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首页> 外文期刊>Pain. >Contributing factors to the persistence of musculoskeletal pain in preadolescents: a prospective 1-year follow-up study.
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Contributing factors to the persistence of musculoskeletal pain in preadolescents: a prospective 1-year follow-up study.

机译：青春期前肌肉骨骼疼痛持续存在的影响因素：一项为期1年的前瞻性随访研究。

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摘要

A 1-year follow-up of two preadolescent age cohorts with musculoskeletal pain at least once a week was conducted to analyze predictive factors for the persistence of musculoskeletal pain. Of the 564 children with pain at baseline, representing one third of the sample studied, 515 (91.3%) could be followed and 452 (80.1%) children with complete data were included for the logistic regression analysis. A structured questionnaire included questions on pain and also on several psychosomatic symptoms and amount of exercise. Joint hypermobility together with the questionnaire data were included in the logistic regression analysis. One half of subjects with pain at baseline still reported pain at follow-up, indicating persistent pain. Boys had a lower risk for the persistence of pain than girls and the risk for the persistence of pain increased 1.2 times per age year. When further adjusted for all the other studied risk determinants, high subjective disability index due to pain (OR 3.2, 95% CI 1.5-6.6) and day tiredness (OR 1.9, 95% CI 1.2-3.0) were the most significant predictors. This might indicate that psychological distress contributes to the persistence of non-specific musculoskeletal pain of different locations in preadolescents. In clinical work not only pain but its interference with daily activities should be noticed.
机译：对两个青春期前队列肌肉骨骼疼痛的患者进行为期一年的随访，至少每周一次，以分析肌肉骨骼疼痛持续存在的预测因素。在564名基线时有疼痛的儿童中，占研究样本的三分之一，可以追踪515名（91.3％），并包括452名（80.1％）具有完整数据的儿童进行logistic回归分析。一份结构化的问卷包括有关疼痛以及一些心身症状​​和运动量的问题。 Logistic回归分析包括关节运动过度和问卷数据。基线疼痛的受试者中仍有一半在随访中报告疼痛，表明持续疼痛。与女孩相比，男孩的持久性疼痛风险更低，并且持久性的风险与年龄相比增加了1.2倍。当进一步针对所有其他研究的风险决定因素进行调整时，由疼痛引起的高主观残疾指数（OR 3.2，95％CI 1.5-6.6）和日疲倦（OR 1.9，95％CI 1.2-3.0）是最重要的预测指标。这可能表明心理困扰导致青春期前不同部位的非特异性肌肉骨骼疼痛的持续存在。在临床工作中，不仅应注意疼痛，还应注意其对日常活动的干扰。

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