Pellisé Ferran, Balagué Federico, Rajmil Luis, Cedraschi Christine, Aguirre Mario, Fontecha Cesar G, Pasarín Maribel, Ferrer Montse
Spine Unit, Hospital Universitari de Traumatologia I Rehabilitació Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Arch Pediatr Adolesc Med. 2009 Jan;163(1):65-71. doi: 10.1001/archpediatrics.2008.512.
To assess the prevalence of low back pain (LBP) in adolescents and the clinical features of LBP in 2 European countries and to evaluate the effect of LBP on health-related quality of life (HRQOL) using standardized validated generic and disease-specific instruments.
Cross-sectional study.
Secondary schools of Barcelona, Spain, and Fribourg, Switzerland.
Representative sample of adolescents from the 2 cities. Intervention Selected adolescents completed a questionnaire including a generic HRQOL (KIDSCREEN-52) and 2 LBP-specific instruments.
Results of KIDSCREEN-52, the Roland-Morris Disability Questionnaire, and the Hanover Functional Ability Questionnaire.
A total of 1470 adolescents (52.6% male) with a mean (SD) age of 15.05 (1.17) years completed the questionnaires (response rate, 85.1%). Low back pain was reported by 587 adolescents (39.8%): isolated LBP in 250 (42.6%), LBP plus other pain in 271(46.2%), LBP plus whole-body pain in 50 (8.5%, and unclassifiable LBP in 16 (2.7%). Five hundred adolescents (34.7%) reported no pain, and 369 (25.6%) reported other pain without LBP. In those with isolated LBP, the percentage of adolescent boys was higher (54.6%; P < .001) and the LBP was mildest. In those with LBP plus whole-body pain, the percentage of adolescent girls was higher (62%; P < .001) and LBP was most severe. All KIDSCREEN scores in the group with LBP plus whole-body pain were significantly lower than in the other groups (effect size, 0.52-1.24). No differences were found between the groups who reported isolated pain, no pain, or other pain with no LBP. On the LBP-specific instruments, adolescents who reported LBP plus other pain had significantly poorer scores (P < .001) compared with those with isolated LBP but better scores (P < .001) than those with LBP plus whole-body pain.
Low back pain in adolescents is a prevalent symptom with overall low associated disability and little effect on health-related quality of life. A subset of adolescents in whom LBP is associated with whole-body pain report significant impairment and deserve more attention.
评估欧洲两个国家青少年中腰痛（LBP）的患病率及其临床特征，并使用标准化验证的通用和疾病特异性工具评估LBP对健康相关生活质量（HRQOL）的影响。
横断面研究。
西班牙巴塞罗那和瑞士弗里堡的中学。
来自这两个城市的青少年代表性样本。干预措施：选定的青少年完成一份问卷，其中包括通用的HRQOL（儿童生活质量量表-52）和2种LBP特异性工具。
儿童生活质量量表-52、罗兰-莫里斯残疾问卷和汉诺威功能能力问卷的结果。
共有1470名青少年（52.6%为男性）完成了问卷，平均（标准差）年龄为15.05（1.17）岁（回复率为85.1%）。587名青少年（39.8%）报告有腰痛：孤立性腰痛250例（42.6%），腰痛伴其他疼痛271例（46.2%），腰痛伴全身疼痛50例（8.5%），无法分类的腰痛16例（2.7%）。500名青少年（34.7%）报告无疼痛，369名（25.6%）报告有其他疼痛但无腰痛。在孤立性腰痛患者中，青少年男性的比例较高（54.6%；P<0.001），且腰痛最轻微。在腰痛伴全身疼痛的患者中，青少年女性的比例较高（62%；P<0.001），且腰痛最严重。腰痛伴全身疼痛组的所有儿童生活质量量表得分均显著低于其他组（效应量为0.52-1.24）。在报告孤立性疼痛、无疼痛或其他无腰痛疼痛的组之间未发现差异。在LBP特异性工具上，报告腰痛伴其他疼痛的青少年得分显著低于孤立性腰痛患者（P<0.001），但高于腰痛伴全身疼痛患者（P<0.001）。
青少年腰痛是一种常见症状，总体残疾程度较低，对健康相关生活质量影响较小。腰痛与全身疼痛相关的一部分青少年报告有明显损害，值得更多关注。
