Straker Leon M, O'Sullivan Peter B, Smith Anne J, Perry Mark C, Coleman Jemma
Physiotherapy, Curtin University of Technology, Perth, WA 6845, Australia.
Aust J Physiother. 2008;54(2):127-33. doi: 10.1016/s0004-9514(08)70046-1.
Is neck/shoulder pain in adolescents related to their sitting spinal posture, taking account of gender?
Cross-sectional survey and direct observation.
1597 adolescents from the 'Raine' birth cohort study (781 females, 816 males) with a mean age of 14.1 years (SD 0.2).
Neck/shoulder pain prevalence and gender was measured by survey. Spinal posture (7 angles) during sitting was measured from photographs.
Life, month, and point prevalence for neck/shoulder pain among adolescents were 47%, 29%, and 5% respectively. Life prevalence was 10% higher in females than in males and month prevalence was 12% higher. When looking straight ahead, females sat with 2 degrees (95% CI 1 to 3) less neck flexion, 2 degrees (95% CI 0 to 3) less craniocervical angle, 7 degrees (95% CI 6 to 8) less cervicothoracic angle, 13 degrees (95% CI 12 to 14) less trunk angle, 10 degrees (95% CI 8 to 12) less lumbar angle, and 9 degrees (95% CI 7 to 11) more anterior pelvic tilt than males. Adolescents with neck/shoulder pain sat with 2 degrees (95% CI 1 to 3) less trunk angle, and 1 degree (95% CI 0 to 2) less cervicothoracic angle than those without pain. After controlling for gender, OR for neck/shoulder pain ever predicted by any angle ranged from 0.99 to 1.00 (range of 95% CI 0.98 to 1.01).
Neck/shoulder pain is highly prevalent in Australian adolescents. Sitting spinal posture differs between males and females and differs slightly between those with and without neck/shoulder pain. However, posture was not predictive of neck/shoulder pain ever after controlling for gender.
考虑到性别因素，青少年的颈部/肩部疼痛与他们坐着时的脊柱姿势有关吗？
横断面调查和直接观察。
来自“雷恩”出生队列研究的1597名青少年（781名女性，816名男性），平均年龄14.1岁（标准差0.2）。
通过调查测量颈部/肩部疼痛的患病率和性别。从照片中测量坐着时的脊柱姿势（7个角度）。
青少年颈部/肩部疼痛的终生患病率、月患病率和点患病率分别为47%、29%和5%。女性的终生患病率比男性高10%，月患病率高12%。直视前方时，女性坐着时颈部前屈角度比男性小2度（95%可信区间1至3），颅颈角小2度（95%可信区间0至3）， cervicothoracic角小7度（95%可信区间6至8），躯干角小13度（95%可信区间12至14），腰椎角小10度（95%可信区间8至12），骨盆前倾角度比男性大9度（95%可信区间7至11）。有颈部/肩部疼痛的青少年坐着时的躯干角比无疼痛者小2度（95%可信区间1至3），cervicothoracic角小1度（95%可信区间0至2）。在控制性别后，任何角度预测颈部/肩部疼痛的比值比范围为0.99至1.00（95%可信区间范围为0.98至1.01）。
颈部/肩部疼痛在澳大利亚青少年中非常普遍。男性和女性坐着时的脊柱姿势不同，有和没有颈部/肩部疼痛的人之间也略有不同。然而，在控制性别后，姿势并不能预测颈部/肩部疼痛。
