Spinal Joint Pain

Pain Characteristics of Adolescent Spinal Pain

By Frank M. Painter|December 4, 2015|Pediatrics, Spinal Joint Pain|

Pain Characteristics of Adolescent Spinal Pain

SOURCE: BMC Pediatr. 2015 (Apr 17); 15 (1): 42 ~ FULL TEXT

Brigitte Wirth and B Kim Humphreys

Institute of Human Movement Sciences and Sport,
ETH Zurich, Wolfgang Pauli Str. 27,
Zurich, 8093, Switzerland

BACKGROUND: Although adolescent spinal pain increases the risk for chronic back pain in adulthood, most adolescents can be regarded as healthy. The aim of the present study was to provide data on localization, intensity and frequency of adolescent spinal pain and to investigate which physical and psycho-social parameters predict these pain characteristics.

METHOD: On the occasion of Spine Day, an annual event where children and adolescents are examined by chiropractors on a voluntary basis for back problems, 412 adolescents (10 to 16 years) were tested (by questionnaire and physical examination). Pain characteristics (localization, intensity, and frequency) were identified and evaluated using descriptive statistics. Regression analyses were performed to investigate possible influencing psycho-social and physical influence factors.

RESULTS: Adolescents who suffered from pain in more than one spinal area reported higher pain intensity and frequency than those with pain in only one spinal area. Sleep disorders were a significant predictor for pain in more than one spinal area (p < 0.01) as well as a trend for frequent pain (p = 0.06). Adolescents with frequent pain showed impaired balance on one leg standing with closed eyes (p = 0.02).

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Spinal Pain in Adolescents

By Frank M. Painter|February 2, 2015|Pediatrics, Spinal Joint Pain, Spinal Manipulation|

Spinal Pain in Adolescents: Prevalence, Incidence, and Course: A School-based Two-year Prospective Cohort Study in 1,300 Danes Aged 11-13

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SOURCE: BMC Musculoskelet Disord. 2014 (May 29); 15: 187 ~ FULL TEXT

Ellen Aartun, Jan Hartvigsen, Niels Wedderkopp, and Lise Hestbaek

Department of Sports Science and Clinical Biomechanics,
University of Southern Denmark,
Odense, Denmark

BACKGROUND: The severity and course of spinal pain is poorly understood in adolescents. The study aimed to determine the prevalence and two-year incidence, as well as the course, frequency, and intensity of pain in the neck, mid back, and low back (spinal pain).

METHODS: This study was a school-based prospective cohort study. All 5th and 6th grade students (11-13 years) at 14 schools in the Region of Southern Denmark were invited to participate (N=1,348). Data were collected in 2010 and again two years later, using an e-survey completed during school time.

RESULTS: The lifetime prevalence of spinal pain was 86% and 89% at baseline and follow-up, respectively. A group of 13.6% (95% CI: 11.8, 15.6) at baseline and 19.5% (95% CI: 17.1, 22.0) at follow-up reported that they had pain frequently. The frequency of pain was strongly associated with the intensity of pain, i.e., the majority of the participants reported their pain as relatively infrequent and of low intensity, whereas the participants with frequent pain also experienced pain of higher intensity. The two-year incidence of spinal pain varied between 40% and 60% across the physical locations. Progression of pain from one to more locations and from infrequent to more frequent was common over the two-year period.

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The Accuracy of Manual Diagnosis

By Frank M. Painter|January 14, 2014|Manual Diagnosis, Motion Palpation, Palpation, Spinal Joint Pain|

The Accuracy of Manual Diagnosis for Cervical Zygapophysial Joint Pain Syndromes

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SOURCE: Med J Aust. 1988 (Mar 7); 148 (5): 233–236

Jull G, Bogduk N, Marsland A.

University of Queensland, St Lucia.

The ability of a manipulative therapist to diagnose symptomatic cervical zygapophysial joint syndromes accurately was evaluated in a series of 20 patients. In 11 patients the presence, or absence, of a symptomatic joint was established by means of radiologically-controlled diagnostic nerve blocks. These patients were assessed by the manipulative therapist, without knowledge of the medical diagnosis. Another nine patients were first seen by the manipulative therapist whose diagnosis was then evaluated by means of diagnostic blocks.

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