Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions

Michaleff, Zoe A; Kamper, Steven J.; Maher, Christopher G.; Evans, Roni; Broderick, Carolyn; Henschke, Nicholas

doi:10.1007/s00586-014-3461-1

Cited by 106 publications

(81 citation statements)

References 41 publications

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“…The lack of clinical research pertinent to children and adolescents has been emphasized by multiple studies. [715252629] Emerging evidence shows that children, especially adolescents who report persistent pain, are at an increased risk of chronic pain as adults. [51923] Moreover, many musculoskeletal illnesses follow a long-term pattern of recurring exacerbations and remissions, with the most consistent predictor of a new episode being the experience of a previous episode.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal neck pain in children and adolescents: Risk factors and complications

Fares¹,

Fares²,

Fares³

2017

Surg Neurol Int

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Background:Neck pain is a major public health concern that has been extensively studied in adults but not in children and adolescents. Therefore, the purpose of this article is to explore musculoskeletal neck pain in children and adolescents, as well as to discuss its possible risk factors and complications.Methods:Participants were patients under 18 years of age, who had presented to the clinic (Beirut, Lebanon) in 2015, with nonspecific neck pain. They were examined and asked to evaluate and localize the pain. Neck positioning during various activities along with other complications were explored. Patients reporting pain associated with congenital or systemic diseases and fractures were excluded.Results:Two-hundred-and-seven children and adolescents presented with nonspecific neck pain. Musculoskeletal neck pain with spasm was diagnosed in 180 patients (N = 180). Participants did not show any findings on physical examination and radiological studies, and had no comorbidities. More females (57%) than males (43%) and more adolescents (60%) than children (40%) were affected. All the 180 participants (100%) reported flawed flexion of their back and neck while studying and/or using smartphones and tablets. Eye symptoms were reported in 21% of the cases, and parents of most participants (82%) reported a change in the psychological and social behavior of their children.Conclusions:Musculoskeletal neck pain is an important disease in children and adolescents with numerous risk factors contributing to its development. Increased stresses regarding the cervical spine may lead to cervical degeneration along with other developmental, medical, psychological, and social complications.

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Section: Introductionmentioning

confidence: 99%

Musculoskeletal neck pain in children and adolescents: Risk factors and complications

Fares¹,

Fares²,

Fares³

2017

Surg Neurol Int

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“…While there is extensive research into musculoskeletal problems in adults, our current understanding of the epidemiology, burden and treatment of musculoskeletal problems in children and adolescents is much more limited [2, 3]. Surveys show that up to 50% of children and adolescents report musculoskeletal pain in any 1 month, and while many of these conditions are assumed to be self-limiting, as many as 50% of this population will experience chronic or recurrent pain [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Consultation patterns of children and adolescents with knee pain in UK general practice: analysis of medical records

Michaleff

Campbell

Protheroe

et al. 2017

BMC Musculoskelet Disord

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BackgroundKnee problems are common in children and adolescents. Despite this, little is known about the epidemiology of knee problems in children and adolescents who consult in general practice. The aim of this study was to describe consultations by children and adolescents about knee problems in general practice, and examine patterns of patient presentations and consultations by age group, sex and area of socio-economic deprivation.MethodsConsultations records specific to the knee region were extracted from a general practice consultation database (CiPCA) over a one year period. Knee consultation codes were organised into ‘symptom’ or ‘diagnosis’ (sub-categorised: ‘trauma’, ‘non-trauma’) categories. Descriptive statistics were used to describe patient presentations and number of consultations overall, and stratified analysis carried out on age group, sex, and area of socio-economic deprivation.ResultsOut of all musculoskeletal consultations, knee problems were the fourth most common patient presentation, responsible for the second highest number of consultations. Patient presentations and consultations increased up to age 12–15 years and then stabilised. Symptoms codes e.g. ‘knee pain’ were used more commonly than diagnosis codes e.g. ‘knee sprain’ overall. However, symptom code use declined as age increased, more symptom codes were used in girls compared to boys, and more diagnosis codes were used in patients from areas of high socio-economic deprivation.ConclusionsThis study provides insight into the epidemiology of knee problems in children and adolescents in general practice. Future research is needed to improve our understanding of the knee problems encountered by GPs, and the influence socio-economic deprivation has on consultations.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1586-1) contains supplementary material, which is available to authorized users.

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“…De acordo com uma revisão sistemática recente, existem evidências de que a realização de exercícios pode reduzir os níveis de dor em curto prazo 23 . Dessa forma, é recomendável que profissionais de saúde procurem identificar adolescentes com DL de forma a tratar adequadamente estes indivíduos.…”

Section: Métodosunclassified

“…Dessa forma, é recomendável que profissionais de saúde procurem identificar adolescentes com DL de forma a tratar adequadamente estes indivíduos. Em relação a medidas preventivas, os achados na literatura são controversos e não há evidência de que intervenções ergonômicas ou educativas sejam eficazes na prevenção da DL entre adolescentes 23,24 . Neste sentido, a baixa qualidade metodológica contribui para que os achados da maioria dos estudos de intervenção sejam inválidos 23 .…”

Section: Métodosunclassified

“…Em relação a medidas preventivas, os achados na literatura são controversos e não há evidência de que intervenções ergonômicas ou educativas sejam eficazes na prevenção da DL entre adolescentes 23,24 . Neste sentido, a baixa qualidade metodológica contribui para que os achados da maioria dos estudos de intervenção sejam inválidos 23 . Deste modo, existem importantes lacunas no conhecimento sobre a ocorrência e os fatores associados à DL em adolescentes, bem como em relação ao seu tratamento e prevenção.…”

Section: Métodosunclassified

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Dor lombar em adolescentes do semiárido: resultados de um censo populacional no município de Caracol (PI), Brasil

Meucci

Linhares

Olmedo

et al. 2018

Ciênc. saúde coletiva

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Resumo O objetivo deste artigo é avaliar a prevalência e os fatores associados à dor lombar nos últimos 12 meses entre adolescentes de um município do sul do estado do Piauí, Brasil. Estudo transversal com 1112 adolescentes de 13-19 anos do município de Caracol. Investigaram-se características demográficas, socioeconômicas, nutricionais, comportamentais e comorbidades. O desfecho foi a ocorrência de dor lombar (DL) nos últimos 12 meses. Foi calculada a prevalência do desfecho de acordo com as variáveis independentes. Entre os adolescentes com DL no último ano, foi calculada a proporção de indivíduos com dor lombar crônica. Para análise dos fatores associados, foi utilizada a regressão de Poisson bruta e ajustada para cálculo das razões de prevalência. A prevalência de dor lombar nos últimos 12 meses foi de 32,9%. De acordo com a análise ajustada, sexo feminino (RP = 1,75; IC95%:1,45-2,10), idade entre 18-19 anos (RP = 1,27; IC95%:1,01-1,62), maior renda (RP = 1,33; IC95%:1,06-1,67), estar trabalhando (RP 1,25 IC95%:1,02-1,53) e apresentar distúrbios psiquiátricos menores (RP 1,51 IC95%: 1,25-1,82) permaneceram associados à DL nos últimos 12 meses. Este estudo encontrou elevada prevalência de DL entre adolescentes de um município pequeno do semiárido nordestino.

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Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions

Cited by 106 publications

References 41 publications

Musculoskeletal neck pain in children and adolescents: Risk factors and complications

Musculoskeletal neck pain in children and adolescents: Risk factors and complications

Consultation patterns of children and adolescents with knee pain in UK general practice: analysis of medical records

Dor lombar em adolescentes do semiárido: resultados de um censo populacional no município de Caracol (PI), Brasil

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