Journal of chiropractic medicine最新文献_第10页

Demographics and Clinical Profiles of Patients Visiting a Chiropractic Teaching Clinic in Malaysia 马来西亚脊医教学诊所就诊患者的人口学和临床概况

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.001

Sheng Hui Kioh PhD, Tamara Gien Pooke PhD, Siew Fong Chong BSc (Chiro)

Objective

The objective of this study was to describe the demographics and clinical profiles of patients visiting a chiropractic teaching clinic in Malaysia.

Methods

A retrospective descriptive study was conducted using existing medical records of all new patients who visited the International Medical University Bukit Jalil teaching clinic between August 2018 and July 2019. Sociodemographic and lifestyle factors, information on location of presenting complaints, duration of complaint and referral sources were reviewed. Descriptive analyses including mean, mode, standard deviations (SDs), and frequencies were performed.

Results

Of the 1451 patients included in this study, the mean age was (SD) 34.3 (16.1) with 51.1% female. Most of the patients were Chinese (76.0%), followed by Malay (11.6%), Indian (7.72%), and others such as Punjabi and Sabah and Sarawak native (5.0%). Comparing referral sources, the main referrals were self-referred (26.6%) followed by friends and family referrals (25.0%) and other forms of social media and advertising (10.0%). The most frequent location of complaint was the lumbar and pelvic regions, 562 (38.73%) followed by head and neck 400 (27.57%), lower limb 173 (11.92%), upper limb 154 (10.61%), thoracic 133 (9.17%), and full spine 29 (2%).

Conclusion

This study provides important information that allows better understanding of patients presenting to a chiropractic teaching clinic in Malaysia. Such findings may contribute to the benchmark data for future strategic planning to ensure sufficient exposure on case mix among chiropractic interns in Malaysia.

目的本研究的目的是描述马来西亚脊骨神经医学教学诊所就诊患者的人口统计学和临床特征。方法使用2018年8月至2019年7月期间访问国际医科大学武吉加利尔教学诊所的所有新患者的现有医疗记录进行回顾性描述性研究。对社会地理和生活方式因素、投诉地点信息、投诉持续时间和转诊来源进行了审查。进行描述性分析，包括平均值、模式、标准差（SD）和频率。结果纳入本研究的1451名患者中，平均年龄（SD）为34.3（16.1），其中女性占51.1%。大多数患者是中国人（76.0%），其次是马来人（11.6%）、印度人（7.72%），其他人如旁遮普人、沙巴人和砂拉越人（5.0%），主要转介是自我转介（26.6%），其次是朋友和家人转介（25.0%）以及其他形式的社交媒体和广告（10.0%）。最常见的投诉部位是腰部和骨盆，562个（38.73%），其次为头颈部400个（27.57%）、下肢173个（11.92%）、上肢154个（10.61%）、胸部133个（9.17%）和全脊柱29个（2%）。结论这项研究提供了重要信息，可以更好地了解在马来西亚脊骨神经医学教学诊所就诊的患者。这些发现可能有助于为未来的战略规划提供基准数据，以确保马来西亚脊骨神经医学实习生充分了解病例组合。

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引用次数: 0

Bilateral Lumbar Radiculopathy Secondary to Myxopapillary Ependymoma: A Case Report 黏乳头状Ependymoma继发双侧腰根病变1例报告

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2022.01.004

Joseph C. D'Angiolillo DC , Nitesh V. Patel MD , R. Nick Hernandez MD , Simon Hanft MD

Objective

The purpose of this case report is to describe the presentation of a patient with bilateral lumbar radiculopathy secondary to myxopapillary ependymoma.

Clinical Features

A 45-year-old man presented to a chiropractic office for evaluation and treatment of chronic lower back pain with bilateral lower extremity radiation. The initial onset of pain was related to a lifting injury 6 years prior that never fully resolved. Over the year before presentation, the symptomatology intensified, as the patient's activities now included a 1.5-hour commute to and from work.

Intervention and Outcome

In the interim of waiting for the magnetic resonance imaging (MRI) to be performed, chiropractic manual therapy was initiated using the Cox technique. The patient had 7 treatments, in which lumbar spine pain was reduced from 7 out of 10 to 5 out of 10 on a numeric pain scale and leg pain was reduced from 7 out of 10 to 0 out of 10. The patient obtained an MRI with contrast, which demonstrated a mass at the conus medullaris. An immediate consultation was made with a neurosurgeon. Surgical resection revealed a myxopapillary ependymoma. He was then followed up with by the neurosurgeon at 3 months and 1 year, with sustained improvements and no further symptoms. After surgery, the patient did well without complications.

Conclusion

A patient with an intradural mass at the level of the conus medullaris presented for chiropractic care and responded positively to treatment but had an underlying condition that was corrected with surgery. For this patient, MRI assisted with evaluation and early diagnosis, and surgical resection facilitated a beneficial outcome.

目的本病例报告的目的是描述一例继发于黏液乳头状室管膜瘤的双侧腰神经根病患者的表现。临床特征一名45岁的男子被送往脊椎按摩诊所，接受双侧下肢放射治疗，评估和治疗慢性下背痛。最初的疼痛发作与6年前的一次从未完全解决的举重损伤有关。在就诊前的一年里，症状加剧，因为患者的活动现在包括1.5小时的上下班通勤。干预和结果在等待进行磁共振成像（MRI）的过程中，使用Cox技术开始了脊骨神经手法治疗。该患者接受了7次治疗，其中腰椎疼痛从10分之7减少到10分之5（按数字疼痛量表计算），腿部疼痛从10中的7减轻到10中的0。患者进行了核磁共振造影，显示脊髓圆锥处有肿块。立即咨询了神经外科医生。手术切除显示为黏液乳头状室管膜瘤。随后，神经外科医生对他进行了3个月零1年的随访，病情持续好转，没有进一步症状。手术后，患者表现良好，无并发症。结论一名脊髓圆锥水平的硬膜内肿块患者接受了脊椎按摩治疗，对治疗反应积极，但其潜在疾病已通过手术得到纠正。对于该患者，MRI有助于评估和早期诊断，手术切除有助于获得有益的结果。

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引用次数: 1

Cauda Equina Syndrome Following Lumbar Disc Herniation at L5-S1: A Case Report L5-S1腰椎间盘突出后马尾综合征1例报告

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.007

Rishi T. Bodalia DC, MS , William C. Bogar DC , Hector Rivera-Melo DC

Objective

The purpose of this article is to describe a patient presenting to a chiropractic clinic with rapidly progressing cauda equina symptoms.

Clinical Features

A 30-year-old woman presented to a chiropractic clinic with the onset of saddle distribution sensory loss and urinary retention. The patient had worsening symptoms 48 hours following evaluation at local emergency and radiology departments.

Intervention and Outcomes

After a brief history and evaluation, the patient was immediately referred back to the emergency department. Based on the rapidly progressive clinical presentation and previous magnetic resonance study of the lumbar spine, immediate decompressive surgery was performed the same day. Low back pain and neurogenic symptoms persisted following surgery, and that prompted a trial of epidural injections and pelvic floor therapy with minimal relief. One year later, the patient returned with back pain for chiropractic treatment to include cupping, cold laser therapy, Cox flexion-distraction, and McKenzie-based at-home exercises for post-laminectomy syndrome. Chiropractic treatment provided a mild decrease in symptoms and severity over the course of 3 months.

Conclusion

This case demonstrates that chiropractic physicians should be aware of the clinical manifestations and possible rapid progression of cauda equina symptoms to avoid a delay in diagnosis. The patient responded well to postoperative chiropractic care.

目的本文的目的是描述一位在脊椎神经医学诊所就诊的马尾神经症状进展迅速的患者。临床特征一名30岁的女性因鞍状分布感觉丧失和尿潴留就诊于脊骨神经医学诊所。在当地急诊和放射科进行评估后48小时，患者症状恶化。干预和结果在简要的病史和评估后，患者立即被转诊回急诊科。根据快速进展的临床表现和先前对腰椎的磁共振研究，当天立即进行了减压手术。手术后腰痛和神经源性症状持续存在，这促使进行了硬膜外注射和盆底治疗的试验，但收效甚微。一年后，患者因背痛返回，接受脊椎按摩治疗，包括拔罐、冷激光治疗、Cox屈曲牵引和基于McKenzie的椎板切除术后综合征家庭锻炼。脊椎按摩治疗在3个月的过程中症状和严重程度略有减轻。结论该病例表明脊骨神经医师应注意马尾神经症状的临床表现和可能的快速进展，以避免延误诊断。病人对术后脊椎按摩护理反应良好。

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引用次数: 1

Immediate Effect of Manual Therapy on Tibiotarsal Joint Mobility and Static Balance in Individuals With Diabetes 手法治疗对糖尿病患者胫骨关节活动性和静态平衡的即时影响

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.10.001

Catarina Clapis Zordão PT , Emilson Sodré Mendonça Junior PT, Msc , Paola Marini Valério PT, PhD , Carla Silva Perez PT, PhD , Ana Paula Ferro PT , Elaine Caldeira de Oliveira Guirro PT, PhD

Objectives

The objective of this study was to evaluate the immediate effect of manual therapy on ankle joint mobility and static balance in patients with diabetes.

Methods

Forty patients, at a mean age of 59.35 ± 7.85, with type 2 diabetes mellitus and neurologic symptoms according to a Neuropathy Symptom Score protocol with amplitude, were included. The patients were divided into 2 groups: sham group and intervention group, which underwent manual manipulation intervention and 7-day follow-up. Joint range-of-motion analysis was performed using digital goniometry and static discharge of weights assessed by computerized baropodometry with open and closed eyes. The Shapiro-Wilk normality test was used to analyze the distribution. The data showed normal distribution, so the analysis of variance tests followed by Tukey's tests were used. SAS statistical software was used and the significance level was 5%.

Results

The results of the intervention group showed an increase in the variable ankle goniometry over time compared to the sham group. The dorsiflexion movement on the right side obtained major gains over time; in addition, plantar flexion increased.

Conclusion

Based on the participants evaluated in this study, manual therapy increased the ankle joint amplitude and improved the static balance in individuals with diabetes.

目的本研究的目的是评估手法治疗对糖尿病患者踝关节活动和静态平衡的即时影响。方法纳入40例2型糖尿病患者，平均年龄59.35±7.85岁，根据神经病变症状评分方案，有神经系统症状。将患者分为2组：假手术组和干预组，分别进行手法干预和7天随访。使用数字角度测量法进行关节运动范围分析，并通过睁开和闭上眼睛的计算机压力足测量法评估重量的静态放电。Shapiro-Wilk正态性检验用于分析分布。数据显示正态分布，因此使用了方差分析和Tukey检验。结果干预组与假手术组相比，随着时间的推移，可变踝关节角度测量术有所增加。随着时间的推移，右侧的背屈运动获得了很大的进步；此外，足底屈曲增加。结论根据本研究中评估的参与者，手法治疗增加了糖尿病患者的踝关节振幅，改善了静态平衡。

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引用次数: 1

Immediate Effect of Modifying Lumbopelvic Motion During Sitting Knee Extension in People With Low Back Pain: A Repeated-Measures Study 腰背痛患者坐伸膝过程中改变腰背运动的即时效果：一项重复测量研究

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.002

Amin Behdarvandan PhD , Mohammad Jafar Shaterzadeh-Yazdi PhD , Hossein Negahban PhD , Mohammad Mehravar MSc

Objective

The aim of this study was to investigate the ability of people with low back pain (LBP) to modify the pattern of lumbopelvic rotation (LPR) when actively moving their lower limbs in sitting.

Methods

In this repeated-measures study in 38 men with chronic mechanical LBP (mean age, 38.4 ± 10.6 years), the timing and magnitude of LPR were investigated before and during the contraction of abdominal muscles during active knee extension while sitting. The kinematic data were collected using a motion-capture system, and OpenSim software was used for data analysis. The time difference between the start of knee extension and the start of LPR was measured and then adjusted to the movement time of the knee. The maximum LPR angle was also measured.

Results

Participants increased the time difference between the start of knee extension and the start of LPR when contracting the abdominal muscles (P < .01). Before and during contraction of abdominal muscles, however, there were no differences in maximum LPR.

Conclusion

People with LBP are able to modify early lumbopelvic motion during active lower limb movement while sitting. This may reduce the frequency of lumbopelvic motion during activities of daily living in sitting in these people.

目的本研究旨在探讨腰痛（LBP）患者在坐姿中主动活动下肢时改变腰叶旋转（LPR）模式的能力。方法对38例慢性机械性LBP患者（平均年龄38.4±10.6岁）进行重复测量研究，研究其在坐姿主动伸膝过程中腹肌收缩前和收缩过程中LPR的时间和幅度。使用运动捕捉系统收集运动学数据，并使用OpenSim软件进行数据分析。测量膝盖伸展开始和LPR开始之间的时间差，然后根据膝盖的运动时间进行调整。还测量了最大LPR角度。结果受试者在收缩腹肌时，从伸膝开始到LPR开始的时间差增加（P<；.01），但在收缩前和收缩过程中，最大LPR没有差异。结论LBP患者在活动下肢活动过程中，能够改善早期的腰痛运动。这可能会降低这些人在日常生活活动中坐着时腰痛的频率。

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引用次数: 0

Interrater Reliability of Spine Range of Motion Measurement Using a Tape Measure and Goniometer 用卷尺和测角仪测量脊柱运动范围的中断器可靠性

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.09.003

Madelyn Johnson OTD, M.J. Mulcahey PhD

Objective

The purpose of this study was to examine the interrater reliability of using a tape measure and goniometer to measure thoracolumbar range of motion (ROM).

Methods

Seven raters were trained on procedures for evaluating ROM of 4 spine motions, using 12 measurement procedures with a tape measure (n = 8) and a goniometer (n = 4). Three healthy female graduate student volunteers who reported having no injuries and who were able to perform all spinal movements served were stationed in separate rooms, and the 7 raters rotated through the rooms and measured each of the spine motions, using a total of the 12 measurement procedures. Data were analyzed using intraclass correlation coefficient (ICC) with a 95% confidence interval (CI) as an index of reliability.

Results

Interrater reliability ranged from ICC of 0.791 to 0.999, indicating good-to-strong reliability. The flexion finger-floor measurement showed strongest reliability, with an ICC of 0.999 (95% CI, 0.998-1.00). Interrater reliability was high for the modified Schober test (ICC, 0.942; 95% CI, 0.875-0.976), left (ICC, 0.985; 95% CI, 0.969-0.993) and right (ICC, 0.961; 95% CI, 0.920-0.983) lateral flexion, forward flexion (ICC, 0.971; 95% CI, 0.938-0.987) and backward extension (ICC, 0.995; 95% CI, 0.990-0.998), and trunk rotation (ICC, 0.933; 95% CI, 0.857-0.989).

Conclusion

In this study, thoracolumbar ROM measurements were obtained using a tape measure and goniometer with a good to high degree of reliability among raters who were trained in accurate procedures with the tape measure and goniometer.

方法对7名评分者进行4项脊柱运动ROM评估程序的培训，使用12项带量测量程序（n = 8）和角度计（n = 4）。三名健康的女性研究生志愿者被安置在不同的房间里，她们报告没有受伤，能够进行所有脊椎运动，7名评分员在房间里轮换，并使用总共12个测量程序测量每一个脊椎运动。使用组内相关系数（ICC）分析数据，95%置信区间（CI）作为可靠性指标。结果询问机的信度在0.791～0.999之间，从良到强。屈曲指底测量显示出最强的可靠性，ICC为0.999（95%CI，0.998-1.00）。改良Schober试验（ICC，0.942；95%CI，0.875-0.976）、左侧（ICC，0.95；95%CI 0.969-0.993）和右侧（ICC，0.9 61；95%CI 0.920-0.983）侧屈的询问者可靠性较高，前屈（ICC，0.971；95%置信区间，0.938-0.987）和后伸（ICC，0.995；95%可信区间，0.990-0.998），以及躯干旋转（ICC，0.9 33；95%置信度，0.857-0.989），胸腰椎ROM测量是使用卷尺和角度计获得的，在接受过卷尺和角度仪精确程序培训的评分员中具有良好到高度的可靠性。

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引用次数: 7

Secretory Immunoglobulin A and Upper Cervical Chiropractic: A Preliminary Prospective, Multicenter, Observational Study 分泌性免疫球蛋白A与上颈椎脊医：一项前瞻性、多中心、观察性的初步研究

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.10.003

Philip R. Schalow DC, DCCJP , Kelly A. Kimball DC , Frederick T. Schurger DC, DCCJP , George R. Sooley DC, DCCJP , Scott P. Bales DC, DCCJP , Roderic P. Rochester DC, FCCJP , Robert T. Brooks DC , Julie M. Hunt DC, FCCJP, DICCP

Objective

The objective of this study was to observe changes in secretory immunoglobulin A (SIgA) after chiropractic care using upper cervical adjusting techniques (UCATs) at the craniocervical junction (CCJ).

Methods

Forty-one participants were enrolled from 5 chiropractic offices in North America. Each participant provided a saliva sample at an initial visit before care. A second saliva sample was collected after resting 30 minutes after the first UCAT treatment. A third saliva sample was collected after 2 weeks.

Results

There was a significant increase in SIgA observed 30 minutes after the UCAT treatment compared to baseline. After 2 weeks, SIgA levels decreased back to near original levels.

Conclusion

Our preliminary findings demonstrate an immediate, temporary increase in SIgA levels after a UCAT treatment at the CCJ.

目的本研究旨在观察应用上颈椎调节技术（UCAT）在颅颈交界处（CCJ）进行脊骨神经医学治疗后分泌型免疫球蛋白A（SIgA）的变化。每位参与者在护理前的初次就诊时提供了唾液样本。在第一次UCAT处理后静置30分钟后收集第二唾液样本。2周后采集第三份唾液样本。结果与基线相比，UCAT治疗后30分钟观察到的SIgA显著增加。2周后，SIgA水平下降至接近原始水平。结论我们的初步发现表明，在CCJ接受UCAT治疗后，SIgA水平立即、暂时升高。

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引用次数: 0

Osteopathic Cranial Manipulation for a Patient With Whiplash-Associated Disorder: A Case Report 骨病性颅骨手法治疗一例Whiplash相关疾病

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.003

Giovanni Parravicini PT, DO, Matteo Ghiringhelli PT, DO

Objective

The purpose of this case report is to describe the immediate effects of osteopathic cranial manipulation on pain and cervical motion in a patient with whiplash-associated disorder.

Clinical Features

A 74-year-old man reported daily cervicogenic headaches after a whiplash injury caused by a traffic accident 3 months prior. Physical examination and osteopathic assessment identified tissue texture alteration, positional asymmetry, limited range of motion, and tenderness. The resulting diagnosis was somatic dysfunction of the head and the cervical region.

Intervention and Outcome

Osteopathic manipulative treatment was administered to the occipital area. The patient reported an immediate improvement in pain. Accessory movement of the cervical spine was improved.

Conclusion

This patient responded favorable to osteopathic cranial manipulation with improved symptoms and ranges of motion.

目的本病例报告的目的是描述整骨颅骨手法对一名颈部扭伤相关疾病患者疼痛和颈部运动的直接影响。临床特征一名74岁的男性报告称，3个月前交通事故导致颈部扭伤后，每天都会出现颈源性头痛。体格检查和整骨评估发现组织结构改变、位置不对称、活动范围有限和压痛。最终诊断为头部和颈部的躯体功能障碍。对枕骨区域进行干预和Outcome骨病手法治疗。病人报告疼痛立即好转。颈椎的附属活动得到改善。结论该患者对整骨颅骨手法治疗反应良好，症状和活动范围均有改善。

引用次数: 1

Multimodal Care for Headaches, Lumbopelvic Pain, and Dysmenorrhea in a Woman With Endometriosis: A Case Report 子宫内膜异位症妇女头痛、腰痛和痛经的多模式护理：一例报告

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.10.002

Brett R. Martin DC, MSAc, MPH

Objective

The purpose of this case report is to describe the conservative management of a patient with headaches, lumbopelvic pain, and dysmenorrhea.

Clinical Features

A 36-year-old woman presented with intense pelvic and daily lumbar pain. She had difficulty sleeping and focusing and had 3 to 4 headaches per week. Before, during, or after her menses, she would have migraine headaches. During her menses, she experienced severe lumbopelvic pain and dysmenorrhea with moderate bloating, constipation, nausea, and diarrhea. When she was 32 years old, her gynecologist diagnosed endometriosis and prescribed nonsteroidal anti-inflammatory drugs and hormonal oral contraceptives, which failed to alleviate her symptoms. She sought an alternative approach to help control her symptoms.

Intervention and Outcome

A multimodal approach was selected for this patient, which consisted of acupuncture combined with supplements of magnesium citrate, B-100 complex and botanicals turmeric (Curcuma longa/root extract), bromelain (Ananas comosus [pineapple stem]) and black cohosh (Cimicifuga racemosa). After an initial trial of care, her daily lumbopelvic pain was reduced, and she was sleeping better and feeling more focused and less fatigued. She rarely had tension headaches during the week or migraine headaches or dysmenorrhea before, during, or after menses. Her lumbopelvic pain and gastrointestinal symptoms were reduced.

Conclusion

A patient who was experiencing headaches, lumbopelvic pain, and dysmenorrhea responded favorably to a course of care that included a combination of botanicals, supplements, and acupuncture.

目的本病例报告的目的是描述头痛、腰痛和痛经患者的保守治疗。临床特征一位36岁的女性表现为剧烈的骨盆和日常腰部疼痛。她睡眠困难，注意力不集中，每周头痛3到4次。在月经来潮之前、期间或之后，她都会有偏头痛。在月经期间，她经历了严重的腰痛和痛经，伴有中度腹胀、便秘、恶心和腹泻。32岁时，她的妇科医生诊断为子宫内膜异位症，并开了非甾体抗炎药和激素口服避孕药，但未能缓解她的症状。她寻求另一种方法来帮助控制自己的症状。干预和结果为该患者选择了一种多模式的治疗方法，包括针灸结合柠檬酸镁、B-100复合物和植物姜黄（姜黄/根提取物）、菠萝蛋白酶（Ananas comosus[菠萝茎]）和黑升麻（Cimicifuga racemosa）的补充。经过初步的护理试验，她每天的腰痛减轻了，睡得更好了，感觉更专注，疲劳减轻了。她很少在月经来潮前、来潮中或来潮后出现紧张性头痛、偏头痛或痛经。她的腰痛和胃肠道症状减轻了。结论一名经历头痛、腰痛和痛经的患者对包括植物、补充剂和针灸在内的治疗方案反应良好。

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引用次数: 4

Prevalence of Back Pain and Idiopathic Scoliosis in Adolescents From the Semiarid Region of Brazil: A Cross-sectional Study 巴西半干旱地区青少年背部疼痛和特发性脊柱侧凸患病率:一项横断面研究

Journal of chiropractic medicine

Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.004

Milla Gabriela Belarmino Dantas PhD , Aron Nogueira Aquino BSc , Heloisa Jacomé Correia BSc , Karina Pires Ferreira BSc , Breno Borges Do Nascimento BSc , Leonildo de Santana Silva BSc , Abilene Pinheiro Santos Da Silva BSc , Patrícia Jundi Penha PhD , Silvia Maria Amado João PhD

Objective

The purpose of this study was to estimate the prevalence of adolescent idiopathic scoliosis (AIS), and back pain and its risk factors, in schoolchildren from the semiarid region of Brazil.

Methods

A total of 520 adolescents aged 10 to 16 years old were assessed. The students were administered the self-reported Back Pain and Body Posture Evaluation Instrument questionnaire. The screening for AIS included measuring the angle of trunk rotation using a scoliometer in the Adams forward-bend test. Participants with an angle of trunk rotation ≥ 7° were referred for radiography. The prevalence ratio was estimated by multivariable analysis using a Poisson regression model (α = 0.05).

Results

Among the participants, 3.1% (95% confidence interval, 3.2%-6.9%) had a confirmed AIS diagnosis: 1.9% girls and 1.1% boys. There was no difference between boys and girls in AIS prevalence. The prevalence of back pain in the previous 3 months was 63.7% (95% confidence interval, 59.5%-67.7%), at a moderate level (visual analog scale = 3.83; 95% confidence interval, 3.57-4.08). Multivariable analysis showed that back pain is associated with postural variables, sex, and age.

Conclusion

The prevalence of AIS in the semiarid region of Brazil was 3.1%, and that of back pain was 63.7%. Only body mass index was different between adolescents with and without AIS, with those with AIS having a lower mean body mass index. Back pain was higher in girls and increased in older adolescents. Furthermore, behavioral and postural habits and hereditary factors were associated with an increased chance of back pain.

目的本研究的目的是估计来自巴西半干旱地区的学童中青少年特发性脊柱侧凸(AIS)和背部疼痛的患病率及其危险因素。方法对520名10 ~ 16岁青少年进行调查。学生进行了自我报告的背部疼痛和身体姿势评估问卷。AIS的筛查包括在Adams前弯测试中使用脊柱侧弯计测量躯干旋转角度。躯干旋转角度≥7°的参与者进行x线摄影。患病率采用泊松回归模型进行多变量分析(α = 0.05)。结果在参与者中，3.1%(95%可信区间3.2%-6.9%)确诊为AIS，其中1.9%为女孩，1.1%为男孩。男孩和女孩在AIS患病率上没有差异。前3个月的背痛患病率为63.7%(95%可信区间，59.5%-67.7%)，处于中等水平(视觉模拟量表 = 3.83;95%置信区间3.57-4.08)。多变量分析表明，背部疼痛与姿势变量、性别和年龄有关。结论巴西半干旱区AIS患病率为3.1%，腰痛患病率为63.7%。只有身体质量指数在患有和不患有AIS的青少年之间存在差异，患有AIS的青少年平均身体质量指数较低。背部疼痛在女孩中更高，在年龄较大的青少年中增加。此外，行为和姿势习惯以及遗传因素与背部疼痛的几率增加有关。

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引用次数: 8