Lardon Arnaud, Leboeuf-Yde Charlotte, Le Scanff Christine, Wedderkopp Niels
EA 4532 CIAMS, Université Paris-Sud, UFR STAPS, Orsay, 91405, France.
Institut Franco-Européen de Chiropraxie, 24 Bld Paul Vaillant Couturier, 94200, Ivry sur Seine, France.
Chiropr Man Therap. 2014 Oct 15;22(1):27. doi: 10.1186/s12998-014-0027-6. eCollection 2014.
Back pain is a common condition that starts early in life and seems to increase markedly during puberty. A systematic review was performed in order to investigate the link between puberty and back pain, using some Bradford Hill criteria for causality.
We sought to obtain answers to the following questions: 1) Is there an association between puberty and back pain? If so, how strong is this association? And do the results remain unchanged also when controlling for age and sex? 2) Are the results of the studies consistent? 3) Is there a dose-response, showing a link between the increasing stages of puberty and the subsequent prevalence of back pain? 4) Is there a temporal link between puberty and back pain?
A systematic critical literature review.
Systematic searches were made in March 2014 in PubMed, Embase, CINAHL and PsycINFO including longitudinal or cross-sectional studies on back pain for subjects <19 years, written in French or English. The review process followed the AMSTAR recommendations. Interpretation was made using some of the Bradford-Hill criteria for causality.
Four articles reporting five studies were included, two of which were longitudinal. 1) Some studies show a weak and others a strong positive association between puberty and back pain, which remains after controlling for age and sex; 2) Results were consistent across the studies; 3) There was a linear increase of back pain according to the stage of puberty 4) Temporality has not been sufficiently studied.
All our criteria for causality were fulfilled or somewhat fulfilled indicating the possibility of a causal link between puberty and back pain. Future research should focus on specific hypotheses, for example investigating if there could be a hormonal or a biomechanical aspect to the development of back pain at this time of life.
背痛是一种常见病症，在生命早期就开始出现，且在青春期似乎显著增加。为了研究青春期与背痛之间的联系，采用了一些布拉德福德·希尔因果关系标准进行了一项系统评价。
我们试图回答以下问题：1）青春期与背痛之间是否存在关联？如果存在，这种关联有多强？在控制年龄和性别后结果是否保持不变？2）研究结果是否一致？3）是否存在剂量反应，表明青春期进展阶段与随后背痛患病率之间存在联系？4）青春期与背痛之间是否存在时间上的联系？
一项系统的批判性文献综述。
2014年3月在PubMed、Embase、CINAHL和PsycINFO中进行了系统检索，纳入针对19岁以下受试者背痛的纵向或横断面研究，研究报告需为法语或英语撰写。综述过程遵循AMSTAR建议。使用一些布拉德福德 - 希尔因果关系标准进行解读。
纳入了四篇报告五项研究的文章，其中两项为纵向研究。1）一些研究显示青春期与背痛之间存在弱的正相关，另一些研究则显示强的正相关，在控制年龄和性别后这种相关性依然存在；2）各项研究结果一致；3）背痛随青春期阶段呈线性增加；4）时间性方面尚未得到充分研究。
我们所有的因果关系标准均得到满足或部分满足，这表明青春期与背痛之间可能存在因果联系。未来的研究应聚焦于特定假设，例如调查在生命的这个阶段背痛的发展是否可能存在激素或生物力学方面的因素。
