Musculoskeletal pain in children and adolescents

Article English OPEN
Steve J. Kamper ; Nicholas Henschke ; Lise Hestbaek ; Kate M. Dunn ; Christopher M. Williams (2016)
  • Publisher: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
  • Journal: Brazilian Journal of Physical Therapy, volume 20, issue 3, pages 275-284 (issn: 1809-9246, eissn: 1809-9246)
  • Related identifiers: doi: 10.1590/bjpt-rbf.2014.0149., doi: 10.1590/bjpt-rbf.2014.0149, pmc: PMC4946844
  • Subject: epidemiology | musculoskeletal pain | RM1-950 | children | adolescents | Therapeutics. Pharmacology | Original Articles | burden | R1
    mesheuropmc: body regions

ABSTRACT Introduction Musculoskeletal (MSK) pain in children and adolescents is responsible for substantial personal impacts and societal costs, but it has not been intensively or systematically researched. This means our understanding of these conditions is limited, and healthcare professionals have little empirical evidence to underpin their clinical practice. In this article we summarise the state of the evidence concerning MSK pain in children and adolescents, and offer suggestions for future research. Results Rates of self-reported MSK pain in adolescents are similar to those in adult populations and they are typically higher in teenage girls than boys. Epidemiological research has identified conditions such as back and neck pain as major causes of disability in adolescents, and in up to a quarter of cases there are impacts on school or physical activities. A range of physical, psychological and social factors have been shown to be associated with MSK pain report, but the strength and direction of these relationships are unclear. There are few validated instruments available to quantify the nature and severity of MSK pain in children, but some show promise. Several national surveys have shown that adolescents with MSK pain commonly seek care and use medications for their condition. Some studies have revealed a link between MSK pain in adolescents and chronic pain in adults. Conclusion Musculoskeletal pain conditions are often recurrent in nature, occurring throughout the life-course. Attempts to understand these conditions at a time close to their initial onset may offer a better chance of developing effective prevention and treatment strategies.
  • References (81)
    81 references, page 1 of 9

    1. Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743-800. PMid:26063472.

    2. Cohen E, Uleryk E, Jasuja M, Parkin PC. An absence of pediatric randomized controlled trials in general medical journals, 1985-2004. J Clin Epidemiol. 2007;60(2):118-23. PMid:17208117.

    3. Eccleston C, Malleson P. Managing chronic pain in children and adolescents. BMJ. 2003;326(7404):1408-9. http://dx.doi. org/10.1136/bmj.326.7404.1408. PMid:12829527.

    4. McBeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol. 2007;21(3):403-25. PMid:17602991.

    5. Michaleff ZA, Kamper SJ, Maher CG, Evans R, Broderick C, Henschke N. Low-back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions. Eur Spine J. 2014;23(10):2046-58. 3461-1. PMid:25070788.

    6. 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. ejpain.2003.08.001. PMid:15109969.

    7. Hestbaek L, LeBoeuf-Yde C, Kyvik K, Manniche C. The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine. 2006;31(4):468-72.

    8. Jones GT, Silman AJ, Power C, Macfarlane GJ. Are common symptoms in childhood associated with chronic widespread body pain in adulthood? Results from the 1958 British Birth Cohort Study. Arthritis Rheum. 2007;56(5):1669-75. PMid:17469161.

    9. Gore M, Sadosky A, Stacey BR, Tai KS, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine (Phila Pa 1976). 2012;37(11):E668-77. http://dx.doi. org/10.1097/BRS.0b013e318241e5de. PMid:22146287.

    10. Taylor JB, Goode AP, George SZ, Cook CE. Incidence and risk factors for first-time incident low back pain: a systematic review and meta-analysis. Spine J. 2014;14(10):20. http:// PMid:24462537.

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