。
在青少年中国学生群体中，最常报告的肌肉骨骼症状部位如下：颈部（56%）、肩部（45%）和背部（37%）。根据CHQ - 12的结果，所有参与者被分为两组：高心理困扰组（CHQ - 12得分≥5）和低心理困扰组（CHQ - 12得分<5）。这两组之间肌肉骨骼症状的患病率存在显著差异（P <.05），尤其是颈部区域（P =.003）。
结果表明，该青少年人群中肌肉骨骼症状的患病率较高，且与心理困扰存在一定关联。我们建议此类调查可作为未来肌肉骨骼疾病的临床前检测手段，并可能允许早期干预。制定一种同时解决身体和心理问题的干预措施可能对该人群有益。
