Leijon Ola, Wahlström Jens, Mulder Marie
Division of Occupational and Environmental Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Spine (Phila Pa 1976). 2009 Aug 1;34(17):1863-8. doi: 10.1097/BRS.0b013e3181ab3397.
Analysis of repeated cross-sectional surveys.
To investigate the prevalence of neck-shoulder-arm pain and concurrent low back pain and psychological distress in a geographical area over a 16-year period.
A large number of studies have shown that nonspecific neck, shoulder, and arm pain is a very common symptom in the general population. However, few studies have followed the prevalence of neck-shoulder-arm pain within a geographical area, in order to investigate time-trends.
This study provides an analysis of questionnaire data collected every 4 years between 1990 and 2006 on the prevalence of neck-shoulder-arm pain and concurrent low back pain or psychological distress in the County of Stockholm, Sweden (response rate: 61%-69%). All individuals aged 21 to 64 years (n = 1976-26,611) were included in the study.
Over the 16-year period, the prevalence of self-reported neck-shoulder-arm pain rose slightly, from 22.8% to 25.0% among females (prevalence rate ratio [PRR]: 1.10) and from 12.8% to 15.4% among males (PRR: 1.21). The prevalence of neck-shoulder-arm pain with concurrent low back pain also rose slightly, from 8.4% to 10.8% among females (PRR: 1.28) and from 5.3% to 6.6% among males (PRR: 1.24). In contrast, the prevalence of neck-shoulder-arm pain with concurrent psychological distress rose more substantially, from 4.4% to 8.5% among females (PRR: 1.91) and from 2.0% to 4.3% among males (PRR: 2.18). All prevalence rates rose between 1990 and 2002, and decreased in 2006 compared to 2002. The gender gap in prevalence did not change over time.
Although the prevalence of neck-shoulder-arm pain and concurrent symptoms decreased in 2006 compared to 2002, it is still too early to conclude that we have reached and passed the peak of the "epidemic" of neck-shoulder-arm pain.
重复横断面调查分析。
调查某一地理区域16年间颈肩臂痛以及同时存在的下背痛和心理困扰的患病率。
大量研究表明，非特异性颈、肩和臂痛在普通人群中是非常常见的症状。然而，为了研究时间趋势，很少有研究追踪某一地理区域内颈肩臂痛的患病率。
本研究分析了1990年至2006年期间每隔4年收集的关于瑞典斯德哥尔摩郡颈肩臂痛以及同时存在的下背痛或心理困扰患病率的问卷数据（回复率：61%-69%）。所有年龄在21岁至64岁之间的个体（n = 1976 - 26,611）均纳入研究。
在这16年期间，自我报告的颈肩臂痛患病率略有上升，女性从22.8%升至25.0%（患病率比[PRR]：1.10），男性从12.8%升至15.4%（PRR：1.21）。同时存在下背痛的颈肩臂痛患病率也略有上升，女性从8.4%升至10.8%（PRR：1.28），男性从5.3%升至6.6%（PRR：1.24）。相比之下，同时存在心理困扰的颈肩臂痛患病率上升幅度更大，女性从4.4%升至8.5%（PRR：1.91），男性从2.0%升至4.3%（PRR：2.18）。所有患病率在1990年至2002年期间上升，2006年与2002年相比有所下降。患病率的性别差异未随时间变化。
尽管与2002年相比，2006年颈肩臂痛及并发症状的患病率有所下降，但现在就得出我们已经达到并超过颈肩臂痛“流行”高峰的结论还为时过早。
