scholarly journals Prevalence of Low Back Pain among School-Aged Children between 10 and 12 Years

2021 ◽  
Vol 13 (21) ◽  
pp. 12254
Author(s):  
Josep Vidal-Conti ◽  
Pere A Borràs ◽  
Pere Palou ◽  
Adrià Muntaner-Mas

Low back pain (LBP) is one of the biggest health problems worldwide that often begins during childhood. The existence of a previous episode of LBP is a premonitory sign of future back pain problems, therefore, prevention among youth will be essential. The main objective of the study was to determine the lifetime, point, and 7-day prevalence of LBP in children. This cross-sectional study evaluated 849 participants (47.1 boys and 52.9% girls) aged 10–12 from 10 primary schools using a self-administered questionnaire. The results demonstrated a lifetime prevalence of LBP of 73.6%, a last 7-days prevalence of 21.2%, and a point prevalence of 9.66%. LBP intensity reported in a Visual Analogue Scale (VAS) was 3.37 (SD 2.02). Chi-square analysis identified a significant difference between boys and girls in LBP lifetime prevalence (p < 0.001), 7-day prevalence (p = 0.035), and point prevalence (p = 0.014). The Student’s t-test in pain intensity showed the same differences (p = 0.007). Studies on LBP prevalence in young primary school students are scarce. Therefore, future studies investigating the prevention of LBP should focus on school interventions since schools are the most suitable institutions to participate in back pain prevention and health promotion.

Author(s):  
Vicente Miñana-Signes ◽  
Manuel Monfort-Pañego ◽  
Antonio Hans Bosh-Bivià ◽  
Matias Noll

It is well known that low back pain (LBP) prevalence is high during the course of school age children&rsquo;s lives. However, literature concerning the initial onset of back pain between ages of 3 and 11 years remains scarce. The present study aimed to analyze the prevalence of LBP in kindergarten and primary school students. 278 (9.9&plusmn;2.1 years old; 52.2% girls) students from two public kindergarten and primary schools in Valencia, Spain participated in this cross-sectional study. The Nordic questionnaire on LBP was used to ask questions related to the duration of LBP symptoms over time. The lifetime prevalence of LBP was 47.5% (n = 132), a last year prevalence of 44.2% (n = 123), and a last week prevalence of 18.8% (n = 50) was reported. Boys and girls reached lifetime prevalence of 52.3% (n = 64) and 47.7% (n = 82) (&chi;2 = 1.978, p = .099), respectively. By age group, lifetime episodes of LBP also showed a higher prevalence with increasing age (&chi;2 = 32.637; p &amp;lt; .001). In summary, our findings suggest that LBP increases with age. In addition, our results further strengthen the evidence that LBP onset could start as young as 10-years-old.


2006 ◽  
Vol 62 (4) ◽  
Author(s):  
D. O. Odebiyi ◽  
A. O. Akinpelu ◽  
M. O. B. Olaogun

Back schools are educational programmes originally developed in a work place (Volvo factory in Sweden) for patients with back pain, to enable them to manage their own back problems better. ‘Back school’ was originally aimed at modifying the behaviours of patients with low back pain (LBP), with the view to prevent relapses. In an effort to encourage and stimulate the use of ‘back school’ among health workers in Nigeria, this study was designed to evaluate the efficacy of a back school protocol in a Soap Making Industry in Lagos, Nigeria. One hundred and ten (110) workers of a Soap Making Industry in Lagos, Nigeria,  participated in this study. A pre-test, post-test experimental design was employed. The participants were divided into two groups - office workers and factory workers for the purpose of the training in the content of the back school protocol. The ‘back school’ consisted of classroom teaching and the use of two videotapes titled “lifting technique” and “back pain”. Data on demographic information, knowledge of back structures and back care were collected using a questionnaire with closed ended questions, which was completed before, immediately after and 8 weeks after the administrations of the contents of the back school protocol (Akinpelu and Odebiyi, 2004). The records of the factory’s clinic were also reviewed for the 12-months before and 12 months after the study. The mean values of the participants’ age, height, weight and body mass index (BMI) were 36.60 ± 9.10 years, 1.65 ± 0.10 m,69.13 ± 7.70 kg and 25.40 ± 3.30 kg/m2 respectively. The results showed that the 12-months prevalence of low back pain (LBP) among the workers was 71%. The result also showed that over 50% of the participants never had any  information or lesson on back care, and those that had some form of information obtained it by chance. There was 23% reduction in referral for care of back pain 12 months after the administration of the back school protocol. However, Chi square analysis showed that there was no significant difference (p = 0.23) between the number of  physiotherapy referrals to the factory’s clinic 12-months before the study and 12-months after the studyThe findings of this study suggest that the back school protocol was able to impart some knowledge (of back pain and back care) in the industrial workers. This knowledge seems to have assisted this group of individuals to cultivate good postural habits, particularly at work. This might have led to the 23% reduction in the reported cases of patients with LBP to the factory’s Physiotherapy Clinic.


2021 ◽  
pp. 1-12
Author(s):  
Waleed S. Mahmoud

BACKGROUND: Abnormal foot mechanics in foot over-pronation has an identified relationship with mechanical low back pain (MLBP). OBJECTIVE: To explore the use of short foot exercises (SFEs) as a standalone treatment for MLBP with foot over-pronation. METHODS: Forty-six patients with MLBP (PwMLBP) presenting with and foot over-pronation were analyzed. They were randomized into the SFE (short foot exercise), SFE plus traditional physical therapy treatment (SFE+TPT), and control (CG) groups. Functional disability and pain level were measured using the Oswestry Disability Index (ODI) and visual analog scale (VAS), respectively. Ultrasonography measured the cross-sectional area (CSA) of the abductor hallucis (AbdH) muscle. The foot posture and navicular drop (ND) were investigated using the foot posture index-6 (FPI) score and ND test, respectively. RESULTS: The CSA of the AbdH and VAS scores improved significantly (p< 0.001) between the groups, more in the SFE+TPT group than in the SFE group (p< 0.001). The ND, FPI, and ODI measures improved significantly among the groups (p< 0.001), with no significant difference (p> 0.002) between the SFE and SFE+TPT groups. The CG did not show significant differences in the outcome measures (p> 0.002). Based on the effect size, SFEs significantly improved all the variables of interest (d>1). CONCLUSION: SFEs, with or without TPT may offer an effective treatment for PwMLBP with foot over-pronation.


2018 ◽  
Vol 39 (08) ◽  
pp. 630-635 ◽  
Author(s):  
Alyssa Smyers Evanson ◽  
Joseph Myrer ◽  
Dennis Eggett ◽  
Ulrike Mitchell ◽  
A. Johnson

AbstractThe incidence of low back pain (LBP) among elite ballroom dancers is high and understanding associations between muscle morphology and pain may provide insight into treatment or training options. Research has linked multifidus muscle atrophy to LBP in the general and some athletic populations; however, this has not been examined in ballroom dancers. We compared the lumbar multifidus cross-sectional area (CSA) at rest in 57 elite level ballroom dancers (age 23±2.4 years; height, 174±11 cm; mass, 64±10 kg) divided into one of three pain groups, according to their self-reported symptoms, 1) LBP group (n=19), 2) minimal LBP (n=17), and 3) no LBP (n=21). There were no significant difference in demographics between the groups (P>0.05). The LBP group demonstrated significant differences in reported pain and Oswestry Disability Index scores compared to the other two groups. There was no significant difference between groups in multifidus cross-sectional area (P=0.49). Asymmetry was found in all groups with the overall left side being significantly larger than the right (P<0.002). Pain associated with segmental decrease in multifidus CSA was not observed in ballroom dancers with LBP, suggesting other reasons for persistent LBP in ballroom dancers.


2021 ◽  
Author(s):  
Alikemal Yazici ◽  
Tuba Yerlikaya ◽  
Adile Oniz

Abstract Background The aim of this study was to examine degeneration in the lumbar musculus multifidus (L.MF) and lumbar musculus erector spina (L.ES) muscles in patients with mechanical chronic low back pain, non-radiculopathy chronic low back pain with discopathy, and healthy individuals. The relationships with low back pain were examined by comparing the results according to gender, pain, and lumbar segments. Material and Method: Evaluation was made of 36 healthy control subjects (Group 1), 37 patients with mechanical low back pain (Group 2) and 41 non-radiculopathy, lumbar discopathy patients (Group 3). On axial magnetic resonance images at the L3-S1 level, asymmetry between the left and right sides was examined in respect of L.MF and L.ES surface cross-sectional areas (CSA), total surface cross-sectional area (TCSA = L.MF + L.ES), and fat infiltration. Results The mean CSA values showed a significant difference only in the right L.MF in the healthy control group (p = 0.011). No statistically significant difference was seen between the groups in the comparisons of TCSA, and a statistically significant difference was determined in respect of fat infiltration in the right and left L.MF and the left L.ES (p = 0.011, p = 0.001, p = 0.027, respectively). When the CSA and TCSA were examined according to gender within the groups, the values were found to be statistically significantly higher in males (p < 0.001). The CSA and TCSA values of the L.MF and L.ES showed a significant difference between segments (L3-L4, L4-L5, L5-S1) (p < 0.001). No asymmetry was observed between the left /right CSA and TCSA values of the groups. Fat infiltration showed a significant difference according to gender and segments (p < 0.001). Conclusion Fat infiltration in the L.MF muscle is related to mechanical low back pain and lumbar discopathy. That there was no difference between the groups in the CSA and TCSA values demonstrates the need for measurement of muscle atrophy associated with fat infiltration or functional cross-section area rather than CSA and TCSA.


Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 270
Author(s):  
Vicente Miñana-Signes ◽  
Manuel Monfort-Pañego ◽  
Antonio Hans Bosh-Bivià ◽  
Matias Noll

It is well-known that low back pain (LBP) prevalence is high among school-age children. However, literature concerning the initial onset of back pain between the ages of three and eleven years is scarce. The present study aims to analyze the prevalence of LBP in kindergarten and primary school students. A total of 278 (9.9 ± 2.1 years old; 52.2% girls) students from two public kindergartens and primary schools in Valencia (Spain) participated in this cross-sectional study. The Nordic questionnaire on LBP was used to assess the onset and duration of LBP symptoms. The lifetime prevalence of LBP was 47.5% (n = 132), the last year’s prevalence was 44.2% (n = 123), and last week’s prevalence was 18.8% (n = 50). Boys and girls reported a lifetime prevalence of 52.3% (n = 64) and 47.7% (n = 63) (p = 0.186, Fisher’s exact test, 2-sided), respectively. By age group, lifetime episodes of LBP became more prevalent with increasing age (p < 0.001, Fisher’s exact test, 2-sided). In summary, our findings show that LBP increases with age and further strengthens the evidence that LBP onset could start as young as 10 years of age.


2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Syed Asadullah Arslan ◽  
Mohammad Reza Hadian ◽  
Gholamreza Olyaei ◽  
Saeed Talebian ◽  
Mir Saeed Yekaninejad ◽  
...  

Objective: To determine the effects of repetitive ipsilateral rotation on low back pain among the taxi drivers of right and left hand drive. Methods: A total of 1200 (600 Iran+600 Pakistan) male taxi drivers, aged between 20-60 years with work experience of more than one year were randomly selected and interviewed in Tehran (Iran) & Lahore (Pakistan) to fill self-administered questionnaires in Persian and Urdu languages which contained socio-demographic, work related and LBP characteristics. Chi-square test and multiple logistic regression models were employed for statistical analyses. Results: Point, one week, one year and lifetime prevalence of LBP among right hand drive taxi drivers was 26.7%, 35.5%, 49.8% and 77.7% respectively. Point, one week, one year and lifetime prevalence of LBP among left hand drive taxi drivers was 37%, 42.7%, 53.5% and 72.3% respectively. Mean Numeric Pain rating scale (NPRS) score was 4.15 (SD=1.42) in Pakistan, while in Iran it was 4(SD=1.57). There was no significant difference regarding pain intensity (p=0.123) between drivers from both countries. Mean Roland-Morris Questionnaire (RMQ) score among drivers in Pakistan with LBP was 7.76(SD= 2.50), while in Iranian drivers who had LBP, mean RMQ score was 7.71(SD=2.99). Conclusion: Static or less dynamic muscles are more prone to LBP due to lower endurance. Lack of exercising habit, work as a driver for more number of years, driving within city, more driving hours in a day, forward bending, lifting, no seat comfort, lack of awareness regarding ergonomics and lower satisfaction level of job were the main reasons of LBP. doi: https://doi.org/10.12669/pjms.35.4.488 How to cite this:Arslan SA, Hadian MR, Olyaei G, Talebian S, Yekaninejad MS, Hussain MA. Comparative effect of driving side on low back pain due to Repetitive Ipsilateral Rotation. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.488 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 73 (7-8) ◽  
pp. 200-204
Author(s):  
Jarmila Lacokova-Krasnikova ◽  
Dejan Dimitrov ◽  
Rastislava Krasnik ◽  
Jelena Zvekic-Svorcan ◽  
Mirjana Kolundzic ◽  
...  

Introduction. Back pain is often present among health workers. The aim of the study was to determine the impact of gender and years of work experience on the incidence of low back pain. Material and Methods. A prospective cross-sectional study included 67 subjects of both genders, and it was conducted in the period between June 1 and 15, 2020, in two health centers in Serbia. The impact of gender, age, years of work experience on the incidence of low back pain was analyzed, measured by the Roland-Morris disability questionnaire. Results. In the examined sample (n = 67), the majority were females (55, 82.1%). The average age of the respondents was 45.5 ? 12.2 years, with an average work experience of 20.62 ? 12.03 years. Low back pain was present in 35 subjects (52.2%). There was no statistically significant difference between male and female subjects regarding the Roland-Morris disability score (3.83 ? 4.50 vs. 4.96 ? 4.53; p > 0.05). There was a statistically significant positive correlation between the age of subjects and the Roland-Morris disability score (r = 0.407; p < 0.01). Subjects with more years of work experience presented with a higher Roland-Morris disability score (r = 0.371; p < 0.01). Conclusion. Low back pain is common in older health workers with longer work experience, regardless of the level of formal education. Additional education of health workers on the application of protective attitudes, movements, and exercise, is needed in order to prevent the development of low back pain in the work environment.


2020 ◽  
Vol 6 (2) ◽  
pp. 197-204
Author(s):  
MK Abubakar ◽  
A Rabiu ◽  
MU Ibrahim ◽  
KA Musa ◽  
S Muhammad ◽  
...  

Background: About 90% of individuals will experience back pain at one point or the other in their lives. Hospital workers are considered to have a considerable risk of developing low back pain. Objective: To determine the prevalence and risk factors for low back pain among health workers in tertiary hospitals in Kano, Nigeria. Methods: The study was a cross-sectional survey. A questionnaire was designed and administered to 200 personnel of the teaching hospitals in Kano. Socio-demographic characteristics, presence of low back pain, factors that relieve and aggravate the low back pain and relationship of back pain and work activities, were recorded on the questionnaire.  Results: The mean age of the respondents was 33.4±7.08 years. Sixty-six per cent of the respondents had back pain within a year of the study. There was a 29% point prevalence of low back pain among the respondents. Statistically significant association was established between various activities such as prolonged sitting and walking and pain in the lower back (p = 0.000). There was an association between low back pain and the type of job (department) of the respondents (p = 0.016). The dull ache was the predominant presentation (58%) followed by piercing and gripping in 20% and 19% respectively. Prolonged sitting was the main aggravating factor, while numbness was the main feature of referral in 18%. Only 5.0% of the respondents used medications for their back pain. Conclusion: Low back pain is common among hospital workers with a point prevalence of 29.1%. About 25% had low back pains that prevented participated in normal duty. Majority of the respondents believed back pain is preventable.


2021 ◽  
Author(s):  
Alikemal Yazici ◽  
Tuba Yerlikaya ◽  
Adile Oniz

Abstract Background: The aim of this study was to investigate the degeneration of lumbar musculus multifidus (L.MF) and lumbar musculus erector spinae (L.ES) muscles in healthy individuals and patients with mechanical low back pain and lumbar discopathy without root compression (radiculopathy), and to examine the relationship between low back pain by comparing the results according to gender, pain and lumbar segments between the groups. Methods: The study included 30 healthy individuals (Group 1), 30 patients with mechanical low back pain (Group 2) and 30 patients with lumbar discopathy without root compression (radiculopathy) (Group 3). Pain severity was evaluated using a Visual Analogue Scale (VAS). Right and left L.MF and L.ES cross-sectional areas (CSA), total cross-sectional areas (TCSA =L.MF+L.ES), fat infiltrations, and asymmetries between the right and left sides were evaluated. L.MF and L.ES muscles CSA and TCSA, fat infiltrations, asymmetries between the right and left sides were evaluated in the patients at the L3-S1 level, in axial Magnetic Resonance Imaging.Results: The mean value of the CSA differed between the groups only in the right L.MF and in the healthy group (p=0.011). No statistically significant difference was observed between the TCSA values of the groups, but a significant difference was found between the groups in terms of fat infiltration in right and left L.MF and left L.ES (p=0.011, p=0.001, p=0.027, respectively). When CSA and TCSA were examined according to gender within the group, the values were found to be significantly higher in males (p<0.001). The CSA and TCSA values ​​of L.MF and L.ES differed between segments (L3-L4, L4-L5, L5-S1) (p<0.001). There was no asymmetry between the right/left CSA and TCSA of the groups. Fat infiltration differed according to gender (p=0.001) and segments (p<0.001).Conclusion: Fat infiltration in the lumbar multifidus muscle was associated with mechanical low back pain and lumbar discopathy. The fact that there was no difference between the cross-sectional area and the total cross-sectional area between the groups indicates the need to measure the FCSA or muscle atrophy due to fat infiltration in the evaluation of muscle mass, rather than CSA and TCSA.


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