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Assessment of Growing Pain and Its Risk Factors in School Children

Received: 31 August 2016    Accepted: 14 September 2016    Published: 17 October 2016
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Abstract

Background: Limb pain in children is a major diagnostic challenge. In majority of cases limb pain are due to growing pain (GP), which is the most common form of episodic childhood musculoskeletal pain. Some standard criteria are being used for diagnosis of GP. Objective: This study was undertaken to identify the frequency of growing pain and to determine its presentation and risk factors in school children. Methodology: This cross sectional study was conducted from January 2014 to December 2014 among school children aged 6-12 years in four Kindergarten schools at Bhairab Thana in Kishoregonj District. Standard criteria given by Peterson (1986) were used in this study for diagnosis of GP. Pretested questionnaires in Bangla were distributed among the children of Class One to Class Five by purposive sampling. After completions by parents or caregiver, questionnaires were collected from the schools and children with limb pain were selected for further history and clinical examination. Age and sex matched healthy children were selected as controls for comparison of risk factors. Results: Among 540 distributed questionnaires 404 (74.8%) responded. Among responders 95 (23.5%) had limb pain of which 78 (19.3%) were diagnosed as GP (40 were male and 38 were female). Highest number of cases was found in 8+ year age group. Site of pain was calf muscle (69.2%) in the majority. Timing of pain was at night in 82.05% cases. In 66.6% of cases pain was improved with massage. GP hampered activities like sleep in 26.9%, sports in 21.7% and schooling in 8.9%. GP was associated with headache in 12.8% and abdominal pain in 6.4% cases. Obesity, overweight, over activity and family history of GP were found significantly higher among GP cases than controls. Conclusion: Growing pain was found to be the most common cause of limb pain. Typical presentation of GP and multiple risk factors like obesity, over activity and family history were identified in this study.

Published in American Journal of Clinical and Experimental Medicine (Volume 4, Issue 5)
DOI 10.11648/j.ajcem.20160405.17
Page(s) 151-155
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Limb Pain, Growing Pain, Risk Factors

References
[1] Naish JM, Apley J. Growing pains: A clinical study of non-arthritic limb pains in children. Arch Dis Child 1951; 26, 134-40.
[2] De Inocencio J. Epidemiology of musculoskeletal pain in primary care. Arch Dis Child 2004; 89 (5), 431-4.
[3] www.betterhealthvic. Gov.au: Growing pain. Better health channel 2010; 1-2.
[4] Petersen H. Growing pains. Pediatr Clin North Am 1986; 33, 1365–72.
[5] Evans AM, Scutter SD. Prevalence of “growing pains” in young children. J Pediatr 2004; 145, 255-8.
[6] Evans AM. Growing pains: contemporary knowledge and recommended practice. J Foot Ankle Research 2008; 1, 4.
[7] Kaspiris A, Zafiropoulou C. Growing pains in children: Epidemiological analysis in a Mediterranean population. Joint Bone Spine 2009; 76, 486-90.
[8] Abu-Arafeh I, Russel G. Recurrent limb pain in school Children. Arch Dis Child 1996; 74, 336-9.
[9] Nell DB. Growing pains in Children. The Parentreport. com 2010; 05, 1-3.
[10] Oster J, Neilsen A. Growing pains: clinical investigation of a school population. Acta Pediatrica Scandinavica 1972; 61, 329-34.
[11] Uziel Y, Chapnick G, Jaber L, Nemet D, Hashkes PJ. Fiveyear outcome of children with growing pains: Correlation with pain threshold. J Pediatr 2010; 156, 838-40.
[12] Uziel Y, Hashkes PJ. Growing Pains in Children. J Foot Ankle Research 2008; 1, 4-7
[13] Haskesh PJ, Friedland O, Jaber L, Cohen A, Wolach B, Uziel Y. Decreased pain threshold in children with growing pains. J Rheumatol 2004; 31, 610-3.
[14] Lowe RM, Hashkes PJ. Growing pains: a noninflammatory pain syndrome of early childhood. Nat Clin Pract Rheumatol 2008; 4, 542-9.
[15] Sobia Qamar, Shaheena Akbani, Samina Shamimand, Gulsambar Khan. Vitamin D level in children with growing pains. J Coll Physicians Surg Pak 2011; 21 (5), 284-287.
Cite This Article
  • APA Style

    Mujammel Haque, Kamrul Laila, Mohammed Mahbubul Islam, Mohammad Imnul Islam, Manik Kumar Talukder, et al. (2016). Assessment of Growing Pain and Its Risk Factors in School Children. American Journal of Clinical and Experimental Medicine, 4(5), 151-155. https://doi.org/10.11648/j.ajcem.20160405.17

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    ACS Style

    Mujammel Haque; Kamrul Laila; Mohammed Mahbubul Islam; Mohammad Imnul Islam; Manik Kumar Talukder, et al. Assessment of Growing Pain and Its Risk Factors in School Children. Am. J. Clin. Exp. Med. 2016, 4(5), 151-155. doi: 10.11648/j.ajcem.20160405.17

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    AMA Style

    Mujammel Haque, Kamrul Laila, Mohammed Mahbubul Islam, Mohammad Imnul Islam, Manik Kumar Talukder, et al. Assessment of Growing Pain and Its Risk Factors in School Children. Am J Clin Exp Med. 2016;4(5):151-155. doi: 10.11648/j.ajcem.20160405.17

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  • @article{10.11648/j.ajcem.20160405.17,
      author = {Mujammel Haque and Kamrul Laila and Mohammed Mahbubul Islam and Mohammad Imnul Islam and Manik Kumar Talukder and Shahana Akhter Rahman},
      title = {Assessment of Growing Pain and Its Risk Factors in School Children},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {4},
      number = {5},
      pages = {151-155},
      doi = {10.11648/j.ajcem.20160405.17},
      url = {https://doi.org/10.11648/j.ajcem.20160405.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20160405.17},
      abstract = {Background: Limb pain in children is a major diagnostic challenge. In majority of cases limb pain are due to growing pain (GP), which is the most common form of episodic childhood musculoskeletal pain. Some standard criteria are being used for diagnosis of GP. Objective: This study was undertaken to identify the frequency of growing pain and to determine its presentation and risk factors in school children. Methodology: This cross sectional study was conducted from January 2014 to December 2014 among school children aged 6-12 years in four Kindergarten schools at Bhairab Thana in Kishoregonj District. Standard criteria given by Peterson (1986) were used in this study for diagnosis of GP. Pretested questionnaires in Bangla were distributed among the children of Class One to Class Five by purposive sampling. After completions by parents or caregiver, questionnaires were collected from the schools and children with limb pain were selected for further history and clinical examination. Age and sex matched healthy children were selected as controls for comparison of risk factors. Results: Among 540 distributed questionnaires 404 (74.8%) responded. Among responders 95 (23.5%) had limb pain of which 78 (19.3%) were diagnosed as GP (40 were male and 38 were female). Highest number of cases was found in 8+ year age group. Site of pain was calf muscle (69.2%) in the majority. Timing of pain was at night in 82.05% cases. In 66.6% of cases pain was improved with massage. GP hampered activities like sleep in 26.9%, sports in 21.7% and schooling in 8.9%. GP was associated with headache in 12.8% and abdominal pain in 6.4% cases. Obesity, overweight, over activity and family history of GP were found significantly higher among GP cases than controls. Conclusion: Growing pain was found to be the most common cause of limb pain. Typical presentation of GP and multiple risk factors like obesity, over activity and family history were identified in this study.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Growing Pain and Its Risk Factors in School Children
    AU  - Mujammel Haque
    AU  - Kamrul Laila
    AU  - Mohammed Mahbubul Islam
    AU  - Mohammad Imnul Islam
    AU  - Manik Kumar Talukder
    AU  - Shahana Akhter Rahman
    Y1  - 2016/10/17
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ajcem.20160405.17
    DO  - 10.11648/j.ajcem.20160405.17
    T2  - American Journal of Clinical and Experimental Medicine
    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
    SP  - 151
    EP  - 155
    PB  - Science Publishing Group
    SN  - 2330-8133
    UR  - https://doi.org/10.11648/j.ajcem.20160405.17
    AB  - Background: Limb pain in children is a major diagnostic challenge. In majority of cases limb pain are due to growing pain (GP), which is the most common form of episodic childhood musculoskeletal pain. Some standard criteria are being used for diagnosis of GP. Objective: This study was undertaken to identify the frequency of growing pain and to determine its presentation and risk factors in school children. Methodology: This cross sectional study was conducted from January 2014 to December 2014 among school children aged 6-12 years in four Kindergarten schools at Bhairab Thana in Kishoregonj District. Standard criteria given by Peterson (1986) were used in this study for diagnosis of GP. Pretested questionnaires in Bangla were distributed among the children of Class One to Class Five by purposive sampling. After completions by parents or caregiver, questionnaires were collected from the schools and children with limb pain were selected for further history and clinical examination. Age and sex matched healthy children were selected as controls for comparison of risk factors. Results: Among 540 distributed questionnaires 404 (74.8%) responded. Among responders 95 (23.5%) had limb pain of which 78 (19.3%) were diagnosed as GP (40 were male and 38 were female). Highest number of cases was found in 8+ year age group. Site of pain was calf muscle (69.2%) in the majority. Timing of pain was at night in 82.05% cases. In 66.6% of cases pain was improved with massage. GP hampered activities like sleep in 26.9%, sports in 21.7% and schooling in 8.9%. GP was associated with headache in 12.8% and abdominal pain in 6.4% cases. Obesity, overweight, over activity and family history of GP were found significantly higher among GP cases than controls. Conclusion: Growing pain was found to be the most common cause of limb pain. Typical presentation of GP and multiple risk factors like obesity, over activity and family history were identified in this study.
    VL  - 4
    IS  - 5
    ER  - 

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Author Information
  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

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