Koyasu K, Kinkawa M, Ueyama N, Tanikawa Y, Adachi K, Matsuo H
Clin Exp Obstet Gynecol. 2015;42(1):5-10.
This study investigated the prevalence, location, and severity of neck and shoulder pain (NSP), its disturbance of quality of life (QOL), and the factors related to NSP in Japanese postpartum women.
The study involved 308 postpartum women who had a medical examination one month after delivery. The questionnaire consisted of the background and details of NSP. Mood states were evaluated using the Profile of Mood States-Brief (POMS-B), Japanese Version.
The prevalence of NSP was 73.1%, one-fourth of which occurred after birth. The most common area was the superior part of the trapezium muscles. Prevalence was associated with past history of premenstrual syndrome (PMS), anemia during pregnancy, time per breastfeeding, and the mean POMS-B Fatigue score. Total breastfeeding time a day, the mean POMS-B score for Fatigue, Confusion, Anger-Hostility, and Depression were significantly higher for "worse" after birth than those for "no-change/relief". The disturbance of daily life due to NSP in postpartum women with past history of PMS and Hiesho were significant higher than that for women without those.
The prevalence of NSP in postpartum women was very high. The factors which affect NSP were the mental states, breastfeeding, past history of PMS, and anemia during pregnancy.
本研究调查了日本产后女性颈部和肩部疼痛（NSP）的患病率、部位及严重程度、其对生活质量（QOL）的干扰以及与NSP相关的因素。
该研究纳入了308名产后1个月进行体检的女性。问卷包括NSP的背景和详细情况。使用简式情绪状态量表（POMS - B）日文版评估情绪状态。
NSP的患病率为73.1%，其中四分之一在产后出现。最常见的部位是斜方肌上部。患病率与经前综合征（PMS）既往史、孕期贫血、每次母乳喂养时间以及POMS - B疲劳评分均值相关。产后“疼痛加重”组每天的总母乳喂养时间、POMS - B疲劳、困惑、愤怒 - 敌意和抑郁评分均值显著高于“无变化/缓解”组。有PMS和产后郁冒既往史的产后女性因NSP导致的日常生活干扰显著高于无这些既往史的女性。
产后女性NSP的患病率非常高。影响NSP的因素包括精神状态、母乳喂养、PMS既往史和孕期贫血。
