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Multicenter Study
. 2020 Aug 4;28(1):45.
doi: 10.1186/s12998-020-00330-9.

Musculoskeletal pain distribution in 1,000 Danish schoolchildren aged 8-16 years

Signe Fuglkjær  1 , Werner Vach  2   3 , Jan Hartvigsen  4   5 , Kristina Boe Dissing  4 , Tina Junge  4   6 , Lise Hestbæk  4   5
Affiliations
Multicenter Study

Musculoskeletal pain distribution in 1,000 Danish schoolchildren aged 8-16 years

Signe Fuglkjær et al. Chiropr Man Therap. .

Abstract

Background: Knowledge about the occurrence and distribution of musculoskeletal problems in early life is needed. The objectives were to group children aged 8 to 16 according to their distribution of pain in the spine, lower- and upper extremity, determine the proportion of children in each subgroup, and describe these in relation to sex, age, number- and length of episodes with pain.

Method: Data on musculoskeletal pain from about 1,000 Danish schoolchildren was collected over 3 school years (2011 to 2014) using weekly mobile phone text message responses from parents, indicating whether their child had pain in the spine, lower extremity and/or upper extremity. Result are presented for each school year individually.

Results: When pain was defined as at least 1 week with pain during a school year, Danish schoolchildren could be divided into three almost equally large groups for all three school years: Around 30% reporting no pain, around 40% reporting pain in one region, and around 30% reporting pain in two or three regions. Most commonly children experienced pain from the lower extremities (~ 60%), followed by the spine (~ 30%) and the upper extremities (~ 23%). Twice as many girls reported pain in all three sites compared to boys (10% vs. 5%) with no other statistically significant sex or age differences observed. When pain was defined as at least 3 weeks with pain during a schoolyear, 40% reported pain with similar patterns to those for the more lenient pain definition of 1 week.

Conclusion: Danish schoolchildren often experienced pain at more than one pain site during a schoolyear, and a significantly larger proportion of girls than boys reported pain in all three regions. This could indicate that, at least in some instances, the musculoskeletal system should be regarded as one entity, both for clinical and research purposes.

Keywords: Adolescence; Children; Distribution; Multi region pain; Occurrence; Paediatrics; Prevalence.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Overview of the participant flow in a cohort of Danish school children (CHAMPS Study-DK; n = 1465)
Fig. 2
Fig. 2
Participant flow after inclusion
Fig. 3
Fig. 3
Proportion of Danish children aged 8 to 16 years with either a) at least 1 week with pain or b) at least 3 weeks with pain in each anatomical region during school year 1. Presented by sex and with 95% confidence interval (CI). UE: upper extremity, LE: lower extremity
See this image and copyright information in PMC

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