TAILIEUCHUNG - Pain characteristics of adolescent spinal pain

Although adolescent spinal pain increases the risk for chronic back pain in adulthood, most adolescents can be regarded as healthy. The aim of the present study was to provide data on localization, intensity and frequency of adolescent spinal pain and to investigate which physical and psycho-social parameters predict these pain characteristics. | Wirth and Humphreys BMC Pediatrics 2015 15 42 DOI S12887-015-0344-5 BMC Pediatrics RESEARCH ARTICLE Open Access Pain characteristics of adolescent spinal pain Brigitte Wirth1 2 and B Kim Humphreys 2 Abstract Background Although adolescent spinal pain increases the risk for chronic back pain in adulthood most adolescents can be regarded as healthy. The aim of the present study was to provide data on localization intensity and frequency of adolescent spinal pain and to investigate which physical and psycho-social parameters predict these pain characteristics. Method On the occasion of Spine Day an annual event where children and adolescents are examined by chiropractors on a voluntary basis for back problems 412 adolescents 10 to 16 years were tested by questionnaire and physical examination . Pain characteristics localization intensity and frequency were identified and evaluated using descriptive statistics. Regression analyses were performed to investigate possible influencing psycho-social and physical influence factors. Results Adolescents who suffered from pain in more than one spinal area reported higher pain intensity and frequency than those with pain in only one spinal area. Sleep disorders were a significant predictor for pain in more than one spinal area p as well as a trend for frequent pain p . Adolescents with frequent pain showed impaired balance on one leg standing with closed eyes p . Conclusions Studies on adolescent spinal pain should report data on pain frequency intensity and localization. Adolescents who present with pain in more than one spinal area or report frequent pain should be followed carefully. Reduced balance with visual deprivation might be a physical indicator of a serious back problem. Keywords Adolescence Pain characteristics Spinal pain Background Back pain starts early in life and its prevalence increases with age accelerating in the early teens around the age of 12 to 15 1-3 and reaching adult prevalence .

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