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Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

Spinal pain in Danish school children – how often and how long? The CHAMPS Study-DK

Authors: Kristina Boe Dissing, Lise Hestbæk, Jan Hartvigsen, Christopher Williams, Steven Kamper, Eleanor Boyle, Niels Wedderkopp

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

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Abstract

Background

Spinal pain in children and adolescents is a common condition, usually transitory, but the picture of spinal pain still needs elucidation, mainly due to variation in measurement methods. The aim of this study was to describe the occurrence of spinal pain in 8–15 year-old Danish school children, over a 3-year period. Specifically determining the characteristics of spinal pain in terms of frequency and duration.

Methods

The study was a 3-year prospective longitudinal cohort study including 1400 school children. The outcomes were based on weekly text messages (SMS) to the parents inquiring about the child’s musculoskeletal pain, and on clinical data from examinations of the children.

Results

The 3-year prevalence was 55%. The prevalence was 29%, 33% and 31% for each of the three study years respectively, and increased statistically significantly with age, especially for lumbopelvic pain. Most children had few and short-lasting episodes with spinal pain, but more than one out of five children had three or more episodes during a study year and 17% of all episodes lasted for more than 4 weeks.

Conclusion

This study demonstrates that spinal pain is a substantial problem. Most episodes are brief, but there are a vast number of children with frequent and long-lasting episodes of spinal pain indicating a need for action regarding evidence-based prevention and management.
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Literature
1.
go back to reference Franz C, Wedderkopp N, Jespersen E, Rexen CT, Leboeuf-Yde C. Back pain in children surveyed with weekly text messages - a 2.5 year prospective school cohort study. Chiropr Man Ther. 2014;22(1):35.CrossRef Franz C, Wedderkopp N, Jespersen E, Rexen CT, Leboeuf-Yde C. Back pain in children surveyed with weekly text messages - a 2.5 year prospective school cohort study. Chiropr Man Ther. 2014;22(1):35.CrossRef
2.
go back to reference Aartun E, Hartvigsen J, Wedderkopp N, Hestbaek L. Spinal pain in adolescents: prevalence, incidence, and course: a school-based 2-year prospective cohort study in 1,300 Danes aged 11–13. BMC Musculoskelet Disord. 2014;15(1):187.CrossRefPubMedPubMedCentral Aartun E, Hartvigsen J, Wedderkopp N, Hestbaek L. Spinal pain in adolescents: prevalence, incidence, and course: a school-based 2-year prospective cohort study in 1,300 Danes aged 11–13. BMC Musculoskelet Disord. 2014;15(1):187.CrossRefPubMedPubMedCentral
3.
go back to reference Hestbaek L, Leboeuf-Yde C, Kyvik KO, Manniche C. The course of low back pain from adolescence to adulthood: 8-year follow-up of 9600 twins. Spine. 2006;31(4):468–72.CrossRefPubMed Hestbaek L, Leboeuf-Yde C, Kyvik KO, Manniche C. The course of low back pain from adolescence to adulthood: 8-year follow-up of 9600 twins. Spine. 2006;31(4):468–72.CrossRefPubMed
4.
go back to reference Brattberg G. Do pain problems in young school children persist into early adulthood? A 13-year follow-up. Eur J Pain. 2004;8(3):187–99.CrossRefPubMed Brattberg G. Do pain problems in young school children persist into early adulthood? A 13-year follow-up. Eur J Pain. 2004;8(3):187–99.CrossRefPubMed
5.
go back to reference Jeffries LJ, Milanese SF, Grimmer-Somers KA. Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine. 2007;32(23):2630–7.CrossRefPubMed Jeffries LJ, Milanese SF, Grimmer-Somers KA. Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine. 2007;32(23):2630–7.CrossRefPubMed
6.
go back to reference Kjaer P, Wedderkopp N, Korsholm L, Leboeuf-Yde C. Prevalence and tracking of back pain from childhood to adolescence. BMC Musculoskelet Disord. 2011;12:98.CrossRefPubMedPubMedCentral Kjaer P, Wedderkopp N, Korsholm L, Leboeuf-Yde C. Prevalence and tracking of back pain from childhood to adolescence. BMC Musculoskelet Disord. 2011;12:98.CrossRefPubMedPubMedCentral
7.
8.
go back to reference Gobina I, Villberg J, Villerusa A, Valimaa R, Tynjala J, Ottova-Jordan V, Ravens-Sieberer U, Levin K, Cavallo F, Borraccino A, et al. Self-reported recurrent pain and medicine use behaviours among 15-year olds: results from the international study. Eur J Pain. 2015;19(1):77–84.CrossRefPubMed Gobina I, Villberg J, Villerusa A, Valimaa R, Tynjala J, Ottova-Jordan V, Ravens-Sieberer U, Levin K, Cavallo F, Borraccino A, et al. Self-reported recurrent pain and medicine use behaviours among 15-year olds: results from the international study. Eur J Pain. 2015;19(1):77–84.CrossRefPubMed
9.
go back to reference Watson KD, Papageorgiou AC, Jones GT, Taylor S, Symmons DP, Silman AJ, Macfarlane GJ. Low back pain in schoolchildren: occurrence and characteristics. Pain. 2002;97(1–2):87–92.CrossRefPubMed Watson KD, Papageorgiou AC, Jones GT, Taylor S, Symmons DP, Silman AJ, Macfarlane GJ. Low back pain in schoolchildren: occurrence and characteristics. Pain. 2002;97(1–2):87–92.CrossRefPubMed
10.
go back to reference Wedderkopp N, Leboeuf-Yde C, Andersen LB, Froberg K, Hansen HS. Back pain reporting pattern in a Danish population-based sample of children and adolescents. Spine. 2001;26(17):1879–83.CrossRefPubMed Wedderkopp N, Leboeuf-Yde C, Andersen LB, Froberg K, Hansen HS. Back pain reporting pattern in a Danish population-based sample of children and adolescents. Spine. 2001;26(17):1879–83.CrossRefPubMed
11.
12.
go back to reference Jones MA, Stratton G, Reilly T, Unnithan VB. A school-based survey of recurrent non-specific low-back pain prevalence and consequences in children. Health Educ Res. 2004;19(3):284–9.CrossRefPubMed Jones MA, Stratton G, Reilly T, Unnithan VB. A school-based survey of recurrent non-specific low-back pain prevalence and consequences in children. Health Educ Res. 2004;19(3):284–9.CrossRefPubMed
13.
go back to reference Wedderkopp N, Jespersen E, Franz C, Klakk H, Heidemann M, Christiansen C, Moller NC, Leboeuf-Yde C. Study protocol. The Childhood Health, Activity, and Motor Performance School Study Denmark (The CHAMPS-study DK). BMC Pediatr. 2012;12:128.CrossRefPubMedPubMedCentral Wedderkopp N, Jespersen E, Franz C, Klakk H, Heidemann M, Christiansen C, Moller NC, Leboeuf-Yde C. Study protocol. The Childhood Health, Activity, and Motor Performance School Study Denmark (The CHAMPS-study DK). BMC Pediatr. 2012;12:128.CrossRefPubMedPubMedCentral
14.
go back to reference Johansen B, Wedderkopp N. Comparison between data obtained through real-time data capture by SMS and a retrospective telephone interview. Chiropr Osteopat. 2010;18:10.CrossRefPubMedPubMedCentral Johansen B, Wedderkopp N. Comparison between data obtained through real-time data capture by SMS and a retrospective telephone interview. Chiropr Osteopat. 2010;18:10.CrossRefPubMedPubMedCentral
15.
go back to reference Axen I, Bodin L, Bergstrom G, Halasz L, Lange F, Lovgren PW, Rosenbaum A, Leboeuf-Yde C, Jensen I. The use of weekly text messaging over 6 months was a feasible method for monitoring the clinical course of low back pain in patients seeking chiropractic care. J Clin Epidemiol. 2012;65(4):454–61.CrossRefPubMed Axen I, Bodin L, Bergstrom G, Halasz L, Lange F, Lovgren PW, Rosenbaum A, Leboeuf-Yde C, Jensen I. The use of weekly text messaging over 6 months was a feasible method for monitoring the clinical course of low back pain in patients seeking chiropractic care. J Clin Epidemiol. 2012;65(4):454–61.CrossRefPubMed
17.
go back to reference Eklund A, Jensen I, Lohela-Karlsson M, Leboeuf-Yde C, Axen I. Absence of low back pain to demarcate an episode: a prospective multicentre study in primary care. Chiropr Man Ther. 2016;24:3.CrossRef Eklund A, Jensen I, Lohela-Karlsson M, Leboeuf-Yde C, Axen I. Absence of low back pain to demarcate an episode: a prospective multicentre study in primary care. Chiropr Man Ther. 2016;24:3.CrossRef
18.
go back to reference De Vet HC, Heymans MW, Dunn KM, Pope DP, van der Beek AJ, Macfarlane GJ, Bouter LM, Croft PR. Episodes of low back pain: a proposal for uniform definitions to be used in research. Spine. 2002;27(21):2409–16.CrossRefPubMed De Vet HC, Heymans MW, Dunn KM, Pope DP, van der Beek AJ, Macfarlane GJ, Bouter LM, Croft PR. Episodes of low back pain: a proposal for uniform definitions to be used in research. Spine. 2002;27(21):2409–16.CrossRefPubMed
19.
go back to reference Merskey H, Bogduk N. Classification of Chronic Pain. In: IASP Press: International Association for the Study of Pain. second editionth ed. 1994. Merskey H, Bogduk N. Classification of Chronic Pain. In: IASP Press: International Association for the Study of Pain. second editionth ed. 1994.
20.
go back to reference Hakala P, Rimpela A, Salminen JJ, Virtanen SM, Rimpela M. Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys. BMJ. 2002;325(7367):743.CrossRefPubMedPubMedCentral Hakala P, Rimpela A, Salminen JJ, Virtanen SM, Rimpela M. Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys. BMJ. 2002;325(7367):743.CrossRefPubMedPubMedCentral
21.
go back to reference Hestbaek L, Leboeuf-Yde C, Kyvik KO. Is comorbidity in adolescence a predictor for adult low back pain? A prospective study of a young population. BMC Musculoskelet Disord. 2006;7:29.CrossRefPubMedPubMedCentral Hestbaek L, Leboeuf-Yde C, Kyvik KO. Is comorbidity in adolescence a predictor for adult low back pain? A prospective study of a young population. BMC Musculoskelet Disord. 2006;7:29.CrossRefPubMedPubMedCentral
22.
go back to reference Harreby M, Nygaard B, Jessen T, Larsen E, Storr-Paulsen A, Lindahl A, Fisker I, Laegaard E. Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic study. Eur Spine J. 1999;8(6):444–50.CrossRefPubMedPubMedCentral Harreby M, Nygaard B, Jessen T, Larsen E, Storr-Paulsen A, Lindahl A, Fisker I, Laegaard E. Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic study. Eur Spine J. 1999;8(6):444–50.CrossRefPubMedPubMedCentral
23.
go back to reference Stanford EA, Chambers CT, Biesanz JC, Chen E. The frequency, trajectories and predictors of adolescent recurrent pain: a population-based approach. Pain. 2008;138(1):11–21.CrossRefPubMed Stanford EA, Chambers CT, Biesanz JC, Chen E. The frequency, trajectories and predictors of adolescent recurrent pain: a population-based approach. Pain. 2008;138(1):11–21.CrossRefPubMed
24.
go back to reference Dissing KB, Hartvigsen J, Wedderkopp N, Hestbaek L. Conservative care with or without manipulative therapy in the management of back and neck pain in Danish children aged 9–15. Study protocol for a randomized controlled trial. Chiropr Man Ther. 2016;24:5.CrossRef Dissing KB, Hartvigsen J, Wedderkopp N, Hestbaek L. Conservative care with or without manipulative therapy in the management of back and neck pain in Danish children aged 9–15. Study protocol for a randomized controlled trial. Chiropr Man Ther. 2016;24:5.CrossRef
25.
go back to reference Kamper SJ, Dissing KB, Hestbaek L. Whose pain is it anyway? Comparability of pain reports from children and their parents. Chiropr Man Ther. 2016;24:1.CrossRef Kamper SJ, Dissing KB, Hestbaek L. Whose pain is it anyway? Comparability of pain reports from children and their parents. Chiropr Man Ther. 2016;24:1.CrossRef
Metadata
Title
Spinal pain in Danish school children – how often and how long? The CHAMPS Study-DK
Authors
Kristina Boe Dissing
Lise Hestbæk
Jan Hartvigsen
Christopher Williams
Steven Kamper
Eleanor Boyle
Niels Wedderkopp
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1424-5

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