胸椎疼痛(TSP)的临床特点

Mahfuzul Alam, Md. Shahadat Hossain, Musa Muhammad Hojaifa, Hasan Habibur Rahman, M. Hosain, Md Sohel Rana, M. Kamruzzaman, Md. Aminul Alam
{"title":"胸椎疼痛(TSP)的临床特点","authors":"Mahfuzul Alam, Md. Shahadat Hossain, Musa Muhammad Hojaifa, Hasan Habibur Rahman, M. Hosain, Md Sohel Rana, M. Kamruzzaman, Md. Aminul Alam","doi":"10.3329/bmj.v50i3.62927","DOIUrl":null,"url":null,"abstract":"Thoracic spine pain (TSP) is defined as pain perceived anywhere in the region bounded superiorly by a transverse line through the tip of the spinous process of T1, inferiorly by a transverse line through the tip of the spinous process of T12, and laterally by vertical lines tangential to the most lateral margins of the erector spine muscles. One year prevalence of TSP ranged from 8.3-38.1% in different Asian countries. A longitudinal observational study was conducted to observe the clinical feature, demographic profile and clinical course of patients, with TSP attending at the Department of Physical Medicine and Rehabilitation (PMR) of Shaheed Suhrawardy Medical College Hospital (ShSMCH). Among the 100 study patients mean age ±SD was 34.76±13.26. Highest number of the patients (45%) belong to 16-30 years age group and male-female vatioo was 3:1. Highest frequency in the level of education 28% belonged to higher secondary or diploma. Twenty six percent (26%) patients were housewife, manual labor 20%, students 19%, sedentary worker 15%, manufacturing and industrial worker 8%, health professional 4%, driver 3% and 5% were in others group. Most of them (71%) belong to <12000 taka monthly income group and 91% patients’ lived in urban area. Duration of thoracic spine pain was found acute (6 weeks) 46%, sub-acute (>6-12 weeks) 16% and chronic (>12 weeks) 38%. Upper TSP was found among 51% of the patients. Onset of pain among the patients 66% was gradual. Mild intensity of pain was reported in 54% patients, moderate 44% and severe in only 2% patients and 64% patients had no radiation. Aggravating factors were found in patients with prolong sitting in 42%. More than one third (36%) patients relieving factor were lying, 24% rest, activity 16% and no relieving factors in 24% patients. Morning stiffness and depression was found 20% and 25% patients respectively. Associated conditions were found as diabetes mellitus (DM) 25%, sleep disturbance 16%, dyspepsia 10%, hypertension (HTN) were in 7% patients and 42% patients had no associated condition. Large number of the patients’ was occupational 46%; rest of the factors were MFPS 16%, degenerative 14% (dorsal spondylosis 5%, cervical spondylosis 6% and lumbar spondylosis 3%, Ankylosing Spondylitis (AS) 7% and traumatic were 6%. Pott‘s disease 4% and 7% patients’ cause were others. According to Numeric Rating Scale in the first visit mild causes were in 54% patients, 44% moderate and 2% severe. In the last visit 69% patients were found mild and rest had no pain (p value=0.001). Assessment of joint tenderness in first visit; 56% patients were in grade 1, 20% grade 2 and 3% in grade 3, 21% patients had no tenderness. In the last visit it was found that only 21% patients in grade 1 and rest 79% had no tenderness (p value=0.001). According to Pain Disability Index in the first visit mild disability was found in 67% patients, moderate 31% and 2% had no disability. In the last visit mild were 74% and 26% had no disability (p value=0.001). Teenager, young adults and adults were the most commonly affected patients with TSP with M:F=1.5:1. Most of the patient of upper TSP presented before 6 weeks; common presenting features were gradual onset, pain was constant in nature, mild to moderate in intensity without radiation, aggravated by prolong sitting and leaning forward, relieved by lying and rest, with no depression and significant morning stiffness. Most of the factors were occupational and MFPS. Occupations were commonly housewife and manual labor. They were improved significantly (p value=0.001) with conventional treatment. \nBangladesh Med J. 2021 Sept; 50(3): 26-35","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"12 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Pattern of Thoracic Spine Pain (TSP)\",\"authors\":\"Mahfuzul Alam, Md. Shahadat Hossain, Musa Muhammad Hojaifa, Hasan Habibur Rahman, M. Hosain, Md Sohel Rana, M. Kamruzzaman, Md. Aminul Alam\",\"doi\":\"10.3329/bmj.v50i3.62927\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Thoracic spine pain (TSP) is defined as pain perceived anywhere in the region bounded superiorly by a transverse line through the tip of the spinous process of T1, inferiorly by a transverse line through the tip of the spinous process of T12, and laterally by vertical lines tangential to the most lateral margins of the erector spine muscles. One year prevalence of TSP ranged from 8.3-38.1% in different Asian countries. A longitudinal observational study was conducted to observe the clinical feature, demographic profile and clinical course of patients, with TSP attending at the Department of Physical Medicine and Rehabilitation (PMR) of Shaheed Suhrawardy Medical College Hospital (ShSMCH). Among the 100 study patients mean age ±SD was 34.76±13.26. Highest number of the patients (45%) belong to 16-30 years age group and male-female vatioo was 3:1. Highest frequency in the level of education 28% belonged to higher secondary or diploma. Twenty six percent (26%) patients were housewife, manual labor 20%, students 19%, sedentary worker 15%, manufacturing and industrial worker 8%, health professional 4%, driver 3% and 5% were in others group. Most of them (71%) belong to <12000 taka monthly income group and 91% patients’ lived in urban area. Duration of thoracic spine pain was found acute (6 weeks) 46%, sub-acute (>6-12 weeks) 16% and chronic (>12 weeks) 38%. Upper TSP was found among 51% of the patients. Onset of pain among the patients 66% was gradual. Mild intensity of pain was reported in 54% patients, moderate 44% and severe in only 2% patients and 64% patients had no radiation. Aggravating factors were found in patients with prolong sitting in 42%. More than one third (36%) patients relieving factor were lying, 24% rest, activity 16% and no relieving factors in 24% patients. Morning stiffness and depression was found 20% and 25% patients respectively. Associated conditions were found as diabetes mellitus (DM) 25%, sleep disturbance 16%, dyspepsia 10%, hypertension (HTN) were in 7% patients and 42% patients had no associated condition. Large number of the patients’ was occupational 46%; rest of the factors were MFPS 16%, degenerative 14% (dorsal spondylosis 5%, cervical spondylosis 6% and lumbar spondylosis 3%, Ankylosing Spondylitis (AS) 7% and traumatic were 6%. Pott‘s disease 4% and 7% patients’ cause were others. According to Numeric Rating Scale in the first visit mild causes were in 54% patients, 44% moderate and 2% severe. In the last visit 69% patients were found mild and rest had no pain (p value=0.001). Assessment of joint tenderness in first visit; 56% patients were in grade 1, 20% grade 2 and 3% in grade 3, 21% patients had no tenderness. In the last visit it was found that only 21% patients in grade 1 and rest 79% had no tenderness (p value=0.001). According to Pain Disability Index in the first visit mild disability was found in 67% patients, moderate 31% and 2% had no disability. In the last visit mild were 74% and 26% had no disability (p value=0.001). Teenager, young adults and adults were the most commonly affected patients with TSP with M:F=1.5:1. Most of the patient of upper TSP presented before 6 weeks; common presenting features were gradual onset, pain was constant in nature, mild to moderate in intensity without radiation, aggravated by prolong sitting and leaning forward, relieved by lying and rest, with no depression and significant morning stiffness. Most of the factors were occupational and MFPS. Occupations were commonly housewife and manual labor. They were improved significantly (p value=0.001) with conventional treatment. \\nBangladesh Med J. 2021 Sept; 50(3): 26-35\",\"PeriodicalId\":8711,\"journal\":{\"name\":\"Bangladesh Medical Journal\",\"volume\":\"12 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-11-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bangladesh Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3329/bmj.v50i3.62927\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/bmj.v50i3.62927","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

胸椎疼痛(TSP)的定义是:上至T1棘突尖端的横线,下至T12棘突尖端的横线,以及侧至与脊柱竖肌最外侧边缘相切的垂直线所处区域的任何地方的疼痛。在不同的亚洲国家,TSP的一年患病率从8.3-38.1%不等。对沙希德苏赫瓦迪医学院附属医院(ShSMCH)物理医学与康复科(PMR) TSP患者的临床特征、人口学特征和临床病程进行了纵向观察研究。100例研究患者的平均年龄±SD为34.76±13.26。16 ~ 30岁年龄组患者最多(45%),男女比例为3:1。最高频率的教育水平28%属于高中或文凭。家庭主妇占26%,体力劳动者占20%,学生占19%,久坐工人占15%,制造业和产业工人占8%,卫生专业人员占4%,司机占3%,其他组占5%。6-12周的占71%,慢性(>12周)占38%。51%的患者出现上TSP。66%的患者疼痛发作是渐进性的。54%的患者有轻度疼痛,44%的患者有中度疼痛,只有2%的患者有重度疼痛,64%的患者没有接受放射治疗。42%的久坐患者存在加重因素。超过三分之一(36%)的患者缓解因素为躺着,24%为休息,16%为活动,24%为无缓解因素。晨僵和抑郁分别占20%和25%。糖尿病(DM)占25%,睡眠障碍占16%,消化不良占10%,高血压(HTN)占7%,无相关疾病占42%。大量患者为职业性,占46%;其余因素为MFPS 16%,退行性14%(背椎病5%,颈椎病6%,腰椎病3%),强直性脊柱炎(AS) 7%,外伤性6%。波特病占4%,其他病因占7%。根据数字评定量表,首次就诊时轻度病因占54%,中度病因占44%,重度病因占2%。在最后一次访问中,69%的患者发现轻度疼痛,休息时无疼痛(p值=0.001)。首次就诊时关节压痛的评估;56%的患者为1级,20%为2级,3%为3级,21%的患者无压痛。在最后一次访问中,发现只有21%的1级患者和其余79%的患者没有压痛(p值=0.001)。根据首次访视疼痛残疾指数,67%的患者有轻度残疾,31%的患者有中度残疾,2%的患者无残疾。在最后一次访视时,轻度者占74%,无残疾者占26% (p值=0.001)。青少年、青壮年和成年人是TSP最常见的患者,M:F=1.5:1。大部分上肢TSP患者在6周前出现;常见的表现特征为渐进式发作,疼痛性质恒定,轻至中度强度,无放射,久坐和前倾加重,躺下和休息缓解,无抑郁和明显的晨僵。主要影响因素为职业因素和mfp因素。职业通常是家庭主妇和体力劳动者。经常规治疗后,均有显著改善(p值=0.001)。孟加拉国Med . 2021年9月;50(3): 26 - 35周不等
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Pattern of Thoracic Spine Pain (TSP)
Thoracic spine pain (TSP) is defined as pain perceived anywhere in the region bounded superiorly by a transverse line through the tip of the spinous process of T1, inferiorly by a transverse line through the tip of the spinous process of T12, and laterally by vertical lines tangential to the most lateral margins of the erector spine muscles. One year prevalence of TSP ranged from 8.3-38.1% in different Asian countries. A longitudinal observational study was conducted to observe the clinical feature, demographic profile and clinical course of patients, with TSP attending at the Department of Physical Medicine and Rehabilitation (PMR) of Shaheed Suhrawardy Medical College Hospital (ShSMCH). Among the 100 study patients mean age ±SD was 34.76±13.26. Highest number of the patients (45%) belong to 16-30 years age group and male-female vatioo was 3:1. Highest frequency in the level of education 28% belonged to higher secondary or diploma. Twenty six percent (26%) patients were housewife, manual labor 20%, students 19%, sedentary worker 15%, manufacturing and industrial worker 8%, health professional 4%, driver 3% and 5% were in others group. Most of them (71%) belong to <12000 taka monthly income group and 91% patients’ lived in urban area. Duration of thoracic spine pain was found acute (6 weeks) 46%, sub-acute (>6-12 weeks) 16% and chronic (>12 weeks) 38%. Upper TSP was found among 51% of the patients. Onset of pain among the patients 66% was gradual. Mild intensity of pain was reported in 54% patients, moderate 44% and severe in only 2% patients and 64% patients had no radiation. Aggravating factors were found in patients with prolong sitting in 42%. More than one third (36%) patients relieving factor were lying, 24% rest, activity 16% and no relieving factors in 24% patients. Morning stiffness and depression was found 20% and 25% patients respectively. Associated conditions were found as diabetes mellitus (DM) 25%, sleep disturbance 16%, dyspepsia 10%, hypertension (HTN) were in 7% patients and 42% patients had no associated condition. Large number of the patients’ was occupational 46%; rest of the factors were MFPS 16%, degenerative 14% (dorsal spondylosis 5%, cervical spondylosis 6% and lumbar spondylosis 3%, Ankylosing Spondylitis (AS) 7% and traumatic were 6%. Pott‘s disease 4% and 7% patients’ cause were others. According to Numeric Rating Scale in the first visit mild causes were in 54% patients, 44% moderate and 2% severe. In the last visit 69% patients were found mild and rest had no pain (p value=0.001). Assessment of joint tenderness in first visit; 56% patients were in grade 1, 20% grade 2 and 3% in grade 3, 21% patients had no tenderness. In the last visit it was found that only 21% patients in grade 1 and rest 79% had no tenderness (p value=0.001). According to Pain Disability Index in the first visit mild disability was found in 67% patients, moderate 31% and 2% had no disability. In the last visit mild were 74% and 26% had no disability (p value=0.001). Teenager, young adults and adults were the most commonly affected patients with TSP with M:F=1.5:1. Most of the patient of upper TSP presented before 6 weeks; common presenting features were gradual onset, pain was constant in nature, mild to moderate in intensity without radiation, aggravated by prolong sitting and leaning forward, relieved by lying and rest, with no depression and significant morning stiffness. Most of the factors were occupational and MFPS. Occupations were commonly housewife and manual labor. They were improved significantly (p value=0.001) with conventional treatment. Bangladesh Med J. 2021 Sept; 50(3): 26-35
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信