Mikkelsson M, Salminen J J, Kautiainen H
Rehabilitation Center, Rheumatism Foundation Hospital, Heinola, Finland.
Pain. 1997 Oct;73(1):29-35. doi: 10.1016/s0304-3959(97)00073-0.
A 1-year follow-up study of 1756 third- and fifth-grade schoolchildren was conducted with a structured pain questionnaire to assess the prevalence and persistence of self-reported musculoskeletal pain symptoms and disability caused by pain. At follow-up, 1626 (92.7%) children participated in the study. Pain at least once a week persisted in 270 (52.4%) of the 564 children who reported musculoskeletal pain at least once a week in at least one part of the body at baseline. Of the regional pain symptoms, neck pain had highest persistence and, in girls, significantly more than in boys. Persistence of pain was not related to school grade. Widespread pain, determined as in the criteria for fibromyalgia, was found in 132 children (7.5%) and persisted in 35 children (29.7%, 95% CI 21.9-38.4) at follow-up. Disability was more severe in children with pain symptoms in more than one area. This study showed that about half of the preadolescents complaining of musculoskeletal pain at least once a week at baseline had persistent pain symptoms at follow-up. The prognosis of widespread pain in preadolescents was almost the same as the previous findings in adults.
对1756名三、五年级学童进行了为期1年的随访研究，使用结构化疼痛问卷评估自我报告的肌肉骨骼疼痛症状的患病率和持续性以及疼痛导致的残疾情况。随访时，1626名（92.7%）儿童参与了研究。在基线时至少有一个身体部位每周至少出现一次肌肉骨骼疼痛的564名儿童中，270名（52.4%）儿童在随访时仍每周至少疼痛一次。在局部疼痛症状中，颈部疼痛的持续性最高，且在女孩中显著高于男孩。疼痛的持续性与年级无关。根据纤维肌痛标准确定的广泛性疼痛在132名儿童（7.5%）中出现，随访时35名儿童（29.7%，95%CI 21.9 - 38.4）仍存在广泛性疼痛。在多个部位有疼痛症状的儿童残疾情况更严重。这项研究表明，基线时每周至少抱怨一次肌肉骨骼疼痛的青春期前儿童中，约有一半在随访时有持续的疼痛症状。青春期前儿童广泛性疼痛的预后与之前在成年人中的研究结果几乎相同。
