Dissing Kristina Boe, Hestbæk Lise, Hartvigsen Jan, Williams Christopher, Kamper Steven, Boyle Eleanor, Wedderkopp Niels
Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark.
Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, DK-5230, Odense M, Denmark.
BMC Musculoskelet Disord. 2017 Mar 27;18(1):67. doi: 10.1186/s12891-017-1424-5.
Spinal pain in children and adolescents is a common condition, usually transitory, but the picture of spinal pain still needs elucidation, mainly due to variation in measurement methods. The aim of this study was to describe the occurrence of spinal pain in 8-15 year-old Danish school children, over a 3-year period. Specifically determining the characteristics of spinal pain in terms of frequency and duration.
The study was a 3-year prospective longitudinal cohort study including 1400 school children. The outcomes were based on weekly text messages (SMS) to the parents inquiring about the child's musculoskeletal pain, and on clinical data from examinations of the children.
The 3-year prevalence was 55%. The prevalence was 29%, 33% and 31% for each of the three study years respectively, and increased statistically significantly with age, especially for lumbopelvic pain. Most children had few and short-lasting episodes with spinal pain, but more than one out of five children had three or more episodes during a study year and 17% of all episodes lasted for more than 4 weeks.
This study demonstrates that spinal pain is a substantial problem. Most episodes are brief, but there are a vast number of children with frequent and long-lasting episodes of spinal pain indicating a need for action regarding evidence-based prevention and management.
儿童和青少年的脊柱疼痛是一种常见情况，通常是暂时的，但脊柱疼痛的情况仍需阐明，主要是由于测量方法的差异。本研究的目的是描述8至15岁丹麦学童在3年期间脊柱疼痛的发生情况。具体确定脊柱疼痛在频率和持续时间方面的特征。
该研究是一项为期3年的前瞻性纵向队列研究，包括1400名学童。结果基于每周向家长发送的询问孩子肌肉骨骼疼痛的短信（SMS），以及对孩子检查的临床数据。
3年患病率为55%。三个研究年度的患病率分别为29%、33%和31%，且随年龄增长有统计学显著增加，尤其是腰骶部疼痛。大多数儿童脊柱疼痛发作次数少且持续时间短，但超过五分之一的儿童在一个研究年度内有三次或更多次发作，所有发作中有17%持续超过4周。
本研究表明脊柱疼痛是一个重大问题。大多数发作是短暂的，但有大量儿童有频繁且持久的脊柱疼痛发作，这表明需要采取行动进行基于证据的预防和管理。
