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PREVALENCE OF LOW BACK PAIN IN CHILDREN AND ADOLESCENTS

CHAPTER ONE

INTRODUCTION

1.1 Background of the study

Estimates of LBP prevalence in children and adolescents vary widely between studies depending on the age of study participants, and on methodological differences—particularly in terms of LBP definition. Watson et al report a one month period prevalence of 24% in schoolchildren aged 11–14 years in northwest England,5 whereas Balagué et al show the one year prevalence to be 26% in schoolchildren aged 12–17 years in Switzerland.6 Salminen et al show the one year prevalence of LBP “with limitation to activity” to be 17.6% in 14 year old Finnish children;7 also in Finland, Taimela et al report a prevalence of 18%, using the same definition.8 Even studies that record pain over a very short time interval (for example, point prevalence) reveal that as many as 1 child in 20 may be suffering from LBP at any one time.9–11 As in adults, prevalence of LBP in childhood increases with age and has been shown repeatedly to be higher in girls than in boys.5,9,12–14

1.2 Statement of the problem

Although it is difficult to measure LBP incidence, studies have shown that “new onset” LBP is also common. A recent study revealed that 19% of children aged 11–14 years, and known to be free of symptoms at baseline, reported LBP 12 months subsequently.15 Other authors have presented similar results with 16%, 22%, and 22% of 8, 11, and 13 year olds, respectively, reporting new onset LBP two years after initial assessment. This work gives more information in the subject

1.3 Objectives of the study

1. To understand the impact of low back pain on the health status of children and adolescents

2. To understand the relationship between low back pain and children academic and health development of children and adolescents

1.4 Research questions

1. What is the impact of low back pain on the health status of children and adolescents

2. What is the relationship between low back pain and children academic and health development of children and adolescents

1.5 Research hypothesis

H0: There is norelationship between low back pain and children academic and health development of children and adolescents

H1: There is arelationship between low back pain and children academic and health development of children and adolescents

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