Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Prevalence and causes of back pain syndromes in children

https://doi.org/10.14412/2074-2711-2014-1-85-88

Full Text:

Abstract

We present a review of literature devoted to epidemiology, and the nosological and syndromal structure of back pain in children. The data of our own study of school-aged children with back pain are presented.
The structure of back pain syndromes in 105 children has been analyzed using the medical aid appealability data. The results of a comprehensive clinical and instrumental study demonstrated that the children mostly had lumbosacral pain (52.4% of cases); neck pain was observed in 29.5% of cases; while thoracic pain syndromes were observed in 18.1% of cases. Congenital defect of the connective tissue was diagnosed in 16.19% of children; congenital abnormalities of the spine, in 15.2%; scoliosis (idiopathic and secondary), in 8.6%; and Scheuermann-Mau's disease, in 5.71%.
The conclusion has been made about the high prevalence of back pain in schoolchildren. Muscular tonic syndromes were prevailing in the clinical structure in children; radicular syndromes were less frequent. Musculoskeletal disorders were the main causes of back pain. Congenital defect of the connective tissue was often observed, which was revealed as functional instability of the vertebral motor segment, spondylolisthesis due to weak ligaments, and disc protrusions. Congenital abnormalities of the spine, scoliosis, and Scheuermann-Mau' disease were observed less often. 

About the Authors

A.A. Smirnova
Children Psychoneurological Hospital, Moscow, Russia
Russian Federation


O.L. Lapochkin
Children Psychoneurological Hospital, Moscow, Russia;
Russian Federation


M.A. Lobov
Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia
Russian Federation


M.N. Borisova
Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia
Russian Federation


References

1. Harwood MI, Smith BJ. Low back pain: а primary care approach. Clinics in family practice. 2005;7(2):279–303. DOI: http://dx.doi.org/10.1016/ j.cfp.2005.02.010.

2. Салмане С. Боль в спине: вопросы и ответы. Пер. с англ. Москва: КРОН-ПРЕСС; 1999. 192 с. [Salmane S. Bol' v spine: voprosy i otvety [Back pain: questions and answers]. Translation from English. Moscow: KRON-PRESS; 1999. 192 р.]

3. Hakala P, Rimpel A, Salminen JJ, et al. Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys. BMJ. 2002;325(7367):743. DOI: http://dx.doi.org/10.1136/bmj.325.7367.743.

4. Кочергина ОС. Особенности распространенности и структуры вертеброгенных заболеваний нервной системы среди детей и подростков. Вертеброневрология. 2002;(3–4):6–10. [Kochergina OS. Features of prevalence and structure the vertebrogennykh of diseases of nervous system among children and teenagers. Vertebronevrologiya. 2002;(3–4):6–10. (In Russ.)]

5. Назаренко ГИ, Героева ИБ, Черкашов АМ, Рухманов АА. Вертеброгенная боль в пояснице. Москва: Медицина; 2008. 456 с. [Nazarenko GI, Geroeva IB, Cherkashov AM, Rukhmanov AA. Vertebrogennaya bol' v poyasnitse [Vertebrogenny waist pain]. Moscow: Meditsina; 2008. 456 р.]

6. Герасимова ОН, Парфенов ВА. Клинический опыт применения мелоксикама (Мовалис®) при неспецифической боли в спине и радикулопатии. Неврология, нейропсихиатрия, психосоматика. 2012;(2):68–73. [Gerasimova ON, Parfenov VA. Clinical experience with meloxicam (Movalis®) in nonspecific back pain and radiculopathy. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics.

7. ;(2):68–73. (In Russ.)]. DOI: http://dx.doi.org/10.14412/2074-2711-2012-387.

8. Ульрих ЭВ, Мушкин АЮ. Вертебрология в терминах, цифрах, рисунках. Санкт-Петербург: ЭЛБИ – СПб; 2004. 190 c. [Ul'rikh EV, Mushkin AYu. Vertebrologiya v terminakh, tsifrakh, risunkakh [Vertebrologiya in terms, figures, drawings]. St-Petersburg: ELBI – SPb; 2004. 190 p.]

9. Евтушенко СК, Лисовский ЕВ, Евтушенко ОС. Дисплазия соединительной ткани в неврологии и педиатрии (клиника, диагностика, лечение). Донецк: издатель Заславский А.Ю.; 2009. 372 с. [Evtushenko SK, Lisovskii EV, Evtushenko OS. Displaziya soedinitel'noi tkani v nevrologii i pediatrii (klinika, diagnostika, lechenie) [Displaziya of connecting fabric in neurology and pediatrics (clinic, diagnostics, treatment). Donetsk: izdatel' Zaslavskii A.Yu.; 2009. 372 p.]

10. Waddell G. The back pain revolution. London, UK: Churchill Livingstone; 2004. 475 p.

11. Королюк ИП. Рентгеноанатомический атлас скелета (норма, варианты, ошибки интерпретации). Москва: Видар; 1996. 192 c. [Korolyuk IP. Rentgenoanatomicheskii atlas skeleta (norma, varianty, oshibki interpretatsii) [X-ray anatomic atlas of a skeleton (norm, options, errors of interpretation)]. Moscow: Vidar; 1996. 192 p.]

12. Веселовский ВП. Практическая вертеброневрология и мануальная терапия. Рига; 1991. 341 с. [Veselovskii VP. Prakticheskaya vertebronevrologiya i manual'naya terapiya [Practical vertebronevrologiya and manual therapy]. Riga; 1991. 341 p.]

13. Sprenger J, Langer LO, Wiedemann HR. Bone dysplasias: an atlas of constitional disorders of skeletal development. Philadelphia: Saunders; 1974.

14. Schweighfer B, Junghans H. Die Gesunde und Kranke Werbelsaule in Rontgenbild und Klinik. Stuttgart; 1957.

15. Panjabi MM, Lydon C, Vasavada A, et al. On the understanding of clinical instability. Spine. 1994;19(23):2642–50. DOI: http://dx.doi.org/10.1097/00007632-199412000-00008.

16. Бродская ЗЛ. Общие вопросы методики рентгенологического обследования при вертебрально-базилярной сосудистой недостаточности. Хирургическое лечение расстройств мозгового кровообращения в вертебрально-базилярной системе. Ленинград; 1977. [Brodskaya ZL. Obshchie voprosy metodiki rentgenologicheskogo obsledovaniya pri vertebral'no-bazilyarnoi sosudistoi nedostatochnosti. Khirurgicheskoe lechenie rasstroistv mozgovogo krovoobrashcheniya v vertebral'no-bazilyarnoi sisteme [The general questions of a technique of radiological inspection at vertebralno-bazilyarny vascular insufficiency. Surgical treatment of disorders of brain blood circulation in vertebralno-bazilyarny system]. Leningrad; 1977.]

17. Луцик АА, Раткин ИК, Никитин МН. Краниовертебральные повреждения и заболевания. Новосибирск: Издатель; 1998. 557 с. [Lutsik AA, Ratkin IK, Nikitin MN. Kraniovertebral'nye povrezhdeniya i zabolevaniya [Kraniovertebralny damages and diseases]. Novosibirsk: Izdatel'; 1998. 557 p.]

18. Смирнов ВВ, Елисеев НП, Беляков ВВ, Шарапов ИН. Рентгенологическое исследование шейного отдела позвоночника в мануальной медицине. Обнинск: Центр реабилитации; 2006. [Smirnov VV, Eliseev NP, Belyakov VV, Sharapov IN. Rentgenologicheskoe issledovanie sheinogo otdela pozvonochnika v manual'noi meditsine [Radiological research of cervical department of a backbone in manual medicine]. Obninsk: Tsentr reabilitatsii; 2006.]

19. Inoue M, Minami S, Nakata Y. Preoperative MRI analysis of patients with idiopathic scoliosis: a prospective study. Spine. 2005;30(1):108–14.

20. Имхоф Г. Лучевая диагностика. Позвоночник. Пер. с англ. Москва: МЕДпрессинформ; 2011. 320 с. [Imkhof G. Luchevaya diagnostika. Pozvonochnik [Radiodiagnosis. Backbone]. Translation from English. Moscow: MEDpress-inform; 2011. 320 p.]

21. Зыкова ВП, редактор. Диагностика и лечение болезней нервной системы у детей. Москва: Триада-Х; 2006. 256 с. [Zykova VP, editor. Diagnostika i lechenie boleznei nervnoi sistemy u detei [Diagnostics and treatment of diseases of nervous system at children]. Moscow: Triada-Kh; 2006. 256 p.]


For citation:


Smirnova A., Lapochkin O., Lobov M., Borisova M. Prevalence and causes of back pain syndromes in children. Neurology, Neuropsychiatry, Psychosomatics. 2014;6(1):85-88. (In Russ.) https://doi.org/10.14412/2074-2711-2014-1-85-88

Views: 612


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)