Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys

Hakala, Paula; Rimpelä, Arja; Salminen, Jouko K.; Virtanen, Suvi Μ.; Rimpelä, Matti

doi:10.1136/bmj.325.7367.743

Cited by 286 publications

(228 citation statements)

References 18 publications

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“…The prevalence of neck pain (NP), shoulder pain (SP) and low back pain (LBP) among Finnish adolescents has increased over the recent decades [12]. Adolescence is defined as the 10-year life period between 10 and 19 years [50].…”

Section: Introductionmentioning

confidence: 99%

“…Adolescence is defined as the 10-year life period between 10 and 19 years [50]. The 6-month prevalence of NP/SP was 38% at 16 years and 45% at 18 years in girls, and 16 and 19%, respectively, in boys in a large Finnish study of 62,677 adolescents [12]. In the same study, the 6-month prevalence of LBP was 14% in girls and 11% in boys at 16 years, and 17% in girls and 13% in boys at 18 years.…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of pain at these locations increases with age [12,19,32,42,44,55]. The etiology of adolescent NP, SP and LBP still remains largely unclear.…”

Section: Introductionmentioning

confidence: 99%

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Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents

et al. 2009

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The quantity and quality of adolescents' sleep may have changed due to new technologies. At the same time, the prevalence of neck, shoulder and low back pain has increased. However, only a few studies have investigated insufficient quantity and quality of sleep as possible risk factors for musculoskeletal pain among adolescents. The aim of the study was to assess whether insufficient quantity and quality of sleep are risk factors for neck (NP), shoulder (SP) and low back pain (LBP). A 2-year followup survey among adolescents aged 15-19 years was (2001)(2002)(2003) carried out in a subcohort of the Northern Finland Birth Cohort 1986 (n = 1,773). The outcome measures were 6-month period prevalences of NP, SP and LBP. The quantity and quality of sleep were categorized into sufficient, intermediate or insufficient, based on average hours spent sleeping, and whether or not the subject suffered from nightmares, tiredness and sleeping problems. The odds ratios (OR) and 95% confidence intervals (CI) for having musculoskeletal pain were obtained through logistic regression analysis, adjusted for previously suggested risk factors and finally adjusted for specific pain status at 16 years. The 6-month period prevalences of neck, shoulder and low back pain were higher at the age of 18 than at 16 years. Insufficient quantity or quality of sleep at 16 years predicted NP in both girls (OR 4.4; CI 2.2-9.0) and boys (2.2; 1.2-4.1). Similarly, insufficient sleep at 16 years predicted LBP in both girls (2.9; 1.7-5.2) and boys (2.4; 1.3-4.5), but SP only in girls (2.3; 1.2-4.4). After adjustment for pain status, insufficient sleep at 16 years predicted significantly only NP (3.2; 1.5-6.7) and LBP (2.4; 1.3-4.3) in girls. Insufficient sleep quantity or quality was an independent risk factor for NP and LBP among girls. Future studies should test whether interventions aimed at improving sleep characteristics are effective in the prevention and treatment of musculoskeletal pain.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents

et al. 2009

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“…A quarter to a third of youth report chronic, persistent, or episodic pain 9,12,14,16,32 and a clinically significant minority also report associated dysfunction across a range of activities (e.g., physical, social, academic) (e.g., 7,37 ). Although the severity and duration of pain predicts some of the variance in measures of functioning and quality of life (e.g., 17,30 ), there are other factors that buffer or exacerbate pain-related disability.…”

Section: Introductionmentioning

confidence: 99%

837 the Impact of Adolescent Chronic Pain on Functioning: Disentangling the Complex Role of Anxiety

Cohen

Vowles

Eccleston

2009

European Journal of Pain

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A number of adolescents with chronic pain have clinically significant disability across physical, social, and academic activities, and pain severity only explains a portion of the variance in functioning. Thus, it is important to identify therapeutic options to improve adolescents' functioning. In contrast to studies with adults with chronic pain, research in pediatric pain has not consistently found anxiety to be a good predictor of pain-related disability. The present study evaluated pain, anxiety, and functioning in 222 adolescents with chronic pain. Results indicated that pain was consistently and linearly related to disability across measures of physical and social functioning, school attendance, and physician visits. The relation between anxiety and functioning was complex; increased anxiety was related to poorer physical and social functioning and was related to fewer physician visits, although it was not associated with school attendance. Additional analyses revealed that anxiety serves to moderate the relation between pain and functioning. Specifically, at high anxiety, pain was not related to functioning, but at low anxiety pain consistently predicted disability. In other words, highly anxious adolescents were functioning poorly regardless of the level of pain. The moderating role of anxiety highlights a number of research and clinical possibilities to explore with adolescents with chronic painrelated disability.Perspective: Data suggest that high anxiety is associated with poor functioning irrespective of pain intensity. At low anxiety, higher pain predicted greater disability.Anxiety is important to assess when investigating potential reasons for pain-related disability.

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“…There have been only a few trials dedicated to the issue of backache in children. At the same time, according to Russian authors, the spread of dorsalgiae of varying localization in children is 19-30%; according to foreign sources -up to 74% [3][4][5][6]. Vertebrogenic pain syndrome in children is characterized by clinical and etiological polymorphism and thus complicates resolution of diagnostic problems and selection of differentiated treatment tactics.…”

Section: Introductionmentioning

confidence: 99%

Structure and Complex Therapy of Dorsalgia in Children

Smirnova¹,

Лапочкин²,

Lobov³

et al. 2014

Pediatr. farmakol.

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Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys

Cited by 286 publications

References 18 publications

Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents

Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents

837 the Impact of Adolescent Chronic Pain on Functioning: Disentangling the Complex Role of Anxiety

Structure and Complex Therapy of Dorsalgia in Children

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