Burton A K, Clarke R D, McClune T D, Tillotson K M
Spinal Research Unit, University of Huddersfield, Queensgate, United Kingdom.
Spine (Phila Pa 1976). 1996 Oct 15;21(20):2323-8. doi: 10.1097/00007632-199610150-00004.
A 5-year longitudinal interview and questionnaire-based survey of back pain in adolescents.
To determine the natural history of back pain during adolescence in boys and girls and to explore the influence of sports participation and lumbar flexibility.
Previous data on low back pain and flexibility in adolescents have come largely from cross-sectional studies with differing definitions and age groups. A longitudinal study would offer a more detailed description of aspects of the natural history of back pain.
A cohort of 216 11-year-old children was given a structured questionnaire about back pain. Follow-up evaluation was annual for 4 more years. Lumbar sagittal mobility was measured in first and last years. Life-table analysis was the chosen statistical method.
Annual incidence rose from 11.8% at age 12+ to 21.5% at 15+ years. Lifetime prevalence rose from 11.6% at age 11+ to 50.4% at age 15+ years. Experience of back pain was frequently forgotten. Recurrent pain was common, usually manifesting as such rather than as progression from a single episode; few children required treatment. Back pain was more common in boys than girls, especially by age 15 years. There was a positive link between sports and back pain only for boys. Severity and flexibility were not related to sex, treatment, or sport.
Back pain in adolescents is common; it increases with age and is recurrent, but in general does not deteriorate with time. Much of the symptomatology may be considered a normal life experience, probably unrelated to adult disabling trouble.
一项针对青少年背痛的为期5年的纵向访谈及问卷调查。
确定青少年期男孩和女孩背痛的自然病程，并探讨体育活动参与情况和腰椎柔韧性的影响。
先前关于青少年腰痛和柔韧性的数据主要来自定义和年龄组各异的横断面研究。纵向研究将能更详细地描述背痛自然病程的各个方面。
对一组216名11岁儿童进行了关于背痛的结构化问卷调查。之后连续4年每年进行随访评估。在第一年和最后一年测量腰椎矢状面活动度。选用生命表分析作为统计方法。
年发病率从12岁及以上时的11.8%升至15岁及以上时的21.5%。终生患病率从11岁及以上时的11.6%升至15岁及以上时的50.4%。背痛经历常被遗忘。复发性疼痛很常见，通常就是如此表现，而非由单次发作进展而来；很少有儿童需要治疗。背痛在男孩中比女孩更常见，尤其是在15岁时。仅在男孩中，体育活动与背痛之间存在正相关。严重程度和柔韧性与性别、治疗或体育活动无关。
青少年背痛很常见；随年龄增长且呈复发性，但总体上不会随时间恶化。许多症状可能被视为正常的生活经历，可能与成人致残性疾病无关。
