Shirai Y, Miyamoto M, Genbun Y, Kaneda K
Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.
Nihon Ika Daigaku Zasshi. 1998 Aug;65(4):307-11. doi: 10.1272/jnms1923.65.307.
A postal questionnaire for the prevalence of low back pain was studied with relevance to stiffness of that shoulder and a history of low back disorders in construction employees. The percentage of clerical employees with low back pain was 31.3% and of field workers was 30.3%. Odds ratios representing a relative risk factor for low back pain relating to each age group showed 2.35 in the clerical and 2.10 in the field workers at the age of 30-34 years, and 3.34 and 2.58 at the age of 35-39 years, respectively. In the persons with positive previous low back pain, the prevalence rate of low back pain was 52.6% in the clerical, and 50.2% in the field workers. Odds ratios for low back pain relating to previous low back pain significantly exceeded unity for the clerical employees (OR = 9.53) and the field workers (OR = 10.28), compared to those without a history of previous low back pain. The incidence of stiffness of the shoulder was 48.2% in the clerical and 45.2% in the field workers, and the prevalence rate of low back pain among those with stiffness of the shoulder was 68.5% in the clerical and 65.8% in the field workers. Odds ratio were 3.03 in both groups. Among each age group, the prevalence rate of stiffness of the shoulder with low back pain increased gradually to a maximum in the 45-49 age group of 19%, and then dropped. In those with a history of low back pain and/or stiffness of the shoulder, the prevalence of low back pain showed significantly greater value than other risk factors.
一项关于腰痛患病率的邮政问卷调查，研究对象为建筑行业员工的肩部僵硬情况及腰痛病史。文职员工腰痛的百分比为31.3%，现场工人为30.3%。各年龄组中与腰痛相关的相对风险因素的优势比显示，30 - 34岁时文职员工为2.35，现场工人为2.10；35 - 39岁时分别为3.34和2.58。在既往有腰痛阳性史的人群中，文职员工腰痛患病率为52.6%，现场工人为50.2%。与无既往腰痛病史的员工相比，文职员工（OR = 9.53）和现场工人（OR = 10.28）中与既往腰痛相关的腰痛优势比显著超过1。文职员工肩部僵硬的发生率为48.2%，现场工人为45.2%，肩部僵硬人群中腰痛患病率文职员工为68.5%，现场工人为65.8%。两组优势比均为3.03。在各年龄组中，伴有腰痛的肩部僵硬患病率在45 - 49岁年龄组逐渐上升至最高的19%，然后下降。在有腰痛和/或肩部僵硬病史的人群中，腰痛患病率显著高于其他风险因素。
