Department of Rheumatology, Physical Medicine and Rehabilitation, HFR-hôpital cantonal Fribourg & Geneva University, Geneva, Switzerland.
Eur J Pediatr. 2012 Mar;171(3):507-14. doi: 10.1007/s00431-011-1596-1. Epub 2011 Oct 7.
Low back pain (LBP) is prevalent in teenagers but not necessarily detrimental to their quality of life (QoL). This population-based study evaluated a global QoL score and the association between LBP and life events and/or health problems affecting QoL. Schoolchildren were investigated in Fribourg-Switzerland and Barcelona-Spain. In addition to the KIDSCREEN, a health-related QoL questionnaire, two Numerical Rating Scales were used to assess QoL in general, and the influence of LBP on QoL. Open questions explored life events and health problems affecting QoL; responses were submitted to content analysis. Adolescents were stratified: Pain-free, Other pain (OP), isolated LBP (IsoLBP), LBP + other pains (LBP + OP), and LBP + whole-body pain (LBP + WBP). Between-group comparisons were performed using Chi-squared tests and ANOVA. Linear regression analysis was performed to assess between-group differences in the impact of LBP on QoL. Schoolchildren (1,470) (mean age = 15.05 years, 52.6% = boys) completed the questionnaire. LBP lasting >1 day in the last month was reported by 39.8% (N = 560): of them, 242 (43.2%) reported IsoLBP, 268 (47.9%) LBP + OP, and 50 (9.1%) LBP + WBP. QoL was lower in LBP + WBP (mean = 6.44 vs. LBP + OP = 7.8; IsoLBP = 7.6, OP = 7.96, Pain-free = 8.1; p < 0.001). There were 18.5% who reported health problems and 15.3% life events with a perceived impact on QoL. Prevalence was higher in LBP + WBP with >30% of this group identifying life events and/or health problems vs. 10-12% in PFree or IsoLBP groups (p < 0.001). IsoLBP affected QoL marginally (mean = 2.4 ± 2.2) compared to LBP + WBP (mean = 4.9 ± 2.4) (p < 0.001). LBP affected QoL marginally. These results stress the distinction between disease and common life experience. They also indicate the potential value of global QoL assessments in clinical settings.
腰痛（LBP）在青少年中很常见，但不一定会降低他们的生活质量（QoL）。这项基于人群的研究评估了全球 QoL 评分，以及 LBP 与影响 QoL 的生活事件和/或健康问题之间的关系。在瑞士弗里堡和西班牙巴塞罗那的学童中进行了调查。除了 KIDSCREEN 之外，还使用了两个数字评定量表来评估一般 QoL 以及 LBP 对 QoL 的影响。开放性问题探讨了影响 QoL 的生活事件和健康问题；对答复进行了内容分析。对青少年进行分层：无痛、其他疼痛（OP）、孤立性 LBP（IsoLBP）、LBP+其他疼痛（LBP+OP）和 LBP+全身疼痛（LBP+WBP）。使用卡方检验和方差分析比较组间差异。进行线性回归分析以评估 LBP 对 QoL 影响的组间差异。共有 1470 名学童（平均年龄 15.05 岁，52.6%为男生）完成了问卷调查。报告称过去一个月中 LBP 持续超过 1 天的比例为 39.8%（N=560）：其中 242 人（43.2%）报告 IsoLBP，268 人（47.9%）报告 LBP+OP，50 人（9.1%）报告 LBP+WBP。LBP+WBP 的 QoL 较低（均值=6.44 vs. LBP+OP=7.8；IsoLBP=7.6，OP=7.96，无痛=8.1；p<0.001）。有 18.5%的人报告有健康问题，15.3%的人报告有生活事件，他们认为这些问题会影响 QoL。LBP+WBP 组的发生率高于其他组，有>30%的人报告生活事件和/或健康问题，而 PFree 或 IsoLBP 组的发生率为 10-12%（p<0.001）。与 LBP+WBP 组（均值=4.9±2.4）相比，IsoLBP 对 QoL 的影响较小（均值=2.4±2.2）（p<0.001）。LBP 对 QoL 的影响较小。这些结果强调了疾病和常见生活经历之间的区别。它们还表明，在临床环境中，全球 QoL 评估具有潜在价值。
