Krishnan Rinju, Shekoba Mahesh, Fathima Farah N, Nedumparampil Mevin M, Pilar Anoop, Venkatachalam Shreeraam, Amravathi Rajkumar
Orthopaedics, St John's Medical College, Bangalore, IND.
Community Medicine, St John's Medical College, Bangalore, IND.
Cureus. 2024 Aug 27;16(8):e67982. doi: 10.7759/cureus.67982. eCollection 2024 Aug.
Introduction Chronic shoulder pain (CSP) is a significant medical and socioeconomic problem that hinders daily living activities, creating a burden on the individual and society. An epidemiological study will help to find out the risk factors and their impact, thereby giving medical practitioners and policymakers the necessary tools to tackle the problem. Materials and methods This is a cross-sectional study conducted in a tertiary care hospital in South India over a period of four years from 2018 to 2021 using a structured questionnaire, clinical and radiological examination, and visual analog score (VAS). The data were analyzed using SPSS software. Results A statistically significant correlation was found between CSP and increasing age, occupational risk factors like vibrations, repetitive movements, lifting heavy objects, repetitive lifting of the arm above the shoulder and sitting in the same posture for a prolonged time, and work stress. Vitamin D deficiency and diabetes mellitus were found to increase the risk of shoulder pain, smoking, and alcoholism. There was a higher incidence of rotator cuff pathology and frozen shoulder among those who had CSP. Conclusion CSP affects the quality of life and the productivity of the patients. Reducing the physical and psychosocial risk factors is the key to decreasing its prevalence. Maintaining a healthy lifestyle and a good working environment is very essential.
引言
慢性肩痛(CSP)是一个重大的医学和社会经济问题,它妨碍日常生活活动,给个人和社会造成负担。一项流行病学研究将有助于找出风险因素及其影响,从而为医生和政策制定者提供解决该问题所需的工具。
材料与方法
这是一项在印度南部一家三级护理医院进行的横断面研究,从2018年至2021年历时四年,采用结构化问卷、临床和放射学检查以及视觉模拟评分(VAS)。数据使用SPSS软件进行分析。
结果
发现CSP与年龄增长、职业风险因素如振动、重复动作、搬运重物、反复将手臂举过肩部以及长时间保持同一姿势以及工作压力之间存在统计学上的显著相关性。发现维生素D缺乏和糖尿病会增加肩痛、吸烟和酗酒的风险。在患有CSP的人群中,肩袖病理和肩周炎的发病率较高。
结论
CSP影响患者的生活质量和生产力。降低身体和心理社会风险因素是降低其患病率的关键。保持健康的生活方式和良好的工作环境非常重要。