DOI QR코드

DOI QR Code

The effect of education on decreasing the prevalence and severity of neck and shoulder pain: a longitudinal study in Korean male adolescents

  • Koh, Min Jung (St. Mark's School) ;
  • Park, Sun Young (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital) ;
  • Park, Eun Jung (Department of Pain Medicine, Godoil Hospital) ;
  • Park, Sang Hoon (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital) ;
  • Jeon, Hea Rim (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital) ;
  • Kim, Mun-Gyu (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital) ;
  • Lee, Se-Jin (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital) ;
  • Kim, Sang Ho (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital) ;
  • Ok, Si Young (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital) ;
  • Kim, Soon Im (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital)
  • Received : 2013.09.26
  • Accepted : 2014.05.07
  • Published : 2014.09.01

Abstract

Background: Neck and shoulder pain is fairly common among adolescents in Korea and results in significant health problem. The aims of this prospective study was to identify the effects of education, in terms of recognition of this issue and posture correction, on prevalence and severity of neck and shoulder pain in Korean adolescents. Methods: A prospective, observational cohort design was used. The 912 students from two academic high schools in the city of Seoul were eligible for the current study and 887 completed this study. After a baseline cross-sectional survey, students listened to a lecture about cervical health, focusing on good posture, habits, and stretching exercises to protect the spine, and were encouraged by their teachers to keep the appropriate position. And follow-ups were conducted 3 months later, to evaluate the effect of education. Results: The prevalence of neck and shoulder pain was decreased 19.5% (from 82.5 to 66.4%). The baseline mean usual and worst numeric rating scale were 19.9/100 (95% CI, 18.1-21.7) and 31.2/100 (95% CI, 28.7-33.2), respectively. On the follow-up survey, the mean usual and worst numeric rating scale were decreased significantly by 24.1 and 21.7%, respectively, compared with baseline (P < 0.01). Of the 570 students reporting neck and shoulder pain, 16.4% responded that they had experienced improvement during the 3 months. Conclusions: Education; recognition of this issue and posture correction, for cervical health appeared to be effective in decreasing the prevalence and severity of neck and shoulder pain at a 3 month follow-up.

Keywords

References

  1. Cote P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976) 1998; 23: 1689-98. https://doi.org/10.1097/00007632-199808010-00015
  2. Guez M, Hildingsson C, Nilsson M, Toolanen G. The prevalence of neck pain: a population-based study from northern Sweden. Acta Orthop Scand 2002; 73: 455-9. https://doi.org/10.1080/00016470216329
  3. Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008; 33(4 Suppl): S39-51. https://doi.org/10.1097/BRS.0b013e31816454c8
  4. Lau EM, Sham A, Wong KC. The prevalence of and risk factors for neck pain in Hong Kong Chinese. J Public Health Med 1996; 18: 396-9. https://doi.org/10.1093/oxfordjournals.pubmed.a024536
  5. Hakala P, Rimpela A, Salminen JJ, Virtanen SM, Rimpela M. Neck, and shoulder pain in Finnish adolescents: national cross sectional surveys. BMJ 2002; 325: 743. https://doi.org/10.1136/bmj.325.7367.743
  6. Ehrmann Feldman D, Shrier I, Rossignol M, Abenhaim L. Risk factors for the development of neck and upper limb pain in adolescents. Spine (Phila Pa 1976) 2002; 27: 523-8. https://doi.org/10.1097/00007632-200203010-00013
  7. Siivola SM, Levoska S, Latvala K, Hoskio E, Vanharanta H, Keinanen-Kiukaanniemi S. Predictive factors for neck and shoulder pain: a longitudinal study in young adults. Spine (Phila Pa 1976) 2004; 29: 1662-9. https://doi.org/10.1097/01.BRS.0000133644.29390.43
  8. Picavet HS, Schouten JS. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain 2003; 102: 167-78. https://doi.org/10.1016/s0304-3959(02)00372-x
  9. Meerding WJ, Bonneux L, Polder JJ, Koopmanschap MA, van der Maas PJ. Demographic and epidemiological determinants of healthcare costs in Netherlands: cost of illness study. BMJ 1998; 317: 111-5. https://doi.org/10.1136/bmj.317.7151.111
  10. Koh MJ, Park SY, Woo YS, Kang SH, Park SH, Chun HJ, et al. Assessing the prevalence of recurrent neck and shoulder pain in Korean high school male students: A cross-sectional observational study. Korean J Pain 2012; 25: 161-7. https://doi.org/10.3344/kjp.2012.25.3.161
  11. Jung HJ, Somg YM, Kim HY, Chung JI. Prevalence and associated factors of neck and shoulder pain in high school students. J Korean Acad Fam Med 2008; 29: 595-603.
  12. Diepenmaat AC, van der Wal MF, de Vet HC, Hirasing RA. Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents. Pediatrics 2006; 117: 412-6. https://doi.org/10.1542/peds.2004-2766
  13. van Gent C, Dols JJ, de Rover CM, Hira Sing RA, de Vet HC. The weight of schoolbags and the occurrence of neck, shoulder, and back pain in young adolescents. Spine (Phila Pa 1976) 2003; 28: 916-21.
  14. Song KJ, Choi BW, Kim SJ, Yoon SJ. Cross-clutural adaptation and validation of the Korean version of the Nck Disability Index. J Korean Orthop Assoc 2009; 44: 350-9. https://doi.org/10.4055/jkoa.2009.44.3.350
  15. Kim SA, Park KS, Jang MK, Kam S. Medical facilities utilization according to health status measured by SF-36 in male workers. Korean J Occup Environ Med 2006; 18: 272-83.
  16. Bae JM, Jeong EK, Yoo TW, Huh BY, Kim CH. A quick measurement of stress in outpatient clinic setting. J Korean Acad Fam Med 1992; 13: 809-20.
  17. Park HJ, Kim HM, Kim IB, Jeon SA. Reliability of the Beck Depression Inventory in adolescence. J Korean Acad Fam Med 2000; 21: 244-53.
  18. Borenstein DG, Wiesel SW, Boden SD. Low back and neck pain: comprehensive diagnosis and management, 3rd ed. Philadelphia, WB Saunders. 2004, pp 793-9.
  19. Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, Macfarlane GJ, et al. Risk factors for neck pain: a longitudinal study in the general population. Pain 2001; 93: 317-25. https://doi.org/10.1016/S0304-3959(01)00334-7
  20. Fishman SM, Ballantyne JC, Rathmell JP. Neck and arm pain, In: Bonica's management of pain. 4th ed. Philadelphia, Lppincott Williams & Wilkins. 2010, pp 1030-4.
  21. Barnekow-Bergkvist M, Hedberg GE, Janlert U, Jansson E. Determinants of self-reported neck-shoulder and low back symptoms in a general population. Spine (Phila Pa 1976) 1998; 23: 235-43. https://doi.org/10.1097/00007632-199801150-00017
  22. Bergstrom G, Bodin L, Bertilsson H, Jensen IB. Risk factors for new episodes of sick leave due to neck or back pain in a working population. A prospective study with an 18-month and a three-year follow-up. Occup Environ Med 2007; 64: 279-87.
  23. Fredriksson K, Alfredsson L, Koster M, Thorbjornsson CB, Toomingas A, Torgen M, et al. Risk factors for neck and upper limb disorders: results from 24 years of follow up. Occup Environ Med 1999; 56: 59-66. https://doi.org/10.1136/oem.56.1.59
  24. Niemi SM, Levoska S, Rekola KE, Keinanen-Kiukaanniemi SM. Neck and shoulder symptoms of high school students and associated psychosocial factors. J Adolesc Health 1997; 20: 238-42. https://doi.org/10.1016/S1054-139X(96)00219-4
  25. Harma AM, Kaltiala-Heino R, Rimpela M, Rantanen P. Are adolescents with frequent pain symptoms more depressed? Scand J Prim Health Care 2002: 20; 92-6. https://doi.org/10.1080/pri.20.2.92.96
  26. Paananen MV, Taimela SP, Auvinen JP, Tammelin TH, Kantomaa MT, Ebeling HE, et al. Risk factors for persistence of multiple musculoskeletal pains in adolescence: a 2-year follow-up study. Eur J Pain 2010; 14: 1026-32. https://doi.org/10.1016/j.ejpain.2010.03.011
  27. Stahl M, Mikkelsson M, Kautiainen H, Hakkinen A, Ylinen J, Salminen JJ. Neck pain in adolescence. A 4-year follow-up of pain-free preadolescents. Pain 2004; 110: 427-31. https://doi.org/10.1016/j.pain.2004.04.025

Cited by

  1. Ergonomic Risk Factors and Their Association With Lower Back and Neck Pain Among Pharmaceutical Employees in Iran vol.64, pp.12, 2014, https://doi.org/10.1177/2165079916655807
  2. Relationship of Pain, Disability and Quality of Life in Individual with Neck and Shoulder Pain vol.28, pp.5, 2014, https://doi.org/10.18857/jkpt.2016.28.5.328
  3. Neck and shoulder pain among elementary school students: prevalence and its risk factors vol.19, pp.1, 2014, https://doi.org/10.1186/s12889-019-7706-0