Avtor/Urednik		Hlebš, Sonja; Gorjanc, Miša
Naslov		Dejavniki tveganja za pojav bolečine v križu pri mladostnikih
Prevedeni naslov		Risk factors for the development of back pain at young ages
Tip		članek
Vol. in št.		Letnik 47, št. 2
Leto izdaje		2013
Obseg		str. 184-193
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Jezik		slv
Abstrakt		Uvod: Pojav nespecifičnih bolečin v križu pri otrocih in mladostnikih narašča. Namen članka je na podlagi pregleda literature predstaviti rezultate raziskav, katerih namen je bil ugotoviti prevalenco bolečine v križu, dejavnike tveganja v povezavi s spolom, starostjo, antropometričnimi parametri, dejavnike tveganja, povezane z življenjskim slogom, telesne dejavnike tveganja, s šolo povezane dejavnike tveganja, psihosocialne dejavnike tveganja in uspešnost preventive pri obravnavi nespecifične bolečine v križu pri otrocih in mladostnikih. Metode: Za pregled literature so bile uporabljene elektronske baze podatkov: Medline, PubMed, Google Scholar, PEDro, Springer Link, Elseviewer in The Cochrane Library. Za analizo so bile uporabljene presečne, longitudinalne, prospektivne in primerjalne raziskave, objavljene med leti 2001 ter 2011, v angleškem, nemškem in slovenskem jeziku, ki so vključevale otroško in mladostniško populacijo z nespecifično kronično in akutno bolečino v križu in/ali v spodnjem predelu hrbta. Iz iskalnega nabora 97 zadetkov je bilo za analizo uporabljenih 50 raziskav. Rezultati: Prevalenca bolečin v križu se pri otrocih in mladostnikih zvišuje. Največ povezav je bilo z ženskim spolom, starostjo, šolskim pohištvom, telesno neaktivnostjo in športnimi treningi višje intenzitete, poškodbami, bolečinami v križu v preteklosti, hitro rastjo, daljšim časom nošenja šolskega nahrbtnika, zmanjšano raztegljivostjo stegenskih mišic sprednje in zadnje strani, s čustvenimi, vedenjskimi težavami ter osamljenostjo. Diskusija in zaključek: Vpliv dejavnikov tveganja je večdejavniški. Do sedaj izvedeni intervencijski preventivni programi so temeljili na izobraževanju otrok o pravilni skrbi za hrbtenico, vključevanju telesne aktivnosti v njihov vsakdan ali kombinaciji obojega.Introduction: A continuing increase in prevalence of non-specific back pain in children and adolescents has been observed. The paper presents the results of a literature review on prevalence of back pain, the factors associated with the occurrence of back pain including gender, age, anthropometric parameters, lifestyle risk factors, school-related risk factors, the role of psychological, social, and behavioural factors and the efficacy of prevention in the treatment of nonspecific back pain in youth with no identified specific structural reason or cause. Methods: The electronic search of the following academic databases was conducted: Medline, PubMed, Google Scholar, PEDro, Springer Link, Elseviewer and The Cochrane Library. Included in the analysis were the cross-sectional, longitudinal, prospective and correlational research studies published between 2001 and 2011 in the English, German and Slovenian languages discussing nonspecific chronic or acute backpain and/or low back pain in children and adolescents. Only 50 out of 97 hits were analysed in the study. Results: Results of the study indicate that the occurrence of back pain has been increasing. According to the results, the observed prevalence increase of non-specific back pain may be related to female gender, age, school furniture, physical inactivity, high intensity training, traumas, previous history of back pain, rapid body growth, mechanical load (principally schoolbag carriage), decreased flexibility of the anterior and posterior thigh muscles, conduct and emotional problems and loneliness. Discussion and conclusion: Numerous etiological studies have identified the factors associated with the occurrence of back pain. The interventional prevention programmes have so far focused mainly on health education of children on proper posture and spine care education, pinpointing the importance of regular daily physical activity or a combination of both.
Proste vsebinske oznake		bolečina v križu mladostniki otroci dejavniki tveganja back pain adolescents children risk factors