13 岁时脊柱和下肢复发性疼痛的患病率、特征和影响。

IF 1.4 4区 医学 Q3 RHEUMATOLOGY
ARP Rheumatology Pub Date : 2024-04-01
Elisa Rodrigues, Isabel Moura Bessa, Gabriela Brochado, Paulo Carvalho, Makram Talih, Catarina Pires, Raquel Lucas
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引用次数: 0

摘要

目的:比较青少年脊柱疼痛和下肢疼痛的发病率、特点、原因和影响:比较青少年脊柱疼痛和下肢疼痛的发病率、特征、原因和影响:对葡萄牙 XXI 代出生队列中的 13 岁青少年(女性 2210 人;男性 2353 人)进行了一项描述性横断面研究。数据收集于 2018 年至 2020 年期间,采用吕贝克疼痛问卷进行个人访谈。每个解剖位置(背部和下肢)的疼痛特征包括复发率、持续时间、频率、强度、感知原因以及对学业和休闲活动的影响。采用频率和卡方检验:对 4563 名青少年的问卷进行了分析,其中 57.9% 的青少年在过去三个月中有过疼痛经历(主要疼痛部位在脊柱:11.6%;主要疼痛部位在下肢:29.0%)。其中,分别有 69.4% 和 62.4% 的人报告脊柱和下肢疼痛反复发作。复发性疼痛在女孩中的发生率高于男孩(脊柱:分别为 80.0%;57.0%;下肢:分别为 70.4%;58.1%)。大多数青少年的疼痛持续时间超过三个月(脊柱:约 60%;下肢:50%以上);疼痛频率在两个区域和男女青少年中都很高(女孩:47.0%;男孩:47.0%):女孩:47.0%;男孩:45.7脊柱:45.7%;女孩:45.7%;男孩:45.7%):脊柱:女孩:47.0%;男孩:45.7%;下肢:女孩:45.7%;男孩:40.3女孩的疼痛强度被评为较高(脊柱:45.5%;下肢:47.3%),男孩的疼痛强度被评为中等(脊柱:42.0%;下肢:41.0%)。脊柱(女孩:65.9%;男孩:76.5%)和下肢(女孩:62.2%;男孩:72.1%)疼痛的主要原因是日常生活活动。心理社会原因是脊椎疼痛的第二大常见原因(女孩:25.0%;男孩:21.0%)。导致下肢疼痛的其他原因是外伤(女孩:25.5%;男孩:16.6%)和身体因素(女孩:20.7%;男孩:23.8%)。缺课(女孩:11.7%;男孩:4.8%)和休闲活动受限(女孩:20.7%;男孩:25.2%)与下肢疼痛的关系更大:半数以上的青少年报告了脊柱或下肢的复发性疼痛,其中脊柱疼痛的频率更高、强度更大、持续时间更长。然而,下肢疼痛会导致更多的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence, characteristics, and impact of spinal and lower limb recurrent pain at age 13.

Objectives: To compare spinal and lower limb pain in adolescents regarding prevalence, characteristics, causes, and impact.

Methods: A descriptive cross-sectional study was conducted in 13-year-old adolescents (female n=2210; male n=2353) from the Portuguese Generation XXI birth cohort. Data were collected between 2018 and 2020 through personal interviews by applying the Luebeck Pain Questionnaire. The pain features examined in each anatomical location (back and lower limb) were recurrence, duration, frequency, intensity, perceived causes, and impact on school and leisure activities. Frequencies and the Chi-square test were used.

Results: Questionnaires from 4563 adolescents were analysed, 57.9% had pain in the last three months (main pain in the spine: 11.6%; main pain in the lower limb: 29.0%). Of those, 69.4% and 62.4% reported recurrent pain in the spine and lower limb, respectively. Recurrent pain was more frequent in girls than in boys (spine: 80.0%; 57.0%; lower limb: 70.4%; 58.1% respectively). Pain lasted more than three months in most adolescents (spine: about 60%; lower limb: above 50%); frequency was similarly high in both regions and both sexes (girls: 47.0%; boys: 45.7% in the spine; girls: 45.7%; boys: 40.3% in the lower limb); intensity was rated as high by girls (spine: 45.5%; lower limb: 47.3%) and moderate by boys (spine: 42.0%; lower limb: 41.0%). The leading causes of pain were daily living activities, both for the spine (girls: 65.9%; boys: 76.5%) and the lower limb (girls: 62.2%; boys: 72.1%). Psychosocial causes were the second most common cause of spinal pain (girls: 25.0%; boys: 21.0%). Other causes of lower limb pain were traumatic (girls: 25.5%; boys: 16.6%) and physical factors (girls: 20.7%; boys: 23.8%). Absences from school (girls: 11.7%; boys: 4.8%) and restrictions of leisure activities (girls: 20.7%; boys: 25.2%) were more related to pain in the lower limb.

Conclusion: More than half of the adolescents reported spinal or lower limb recurrent pain, which presents a higher frequency, higher intensity, and longer duration in the spine. However, lower limb pain led to more concurrent limitations.

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