芬兰青少年单纯性与颈背疼痛并发的时间趋势：1991年至2011年全国横断面调查结果
Time trends in single versus concomitant neck and back pain in Finnish adolescents: results from national cross-sectional surveys from 1991 to 2011.
作者信息
Ståhl Minna Kristiina, El-Metwally Ashraf Abdel Salam, Rimpelä Arja Hannele
机构信息
Department of Physical and Rehabilitation Medicine, Hatanpää Hospital, Hatanpäänkatu 24, PO Box 437, Tampere 33101, Finland.
出版信息
BMC Musculoskelet Disord. 2014 Sep 5;15:296. doi: 10.1186/1471-2474-15-296.
BACKGROUND
Previous studies, in late 20th century, suggest an increase in the prevalence of neck pain and low back pain among children and adolescents, when neck and low back pain were studied separately. This study investigated time trends in adolescent spinal pain between 1991 and 2011 by classifying pain into the following three classes: neck pain alone, low back pain alone, and concomitant neck and low back pain.
METHODS
Representative samples of 12 to 18-year-old Finns were sent a questionnaire in 1991, 1999, 2001, 2003, 2005, 2007, 2009 and 2011. Information was gathered about the frequency of neck and low back pain with a six-month recall period. Statistical methods used included descriptive analysis, and generalized linear models.
RESULTS
The total number of respondents in these eight comparable cross-sectional surveys was 51 044 with a response proportion of 64%. The prevalence of concomitant neck and low back pain showed a steady increase from 1991 to 2009/2011; the prevalence almost quadrupled among 12-14-year-olds girls (from 2% to 7.5%), and more than doubled among 12-14-year-old boys (from 1.6% to 3.8%), and among 16-18-year old boys (from 4.2 to 9.9%) and girls (6.9% to 15.9%). The prevalence of neck pain alone only increased in the 1990s (e.g. among 16-18-year-old girls 22.9% in 1991, 29.2% in 1999, and 29.5% in 2011), while the prevalence of low back pain alone remained relatively constant during the last two decades (e.g. among 16-18-year-old girls 4% in 1991, 3.1% in 1999, and 3.7% in 2011).
CONCLUSIONS
Concomitant neck and low back pain has constantly increased in the last two decades among adolescents, while single neck pain has only increased in the 1990s. Single low back pain has remained relatively constant. Thus, earlier detected increase in low back pain in the 1990s was explained by the increase in concomitant neck and low back pain. Differences in the time trends in the three pain conditions might suggest, at least partly, different risk factors and aetiology for single- and multisite spinal pain among adolescents. This hypothesis needs further investigations.
背景
20世纪后期的先前研究表明，当分别研究颈痛和腰痛时，儿童和青少年中颈痛和腰痛的患病率有所增加。本研究通过将疼痛分为以下三类来调查1991年至2011年青少年脊柱疼痛的时间趋势：单纯颈痛、单纯腰痛以及颈痛和腰痛同时存在。
方法
在1991年、1999年、2001年、2003年、2005年、2007年、2009年和2011年向12至18岁芬兰人的代表性样本发送了问卷。收集了关于颈痛和腰痛频率的信息，回忆期为六个月。使用的统计方法包括描述性分析和广义线性模型。
结果
这八项可比横断面调查中的总受访者人数为51044人，回复率为64%。从1991年到2009/2011年，颈痛和腰痛同时存在的患病率呈稳步上升趋势；在12 - 14岁女孩中患病率几乎翻了两番（从2%增至7.5%），在12 - 14岁男孩中增加了一倍多（从1.6%增至3.8%），在16 - 18岁男孩中（从4.2%增至9.9%）和女孩中（从6.9%增至15.9%）也是如此。单纯颈痛的患病率仅在20世纪90年代有所增加（例如在16 - 18岁女孩中，1991年为22.9%，1999年为29.2%，2011年为29.5%），而单纯腰痛的患病率在过去二十年中保持相对稳定（例如在16 - 18岁女孩中，1991年为4%，1999年为3.1%，2011年为3.7%）。
结论
在过去二十年中，青少年颈痛和腰痛同时存在的情况持续增加，而单纯颈痛仅在20世纪90年代有所增加。单纯腰痛保持相对稳定。因此，20世纪90年代早期检测到的腰痛增加是由颈痛和腰痛同时存在的情况增加所解释的。这三种疼痛情况的时间趋势差异可能至少部分表明青少年单部位和多部位脊柱疼痛的危险因素和病因不同。这一假设需要进一步研究。
Zotero 插件