Environmental factors predisposing to pain syndromes among adolescent girls with diagnosed idiopathic scoliosis
Wydanie: 3 / 2010
Kategorie: Medicine and veterinary
Idiopathic scoliosis (IS), despite multidirectional therapy, involves a significant impairmentof the quality of life of the patients. It is caused by pain syndromes frequently accompanying IS, the etiology of which has not been entirely discovered. The present research on environmental factors predisposing to pain syndromes in girls with IS involved analysis of 54 girls under ambulatory care, aged 14-17 (on average 15.3-years-old ±0.99). The patients’ natural environment was analysed, including time spent in a sedentary position during the day, sleeping time, time spent on physical activity during the week, regularity of meals consumed, as well as the quantitative composition of the diet. The research also concerned the location and characteristics of ailment reported, as well as pain intensity on the Numerical Rating Scale (NRS). It was found that the most frequent locations of back pain were: lumbar section – in 28 persons (51.9% of the examined population), and thoracic section of the spine – in 21persons (38.9% of the examined population). Pain occurring at the same time in the cervical, thoracic and lumbar sections of the spine was reported for 4 persons (7.4% of the examined population). Fifty girls (92.6%) were aware of controlling their body posture, and 23 persons (42.6%) were able to correct it. The group of girls under examination suffering from pain in the lumbar section of the spine was characterized by a longer period of retaininga sedentary position, less time dedicated to any therapeutic rehabilitation programme, higher intensity of pain, and a higher average age than the group with pain in the thoracic section of the spine.The research proved that patients with pain syndrome located in the lumbar part of the spine were characterized by more time spent in a sedentary position, less time spent on a therapeutic rehabilitation programme, higher intensity of pain and a higher average age than the group suffering from pain in the thoracic section of the spine. The lifestyles of the patients under examination and their lack of awareness of the need to control the body posture can affect the type and intensity of pain.
Kowalski I.M., Protasiewicz-Fałdowska H., Jóźwiak-Grabysa D., Kiebzak W., Zarzycki D., Lewandowski R., Szarek J. 2010. Environmental factors predisposing to pain syndromes among adolescent girls with diagnosed idiopathic scoliosis. J. Elem. 15(3): 517-530.
Słowa kluczowe:idiopathic scoliosis, pain, adolescent girls, environmental factors