Prevalence of Low Back Pain and Its Effect on Health-Related Quality of Life in Adolescents

Pellisé, Ferràn; Balagué, Federico; Rajmil, Luís; Cedraschi, Christine; Aguirre, Mario; Fontecha, César G.; Pasarín, M. Isabel; Ferrer, Montse

doi:10.1001/archpediatrics.2008.512

Cited by 126 publications

(137 citation statements)

References 37 publications

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“…When pain was present, it was predominantly localized to the lumbar region. This finding is consistent with those of Pellisé et al 18 , who observed a low back pain incidence of up to 39% in healthy adolescents; the lower back was the anatomical region most affected by pain in this population in our study.…”

Section: B Discussionsupporting

confidence: 94%

Pain assessment in patients with adolescent idiopathic scoliosis at different stages of disease evolution

Gotfryd¹,

Franzin²,

Poletto³

et al. 2014

Medical Express

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OBJECTIVE:The correlation between pain complaints and the severity of the spinal curvature in adolescent idiopathic scoliosis remains controversial. The aim of this study was to evaluate the presence and intensity of back pain in adolescent idiopathic scoliosis patients at different stages of the disease. METHODS: Sixty-four individuals participated in this study with scoliotic curves (Cobb angles) between 20 and 90 degrees. Patients were divided into four groups according to the scoliotic curves: Group 1 (with 20 to 45 degrees) Group 2 (curves greater than 45 degrees before surgery), Group 3 (curves greater than 45 degrees one year after posterior spinal arthrodesis with pedicle screws) and Group 4 (healthy adolescents between 11 and 18 years of age; control group). RESULTS: The scores obtained from the pain domain of the SRS-30 questionnaire (specifically developed for the assessment of adolescent scoliosis) were significantly worse for patients with scoliosis, regardless of the evolutionary phase of the disease. Patients who underwent surgical treatment presented statistically better results one year after surgery than did the group of patients with moderate Cobb angles. CONCLUSION: Patients with adolescent idiopathic scoliosis had a higher intensity of back pain than healthy individuals. Pain was reduced one year after spinal arthrodesis.

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Section: B Discussionsupporting

confidence: 94%

Pain assessment in patients with adolescent idiopathic scoliosis at different stages of disease evolution

Gotfryd¹,

Franzin²,

Poletto³

et al. 2014

Medical Express

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“…Others have reported similar findings: Pellisé et al demonstrated that only 42.6% of adolescents with LBP had this symptom in isolation, and 8.5% also reported whole-body pain (38). This suggests that, in some children at least, LBP may be one of a cluster of general musculoskeletal symptoms.…”

Section: Discussionmentioning

confidence: 68%

Predicting persistent low back pain in schoolchildren: A prospective cohort study

Jones¹,

Macfarlane²

2009

Arthritis & Rheumatism

106

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Objective. Low back pain (LBP) is common in children but the prognostic indicators are poorly understood. We report the results of a prospective study to determine the risk factors for chronic LBP in children. Methods. A total of 330 children with LBP were identified from a cross-sectional survey in schools in Northwest England. Data were collected by self-completion questionnaire on a number of potential risk factors for LBP persistence, including lifestyle factors, the occurrence of other symptoms, behavioral and emotional characteristics, and symptom severity and duration. Participants were then followed over the following 4 years to determine persistent symptoms. Results. Complete followup data were available from 178 children, of whom 46 (26%) reported persistent LBP. Forward stepwise Poisson regression identified 5 independent predictors of pain persistence: peer relationship problems, being of smaller stature, the prior report of widespread body pain, long duration of LBP episodes, and radiating leg pain. Of children with none of these factors at baseline, <5% went on to report persistent LBP. In contrast, of those with 4 or 5 factors, nearly 80% experienced persistent symptoms. Conclusion. Although childhood consultations for LBP are infrequent, we have shown that ϳ25% of children 11-14 years of age with LBP still report symptoms 4 years later. These children can be identified early by a combination of clinical markers and etiologic factors. This provides a basis for considering interventions for secondary prevention; the challenge will be to determine whether we can intervene to alter symptom trajectory at an early stage.

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“…The presence of LBP in adolescence is seen by some as a signal for or a precursor of a serious organic disease, while others see it as a tell-tale sign for future incidence of low back pain in adulthood 2,3 . A scientific interest in ALBP is of importance as it is believed by some to be unusual and rare for that age group 1,4,5 .…”

Section: Introductionmentioning

confidence: 99%

Adolescent low back pain among secondary school students in Ibadan, Nigeria

Adegoke¹,

Odole²,

Adeyinka³

2015

Afr H. Sci.

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Background: Adolescent low back pain (ALBP) can be considered a signal or precursor of a serious organic disease or telltale sign of future incidence of low back pain in adulthood. Published articles on ALBP in Nigeria are not readily available. Objectives: The study's objectives were to investigate the prevalence of Adolescent Low Back Pain (ALBP) among secondary school students in Ibadan, Nigeria and the prevalence's association with some socio-demographic variables. Methods: Participants were adolescent students from 15 secondary schools in Ibadan. Data was collected using a respondent-administered, validated questionnaire on low back pain in adolescents. Participants (Female: 298; Male: 273) aged 14.23 ±2.27 years (range 10-19) were recruited through multi-stage random sampling. Five hundred and seventy-one (83.97%) of the 680 copies of the questionnaire administered were returned. Data was analysed using mean, standard deviation, frequency, percentages, and Chi-square test with alpha level at 0.05. Result: Lifetime, twelve-month, one-month and point prevalence rates of ALBP were 58.0%, 43.8%, 25.6% and 14.7% respectively. Age at first experience of ALBP was 11.86 ± 2.36 years. Gender was not significantly associated with any rate (p ≥0.317). Age (p ≤ 0.043) and engagement in commercial activities (p ≤ 0.025) were significantly associated with all period prevalence rates while injury to the back was significantly associated with all period prevalence rates except point prevalence (p = 0.087). Conclusion: Adolescent low back pain is common among secondary school students in Ibadan and its prevalence is significantly associated with age and engagement in commercial activities, but not with gender.

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Prevalence of Low Back Pain and Its Effect on Health-Related Quality of Life in Adolescents

Abstract: To assess the prevalence of low back pain (LBP) in adolescents and the clinical features of LBP in 2 European countries and to evaluate the effect of LBP on health-related quality of life (HRQOL) using standardized validated generic and disease-specific instruments.

Cited by 126 publications

References 37 publications

Pain assessment in patients with adolescent idiopathic scoliosis at different stages of disease evolution

Pain assessment in patients with adolescent idiopathic scoliosis at different stages of disease evolution

Predicting persistent low back pain in schoolchildren: A prospective cohort study

Adolescent low back pain among secondary school students in Ibadan, Nigeria

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