STRUCTURE AND COMPLEX THERAPY OF DORSALGIA IN CHILDREN
https://doi.org/10.15690/pf.v11i1.903
Abstract
The article presents results of back pain syndrome screening in a population of children according to the poll of 600 students of classes 1–11. The spread of dorsalgiae is 19%. According to the examination, nosological and clinical structure of dorsalgiae was determined in 35 children of 3–18 years of age hospitalized due to back pain. Lumbalgia was revealed in 55 (52%) patients; cervicalgia — in 31 (30%) patients; thoracalgia — in 19 (18%) patients. Juvenile osteochondrosis of lumbosacral spine is the cause of lumbosacral pain syndrome in most patients. The authors analyzed complex treatment efficacy and demonstrated that affective disorders are a prognostically significant factor of back pain onset.
About the Authors
A. A. SmirnovaRussian Federation
head of the 2nd neuropsychological department of the Children’s Neuropsychological Hospital
O. L. Lapochkin
Russian Federation
M. A. Lobov
Russian Federation
M. N. Borisova
Russian Federation
References
1. Popelyanskii A.Ya. Differential diagnostics of vertebral syndromes. Sov. meditsina = Current medicine. 1989; 9: 68–71.
2. Travell J.G., Simons D.G. Miofastsial'nye boli: Per. s angl. v 2-kh t [Myofascial Pains: Trans. from English in 2 Volums]. Moscow, Meditsina. 1989.
3. Begun D.N. Rasprostranennost' i faktory riska sindroma boli v nizhnem otdele spiny u podrostkov, prozhivayushchikh v razlichnykh regionakh Orenburgskoi oblasti. Avtoref. dis. … kand. med. nauk [Spread and Risk Factors of Lower Backache Syndrome in Adolescents in Various Districts of Orenburg Region. Author’s abstract]. Orenburg, 2003.
4. Anisimova S.Yu., Rachin A.P. Kliniko-psikhologicheskie osobennosti dorsalgii u detei i podrostkov. Izbrannye voprosy nevrologii: sbornik nauchnykh trudov [Clinical-psychological Dorsalgia Peculiarities in Children and Adolescents. Selected Neurological Issues: Collection of Research Papers]. Smolensk, 2011. pp. 15–17.
5. Pravdyuk N.G. Kliniko-instrumental'naya kharakteristika dorsopatii u lits molodogo vozrasta. Avtoref. dis. … kand. med. nauk [Clinical Instrumental Description of Dorsopathies in the Youth. Author’s abstract]. Moscow, 2007.
6. Hakala P., Rimpel A., Salminen J. J. et al. Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys. BMJ. 2002; 325 (7367): 743.
7. Harreby M., Kjer J., Hesselsoe G. et al. Low back pain and physical exercise in leisure time in 38 year-old men and women: a 25 year prospective cohort study of 640 school children. Eur. Spine J. 1997; 6 (3): 181–186.
8. Picavet H. S., Schouten J. S., Smit H. A. Prevalence and consequences of low back problem in The Nitherlands, working and non-working population, the MORGEN-Study. Monitoring Project on Risk Factor for Chronic Disease. Public Health. 1999; 113 (2): 73–77.
9. Toroptseva N.V., Benevol'skaya L.I., Karyakin A.N. et al. Lower backache spread in workers of a factory in Russia. Klinicheskaya revmatologiya = Clinical Rheumatology. 1994; 2: 26–29.
10. Protopopova R.N., Erdes Sh.F., Krivoshapkin V.G. Epidemiologic research of articular complaints and spinal pains spread in a population of Yakuts in the Sakha Republic (Yakutia). Nauchno-prakticheskaya revmatologiya = Theoretical and practical rheumatology. 2000; 2: 18–21.
11. Manek N. J., MacGregor A. J. Epidemiology of Back Disorders: Prevalence, Risk Factors, and Prognosis. Curr Opin Rheumatol. 2005; l7 (2): 134–140.
12. Blozik E., Laptinskaya D., Hermann-Lingen C. et al. Depression and anxiety as major determinants of neck pain: a cross — sectional study in general practice. BMC Musculoskelet Disord. 2009. Р. 10–13.
13. Robinson M. E., Dannecker E. A., George S. Z. et al. Sex differences in the associations among psychological factors and pain report: a novel psychophysical study of patients with chronic low back pain. J. Pain. 2005; 6 (7): 463–470.
14. Leboeuf-Yde C., Nielsen J., Kyvik K. O. et al. Pain in the lumbar, thoracic or cervical regions: do age and gender matter? A populationbased study of 34,902 Danish twins 20–71 years of age. BMC Musculoskelet Disord. 2009. Р. 20–39.
15. Bol': rukovodstvo dlya studentov i vrachei: uchebn. posobie. Pod red. akad. RAMN N.N. Yakhno [Pain: Guidelines for Students and Doctors: Manual. Ed. by RAMS academician N.N. Yakhno]. Moscow, MEDpress-inform, 2010. 304 p.
16. Taibulatov N.I., Namazova L.S., Malakhov O.A., Osipova N.V., Stepanchenko A.P. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2010; 7 (2): 66–72.
17. Malakhov O.A., Taibulatov N.I., Polyakov S.D., Konova O.M., Malakhov O.O., Chelpachenko O.B., Zherdev K.V., Tabe E.E., Lazurenko S.B. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2012; 9 (3): 32–39.
18. Vorob'eva O.V. Backache in middle-aged persons. Consilium Medicum = Consilium Medicum. 2011; 9 (13): 37–41.
19. Kotova O.V. Osteochondrosis as cause of dorsopathy. Consilium Medicum = Consilium Medicum. 2012; 8: 80–83.
Review
For citations:
Smirnova A.A., Lapochkin O.L., Lobov M.A., Borisova M.N. STRUCTURE AND COMPLEX THERAPY OF DORSALGIA IN CHILDREN. Pediatric pharmacology. 2014;11(1):82-85. https://doi.org/10.15690/pf.v11i1.903