Nonspecific neck and back pain in children

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Abstract


The aim of the study. To investigate non-specific neck and back pain in pediatric patients.

Materials and methods. 252 patients including 57.9% boys and 42.1% girls, aged from 7 to 18 years were observed. All patients underwent clinical neurological examination, neuro-orthopedic examination, and paraclinical studies according to indications.

Results. At the time of examination, all patients presented active complaints about the presence of back pain or neck back pain. 19.4% of patients complained of pain at several levels simultaneously. More than half of the observed children experienced discomfort in the indicated regions — fatigue or discomfort. The intensity of pain according to a visual analog scale averaged 3.6 ± 1.1 points. Most of the patients, as well as their parents, considered a likely cause of back pain to be a prolonged stay in a relatively immobile state in a sitting position. Assessment of neurological status revealed micro symptoms of the central nervous system, signs of a diffuse decrease in muscle tone, and various autonomic dysfunction. Neuro orthopedic examination revealed a violation of the spine configuration in all examined children. The vertebral syndrome was due to the presence of instability of the cervical and lumbar vertebral motor segments, complicated by functional blocks. Extravertebral manifestations were represented by muscle-tonic and myofascial pain syndromes.

Conclusions. The results of the study suggest functional pathology to be one of the main causes of the back and neck pain in school-age patients, where the leading role belongs to static overloads.


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About the authors

Farida I. Devlikamova

Kazan State Medical Academy

Author for correspondence.
Email: fdevlikamova@mail.ru
ORCID iD: 0000-0003-4411-7051

Russian Federation, Казань

MD, DSc., Professor, Professor of the Department of neurology of the Kazan State Medical Academy

Dina Kh. Khaibullina

Kazan State Medical Academy

Email: fdevlikamova@mail.ru
ORCID iD: 0000-0001-6883-7649

Russian Federation, Kazan

Yuri N. Maximov

Kazan State Medical Academy

Email: fdevlikamova@mail.ru
ORCID iD: 0000-0002-1430-9741

Russian Federation, Kazan

Bulat E. Gubeev

Kazan State Medical Academy

Email: fdevlikamova@mail.ru
ORCID iD: 0000-0002-7072-7729

Russian Federation, Kazan

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Copyright (c) 2020 Devlikamova F.I., Khaibullina D.K., Maximov Y.N., Gubeev B.E.

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