The Correlational Analysis Of The Influence Factor Of Neck/Shoulder Pain Among Adolesents In Several Areas

Objective1. This study investigates the prevalence rate and the characteristics of the neck/shoulder pain (NSP) among current high school students in Guangdong Zhuhai and Jiangxi GanZhou, to study the incidence of different regions.2. To explore the relationship between NSP and the possible influences, including physical activity, digital products (computer and cellphone) and learning stress and psychological status.3. To provide a scientific basis for prevention and treatment of NSP in adolescents.MethodsA multi-stage random sampling method was used to survey with questionnaire 3600 adolescents aged 13-18 years from regular full-time high schools registered in Guangdong Zhuhai and Jiangxi Ganzhou. Randomly selected 3 schools from each region, Issued and recycle the questionnaire by the class teacher in the school. This questionnaire examined the demographic information (include gender, weight, height) and the prevalence and the characteristics of NSP, and the pain intensity, the level of physical activity as well as the use of mobile phones, personal computer(PC). The CES-D(Center for Epidemiological Studies Depression) scale was also included in the survey. The survey data were analyzed using the chi-square test, binary logistic regression analysis.ResultsAmong 3600 questionnaires, a total of 3395 valid ones were returned, include 1653 males and 1742 females. The results revealed that:1. The incidence of NSP in the Chinese adolescent population was 78.4%, the prevalence rate between boys and girls was common, in a rate of 50%, the gender has no obvious difference.2. The age factor:the older the higher incidence of NSP (The average age of the risk of neck and shoulder pain is 16.03±1.20 years, and no NSP is 15.78±1.25 yeas).3. The prevalence rate in different region is different, the incidence of Jiangxi Ganzhou area was 58.7%, the incidence of Guangdong Zhuhai was 41.3%. The degree of NSP is not sever with the average score of VAS is 2.86 ±1.41.4. The adolescent in our country generally lack of physical exercise at present time, and the time of physical exercise is indiscipline (72.2%of the adolescents consider that the time of physical exercise is indiscipline, the adolescents who had NSP is 73.9%).And lack of physical activity (48% of the adolescents who had physical exercise only once a week more or less, the adolescents who had NSP is 65.4%).76.8%of adolescents have their own mobile phones, and they are used to keep a wrong habitual postures when used the computer and the mobile phones(64.7%of the adolescents who had NSP liked to play the mobile phone with the poor posture of lower his/her head,60.2% of the adolescents like to place the phone parallel to his chest or under the chest, the adolescents who had NSP is 61.5%). At present, the adolescent in the high school are under great learning pressure (70.4%of the adolescents in the high school are not satisfied with learning state, the adolescents who had NSP is 72.6%, and 90.1%of the adolescents are not satisfied with their academic record, the adolescents who had NSP is 91.2%). The score of CED-S by self-assessment is high in the population of adolescent, and close to the risk of depression (The average CED-S score of adolescent who had NSP is 45.83±5.17, close to the risk of depression, above the score of no NSP group,44.09±5.50, Two groups by analysis of variance, the difference was considered statistically significant).5. By binary logistic regression analysis revealed that the age factor, occur the muscle aches unwell easily after the physical exercise. The adolescents who had mobile phone are easily to occur the NSP, and the adolescent who like to keep the wrong habitual postures when used the mobile phone (place the mobile parallel to the chest or under the chest, and the line of sight with screen distance< 10 cm or 10 to 15 cm when used the mobile phone), learning pressure, depression entered the final model of NSP.ConcIusions1. High school students in Guangdong Zhuhai and Jiangxi Ganzhou showed high prevalence of NSP, prevalence is different in different areas, and the characteristics of NSP:the degree of NSP is not sever, and the pain of intermittent attacks have a certain influence on daily life.2. The prevalence were closely related to multiple factors, include the age factor, occur the muscle aches unwell easily after the physical exercise, mobile phones, and with the wrong habitual postures when used the mobile phone, learning pressure, depression.3. Appropriate interventions should be implemented to reduce the occurrences of NSP.