Evaluation and Diagnosis of Back Pain in Children and Adolescents

Shah, Suken A.; Saller, Jeremy

doi:10.5435/jaaos-d-14-00130

Cited by 41 publications

(43 citation statements)

References 33 publications

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“…1–5 Recent studies 6,7 suggested that the prevalence of BP has been increasing in adolescents; this can cause a range of disabilities that may persist into adulthood. 8–10 Therefore, the causes of BP must be investigated with a focus on adolescents. 11 Although several recent studies examined the prevalence and risk factors of BP in adolescents, 12–20 most had a cross-sectional design; thus, no causality could be established.…”

Section: Introductionmentioning

confidence: 99%

Back pain and its risk factors in Brazilian adolescents: a longitudinal study

Candotti

Rosa

Vieira

et al. 2019

British Journal of Pain

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Owing to the lack of longitudinal studies in Latin American countries, we aimed to evaluate back pain and its risk factors in a 3-year longitudinal study of Brazilian adolescents. We analysed data of 525 adolescents (aged 11–16 years) attending primary school (fifth to eighth grade) in Brazil. The students were administered the self-reported Back Pain and Body Posture Evaluation Instrument (BackPEI) questionnaire in 2011 and at a follow-up evaluation that was conducted 3 years later (2014). Back pain was the outcome variable; the exposure variables included exercise, behavioural, hereditary and postural factors. Generalized estimating equations were used to perform a Poisson regression model with robust variance to evaluate the risk factors for back pain. The prevalence of back pain at baseline was 56% ( n = 294); this increased significantly at the 3-year follow-up evaluation to 65.9% ( n = 346). The frequency of experiencing back pain also significantly increased after 3 years in both boys ( p = 0.002) and girls ( p = 0.001). The prevalence of back pain increased significantly in adolescents up to the age of 13 years, stabilized in those aged 14 years and older and was higher among girls. A family history of back pain (in the parents), watching television for lengthy periods and carrying a backpack asymmetrically were predictors for back pain.

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Section: Introductionmentioning

confidence: 99%

Back pain and its risk factors in Brazilian adolescents: a longitudinal study

Candotti

Rosa

Vieira

et al. 2019

British Journal of Pain

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“…While back pain is a common complaint among adults and older adolescents, it is uncommon in children and often reflects a pathologic condition. [32][33][34] In another case of failure to recognize a concerning presentation a 14-month-old female developed new-onset right-sided torticollis that waxed and waned over several months and was associated with frequent morning emesis. She was brought to the emergency department twice, but no imaging was obtained.…”

Section: Resultsmentioning

confidence: 99%

Diagnostic Error in Pediatric Cancer

Carberry

Hanson

Flannery

et al. 2017

Clin Pediatr (Phila)

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The purpose of this study was to ( a) determine the frequency of diagnostic errors in pediatric cancer, ( b) categorize errors, and ( c) underscore themes associated with misdiagnosis. This is a retrospective cohort study at a tertiary children's hospital of 265 patients with new oncologic diagnoses. The diagnostic error rate was 28%. Compared with those with no diagnostic error, those in whom there was an error were more likely to have ( a) more visits before diagnosis ( P < .001), ( b) not been seen in an acute care setting ( P = .03), ( c) inappropriate treatment ( P < .001), and ( d) misinterpreted laboratory studies or imaging ( P < .001). Themes in diagnostic errors were lack of appropriate evaluation for persistent symptoms (47%), failure to recognize signs and symptoms suggestive of malignancy (45%), and misinterpretation of tests (8%). Clinicians should consider diagnostic evaluation for multiple visits for the same complaint or a constellation of signs and symptoms suggestive of malignancy.

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“…Back pain (BP), defined as "pain within the cervical, thoracic and/or lumbar areas" [1][2][3], is a significant public health problem [1][2][3][4][5][6][7]. Recent studies [8][9][10] suggest that the prevalence of BP, including acute, chronic, specific, and non-specific conditions, has been increasing among adolescents; it can cause a range of functional limitations that may persist into adulthood [11][12][13]. Therefore, the causes of BP among adolescents should be investigated [14].…”

Section: Introductionmentioning

confidence: 99%

Motor performance and back pain in children and adolescents: a systematic review and meta-analysis protocol

2020

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Background The relationship between motor performance and back pain in children and adolescents remains unclear. This article describes the protocol for a systematic review to summarize the knowledge about the association between motor performance, such as agility, flexibility, balance, strength, muscle endurance, and cardiorespiratory fitness, and back pain. Thus, our aim is to identify the influence of motor performance on back pain among children and adolescents. Methods Two independent researchers will search MEDLINE, Scopus, Embase, SPORTDiscus, and CINAHL databases, with no period or language restrictions. We will include cross-sectional, cohort, case-control, and controlled clinical trial studies based on the following criteria: (a) participants from 6 to 19 years of age, (b) assessment of motor performance, (c) assessment of back pain, and (d) report measures of associations between motor performance and back pain. Study quality and risk of bias will be assessed using an adapted version of the Downs and Black instrument. Grading of Recommendations, Assessment, Development, and Evaluations will be used to assess the strength of the body of evidence. Meta-analyses of association measures will be performed for each type of motor performance, separately for different study types. The results will be reported using forest to show the pooled effect of findings and funnel plots to assess precision of the data. If studies are not homogeneous, results from the meta-analyses will not be reported. Associations will then be synthesized descriptively using a pragmatic approach. Discussion This systematic review will provide critical insights into the association between motor performance and back pain among children and adolescents; this information may help support clinical practice guidelines as well as public health programs. Ethics and dissemination Protocol was written according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Systematic review registration PROSPERO CRD42020178496

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Evaluation and Diagnosis of Back Pain in Children and Adolescents

Cited by 41 publications

References 33 publications

Back pain and its risk factors in Brazilian adolescents: a longitudinal study

Back pain and its risk factors in Brazilian adolescents: a longitudinal study

Diagnostic Error in Pediatric Cancer

Motor performance and back pain in children and adolescents: a systematic review and meta-analysis protocol

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