Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon; Clinical Research Institute, American University of Beirut, Beirut, Lebanon.
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
East Mediterr Health J. 2018 Jun 25;24(4):393-400. doi: 10.26719/2018.24.4.393.
Soft tissue rheumatic disorders (STRDs) are very common and impact enormously general population, working groups and physiotherapist practices. However, they do not have neither a clear case definition nor objective tests to be accurately diagnosed rendering them neglected with poorly-estimated burden. Shoulder is one of the most frequent sites for STRDs.
The aim of this study was to identify risk factors for shoulder STRDs among Lebanese adults aged ≥ 15 years.
A case-control study was designed based on data from the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) study conducted in Lebanon in 2009. Cases were defined as those who recently suffered from shoulder pain, tenderness or stiffness with duration not exceeding 12 months (52 cases). These were frequency-matched by age and gender with 208 controls who never experienced any musculoskeletal pain.
Area of residence, physical activity, family history and stress-induced sleep difficulty were significantly associated with shoulder STRDs after adjusting for cigarette smoking, job nature and family monthly income.
Factors associated with shoulder STRD among the Lebanese population include geographical location, psychosocial factors, physical activity and familial predisposition. Further longitudinal studies are needed to establish a temporal sequence and explore other potential determinants, especially among the working population.
软组织风湿性疾病（STRD）非常常见，对普通人群、工作组和物理治疗师的实践产生了巨大影响。然而，它们既没有明确的病例定义，也没有客观的测试来准确诊断，因此被忽视了，其负担也被低估了。肩部是 STRD 最常见的部位之一。
本研究旨在确定黎巴嫩≥15 岁成年人肩部 STRD 的危险因素。
本研究基于 2009 年在黎巴嫩开展的社区导向类风湿性疾病控制项目（COPCORD）研究的数据，采用病例对照研究设计。病例定义为近期肩部疼痛、压痛或僵硬，持续时间不超过 12 个月（52 例）。这些病例与 208 名从未经历过任何肌肉骨骼疼痛的年龄和性别匹配的对照组相匹配。
在调整了吸烟、工作性质和家庭月收入后，居住区域、体力活动、家族史和因压力导致的睡眠困难与肩部 STRD 显著相关。
与黎巴嫩人群肩部 STRD 相关的因素包括地理位置、心理社会因素、体力活动和家族易感性。需要进一步进行纵向研究，以确定时间顺序并探索其他潜在的决定因素，特别是在工作人群中。
