Advanced search
1 file | 442.90 KB

Multivariable modeling of factors associated with spinal pain in young adolescence

Mieke Dolphens (UGent) , Stijn Vansteelandt (UGent) , Barbara Cagnie (UGent) , Adriaan Vleeming (UGent) , Jo Nijs, Guy Vanderstraeten (UGent) and Lieven Danneels (UGent)
(2016) EUROPEAN SPINE JOURNAL. 25(9). p.2809-2821
Author
Organization
Abstract
Purpose: To investigate the factors related to the 1-month period prevalence of low back pain (LBP), neck pain (NP) and thoracic spine pain (TSP) in young adolescents, thereby considering potential correlates from the physical, sociodemographic, lifestyle, psychosocial and comorbid pain domains. Methods: In this cross-sectional baseline study, 69 factors potentially associated with spinal pain were assessed among 842 healthy adolescents before pubertal peak growth. With consideration for possible sex differences in associations, multivariable analysis was used to simultaneously evaluate contributions of all variables collected in the 5 domains. Results: A significantly higher odds of LBP was shown for having high levels of psychosomatic complaints (odds ratio: 4.4; 95% confidence interval: 1.6-11.9), a high lumbar lordotic apex, retroversed pelvis, introverted personality, and high levels of negative over positive affect. Associations with a higher prevalence and odds of NP were found for psychosomatic complaints (7.8; 2.5-23.9), TSP in the last month (4.9;2.2-10.8), backward trunk lean, high levels of negative over positive affect and depressed mood. Having experienced LBP (2.7; 1.3-5.7) or NP (5.5; 2.6-11.8) in the preceding month was associated with a higher odds of TSP, as were low self-esteem, excessive physical activity, sedentarism and not achieving the Fit-norm. Conclusions: Psychosomatic symptoms and pain comorbidities had the strongest association with 1-month period prevalence of spinal pain in young adolescents, followed by factors from the physical and psychosocial domains. The role that “physical factors” play in non-adult spinal pain may have been underestimated by previous studies.
Keywords
adolescent, spinal pain, multivariate analysis, neck pain, back pain, LOW-BACK-PAIN, QUADRANT MUSCULOSKELETAL PAIN, SAGITTAL STANDING ALIGNMENT, PSYCHOLOGICAL RISK-FACTORS, HIGH-SCHOOL-STUDENTS, 4-YEAR FOLLOW-UP, NECK PAIN, PSYCHOSOCIAL FACTORS, PHYSICAL-ACTIVITY, SHOULDER PAIN

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 442.90 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Dolphens, Mieke, Stijn Vansteelandt, Barbara Cagnie, Adriaan Vleeming, Jo Nijs, Guy Vanderstraeten, and Lieven Danneels. 2016. “Multivariable Modeling of Factors Associated with Spinal Pain in Young Adolescence.” European Spine Journal 25 (9): 2809–2821.
APA
Dolphens, M., Vansteelandt, S., Cagnie, B., Vleeming, A., Nijs, J., Vanderstraeten, G., & Danneels, L. (2016). Multivariable modeling of factors associated with spinal pain in young adolescence. EUROPEAN SPINE JOURNAL, 25(9), 2809–2821.
Vancouver
1.
Dolphens M, Vansteelandt S, Cagnie B, Vleeming A, Nijs J, Vanderstraeten G, et al. Multivariable modeling of factors associated with spinal pain in young adolescence. EUROPEAN SPINE JOURNAL. 2016;25(9):2809–21.
MLA
Dolphens, Mieke, Stijn Vansteelandt, Barbara Cagnie, et al. “Multivariable Modeling of Factors Associated with Spinal Pain in Young Adolescence.” EUROPEAN SPINE JOURNAL 25.9 (2016): 2809–2821. Print.
@article{7237412,
  abstract     = {Purpose: To investigate the factors related to the 1-month period prevalence of low back pain (LBP), neck pain (NP) and thoracic spine pain (TSP) in young adolescents, thereby considering potential correlates from the physical, sociodemographic, lifestyle, psychosocial and comorbid pain domains. 
Methods: In this cross-sectional baseline study, 69 factors potentially associated with spinal pain were assessed among 842 healthy adolescents before pubertal peak growth. With consideration for possible sex differences in associations, multivariable analysis was used to simultaneously evaluate contributions of all variables collected in the 5 domains. 
Results: A significantly higher odds of LBP was shown for having high levels of psychosomatic complaints (odds ratio: 4.4; 95\% confidence interval: 1.6-11.9), a high lumbar lordotic apex, retroversed pelvis, introverted personality, and high levels of negative over positive affect. Associations with a higher prevalence and odds of NP were found for psychosomatic complaints (7.8; 2.5-23.9), TSP in the last month (4.9;2.2-10.8), backward trunk lean, high levels of negative over positive affect and depressed mood. Having experienced LBP (2.7; 1.3-5.7) or NP (5.5; 2.6-11.8) in the preceding month was associated with a higher odds of TSP, as were low self-esteem, excessive physical activity, sedentarism and not achieving the Fit-norm. 
Conclusions: Psychosomatic symptoms and pain comorbidities had the strongest association with 1-month period prevalence of spinal pain in young adolescents, followed by factors from the physical and psychosocial domains. The role that {\textquotedblleft}physical factors{\textquotedblright} play in non-adult spinal pain may have been underestimated by previous studies.},
  author       = {Dolphens, Mieke and Vansteelandt, Stijn and Cagnie, Barbara and Vleeming, Adriaan and Nijs, Jo and Vanderstraeten, Guy and Danneels, Lieven},
  issn         = {0940-6719},
  journal      = {EUROPEAN SPINE JOURNAL},
  keyword      = {adolescent,spinal pain,multivariate analysis,neck pain,back pain,LOW-BACK-PAIN,QUADRANT MUSCULOSKELETAL PAIN,SAGITTAL STANDING ALIGNMENT,PSYCHOLOGICAL RISK-FACTORS,HIGH-SCHOOL-STUDENTS,4-YEAR FOLLOW-UP,NECK PAIN,PSYCHOSOCIAL FACTORS,PHYSICAL-ACTIVITY,SHOULDER PAIN},
  language     = {eng},
  number       = {9},
  pages        = {2809--2821},
  title        = {Multivariable modeling of factors associated with spinal pain in young adolescence},
  url          = {http://dx.doi.org/10.1007/s00586-016-4629-7},
  volume       = {25},
  year         = {2016},
}

Altmetric
View in Altmetric
Web of Science
Times cited: