Gummesson Christina, Isacsson Sven-Olof, Isacsson Agneta H, Andersson H Ingemar, Ektor-Andersen John, Ostergren Per-Olof, Hanson Bertil
Division of Physiotherapy, Lund University, Lund, Sweden.
BMC Musculoskelet Disord. 2006 Feb 23;7:17. doi: 10.1186/1471-2474-7-17.
The course of pain at a specific region such as the lower back has previously been shown as well as for generalized pain. However we have not found any report on the course of pain from various different specific regions. The aim of this investigation was to study the one-year transition of reported pain in different body locations.
From a general population 14,555 men and women, 46-68 years, responded to an extensive health questionnaire including the standardized Nordic questionnaire. The population represented 27% of the total population within the age group in Malmö, Sweden. At the one year follow-up 12,607 responded to the questionnaire, yielding a response rate of 87%. The one year prevalence of long-lasting pain and the pattern of pain reporting from different regions were studied for men and women.
The one-year prevalence of long-lasting neck pain was 14% (95% CI 13-15) among men and 25% (95% CI 24-26) among women at baseline and 15% (95% CI 14-16) for the men and 23% (95% CI 22-24) for the women at follow-up. Of those reporting neck pain "all the time" at baseline, 48% of the men and 54% of the women also reported neck pain "all the time" at the one-year follow-up. At the follow-up neck pain was reported as present "often" by 43% of the men and 47% of the women who reported neck pain "often" at baseline. Similar transition pattern were found for neck, shoulders, elbow/wrist/hand and lower back symptoms, as well as consistent prevalence rates.
The one-year transition pattern of reported pain was similar in different body regions and among men and women. Furthermore the prevalence rates of long-lasting pain in the population were consistent at baseline and the follow-up. The findings of similar transition patterns support the interpretation of long-lasting pain as a generalized phenomenon rather than attributed to specific exposure. This may have implications for future pain research.
先前已对下背部等特定区域以及全身性疼痛的病程进行过研究。然而，我们尚未发现关于来自不同特定区域疼痛病程的任何报告。本研究的目的是探讨不同身体部位报告疼痛的一年期转变情况。
从瑞典马尔默年龄在46 - 68岁的14555名男性和女性的普通人群中，收集了一份包括标准化北欧问卷在内的广泛健康问卷。该人群占瑞典马尔默该年龄组总人口的27%。在一年的随访中，有12607人回复了问卷，回复率为87%。研究了男性和女性长期疼痛的一年患病率以及不同区域疼痛报告的模式。
基线时，男性长期颈部疼痛的一年患病率为14%（95%可信区间13 - 15），女性为25%（95%可信区间24 - 26）；随访时，男性为15%（95%可信区间14 - 16），女性为23%（95%可信区间22 - 24）。在基线时“一直”报告颈部疼痛的人群中，48%的男性和54%的女性在一年随访时也“一直”报告颈部疼痛。在随访时，基线时“经常”报告颈部疼痛的男性中有43%、女性中有47%报告颈部疼痛“经常”出现。颈部、肩部、肘/腕/手部以及下背部症状的转变模式相似，患病率也保持一致。
不同身体部位以及男性和女性报告疼痛的一年期转变模式相似。此外，该人群中长期疼痛的患病率在基线和随访时保持一致。相似转变模式的发现支持将长期疼痛解释为一种全身性现象，而非归因于特定暴露。这可能对未来的疼痛研究具有启示意义。
