青少年腰痛的患病率及其对健康相关生活质量的影响。

Prevalence of low back pain and its effect on health-related quality of life in adolescents.

作者信息

Pellisé Ferran, Balagué Federico, Rajmil Luis, Cedraschi Christine, Aguirre Mario, Fontecha Cesar G, Pasarín Maribel, Ferrer Montse

机构信息

Spine Unit, Hospital Universitari de Traumatologia I Rehabilitació Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.

出版信息

Arch Pediatr Adolesc Med. 2009 Jan;163(1):65-71. doi: 10.1001/archpediatrics.2008.512.

DOI:10.1001/archpediatrics.2008.512

PMID:19124706

Abstract

OBJECTIVES

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.

DESIGN

Cross-sectional study.

SETTING

Secondary schools of Barcelona, Spain, and Fribourg, Switzerland.

PARTICIPANTS

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.

MAIN OUTCOME MEASURES

Results of KIDSCREEN-52, the Roland-Morris Disability Questionnaire, and the Hanover Functional Ability Questionnaire.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

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。

设计

横断面研究。

地点

西班牙巴塞罗那和瑞士弗里堡的中学。

参与者

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。

主要观察指标

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。

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）。