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      Determination of pain intensity risk factors among school children with nonspecific low back pain

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          Summary

          Background

          Low back pain (LBP) is a common disease among people under the age of 20. To the best of our knowledge few studies have been carried out on LBP among school children in Turkey, and none of them studied the correlation between pain intensity and related variables with LBP.

          Material/Methods

          This cross-sectional study was carried out to investigate the risk factors and their correlations with pain intensity among 222 school children (106 girls and 116 boys) aged 10–18 years in the city of Denizli. A self-reported questionnaire was used to collect the data. The regression tree method (RTM) was used to determine the risk factors by using the STATISTICA program package. Pain intensity was the outcome variable, and 8 independent variables (body mass index (BMI), sex, regular exercise habit, studying posture, transportation to/from school, duration of studying, bag handling, and type of bed) were used to detect their effect on pain intensity.

          Results

          The results showed that pain intensity is significantly affected by 4 independent variables: duration of studying, type of bed, transportation to/from school, and BMI. The overall mean and standard deviation of pain intensity was 2.58±0.86 (minimum=1, maximum=5).

          Conclusions

          Results from the literature, as well as our study, show that taking parents’ and teachers’ concerns seriously is of vital importance. Our results indicate that parents and teachers should be informed about duration of studying, type of bed, transportation and obesity as risk factors predicting NLBP in school children.

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          Most cited references30

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          Long-term pain conditions after a stroke.

          The aim of this study was to classify and describe the characteristics of different long-term pain conditions after a stroke by clinical examination and pain assessment using the Pain-O-Meter and a Pain questionnaire. Pain was classified as central post-stroke pain (n = 15), nociceptive pain (n = 18), and tension-type headache (n = 10). In 65%, pain onset was within 1-6 months and the pain intensity revealed individual differences. Many pain descriptors was common, some were discriminating as burning in central and cramping in nociceptive pain, and pressing and worrying in headache. More than half with central or nociceptive pain had continuous or almost continuous pain. Cold was the factor mostly increasing the pain in central, physical movements in nociceptive pain, and stress and anxiety in headache. More than one-third had no pain treatment and two-thirds of those with central pain had no or inadequate prescribed pain treatment. The clinical findings support the classification of pain and describe discriminating and common pain characteristics in pain conditions after a stroke.
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            Correlation between backpack weight and way of carrying, sagittal and frontal spinal curvatures, athletic activity, and dorsal and low back pain in schoolchildren and adolescents.

            This cross-sectional study was carried out to investigate any correlation between backpack carrying, spinal curvatures, and athletic activities on schoolchildren's dorsal (DP) and low back pain (LBP). Three thousand four hundred forty-one students aged from 9 to 15 years who carried backpacks to school were included in this study and asked for DP and LBP experiences in the school period while carrying the backpack. Nonradiating methods (surface back contour analysis) were used to indirectly measure frontal spinal curve (scoliosis) with the scoliometer and lateral curves (thoracic kyphosis and lumbar lordosis) with the kyphometer. All data analyses were undertaken regarding school year level, age, gender, sports participation, backpack weight, and way of carrying (one versus both shoulder) in relation to magnitude of scoliosis, thoracic kyphosis, lumbar lordosis, and DP and LBP while carrying the backpack. DP increased with increasing backpack weight (P < 0.05). The way (one versus both shoulder) of backpack carrying did not correlate either with DP or with LBP. Girls experienced much more LBP and DP than boys (P < 0.001). There was no difference in the prevalence of LBP and DP between adolescents and children. Students' age, height, and body weight as well as magnitude of kyphosis, lordosis, and scoliosis did not correlate with either LBP or DP. At the age of 11 years, girls and boys showed the highest prevalence for DP (72% and 38.5%, respectively), while at the age of 14 years, girls reported significantly (P < 0.05) more DP than boys. Girls showed the highest prevalence of LBP (71%) at the age of 11 years, while for the boys, it was at the age of 15 years (21%). Girls showed at the age of 11 years significantly more LBP (P < 0.05) than boys. Sports exposure seemed to increase LBP in girls (P < 0.001). The results of this study suggest a differential DP and LBP prevalence in schoolchildren and adolescents carrying backpacks with regard to gender and age. The peak in pain prevalence was immediately before puberty as well as immediately after its onset. Girls who participated in sports activities seem to experience more often DP and LBP than boys. Short children who carry backpacks as heavy as do tall children at the same age are more prone to LBP.
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              Nonspecific low-back pain in Kuwaiti children and adolescents: associated factors.

              To investigate factors associated with low-back pain among Kuwaiti children and adolescents; and study their relation with social activities and school performance. A cross-sectional population of 400 schoolchildren aged 10 to 18 years were selected from junior and high schools in one of the governorates in Kuwait. Data were collected through personal interviews using a questionnaire and analyzed using SPSS software. Older adolescent females who practice strenuous physical activities and spend a significant amount of time watching TV, and smokers were found to be significantly more likely to have low-back pain. Also, high grade-point average students were found to experience more low-back pain. Methods of carrying school materials were not significantly associated with low-back pain. Low-back pain did not significantly affect the number of absent days from school. The study suggests that back pain in Kuwaiti schoolchildren and adolescents is associated with older age, female gender, increase in physical activity, and time spent watching television.
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                Author and article information

                Journal
                Med Sci Monit
                Med. Sci. Monit
                Medical Science Monitor
                Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
                International Scientific Literature, Inc.
                1234-1010
                1643-3750
                2011
                01 February 2011
                : 17
                : 2
                : PH12-PH15
                Affiliations
                [1 ]Department of Biostatistics, Faculty of Medicine, Pamukkale University, Turkey
                [2 ]School of Physical Therapy and Rehabilitation, Pamukkale University, Turkey
                [3 ]School of Health Science, Division of Physical Therapy, Dumlupinar University, Turkey
                [4 ]Department of Biostatistics, Faculty of Medicine, Duzce University, Turkey
                Author notes
                Beyza Akdag, Department of Biostatistics, Faculty of Medicine, Pamukkale University, Turkey, e-mail: akdag72@ 123456hotmail.com
                [A]

                Study Design

                [B]

                Data Collection

                [C]

                Statistical Analysis

                [D]

                Data Interpretation

                [E]

                Manuscript Preparation

                [F]

                Literature Search

                [G]

                Funds Collection

                Article
                881378
                10.12659/MSM.881378
                3524714
                21278700
                29f28c38-c67a-4192-96de-7fb235de82bc
                © Med Sci Monit, 2011

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

                History
                : 14 April 2010
                : 06 August 2010
                Categories
                Public Health

                nonspecific low back pain,pain intensity,regression tree method,school children

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