The prevalence of low back pain among High School children in Nyamasheke district/ Rwanda

  • P. Ndahimana
  • José M. Frantz


Background: Low back pain among high school children is perceived to be uncommon in the clinic setting. However, previous studies have suggested that it may be an important and increasing problem to be managed in this age group.

Objective: The overall aim of this study was to determine the prevalence of low back pain among high school children in Nyamasheke district in Rwanda.

Study Design: A cross–sectional descriptive survey was completed by a convenient sample of high school children.

Results: The mean age of the study sample was 17 years, and 48.2% were females compared to 51.8% of males. The response rate was 96.2%. The low back pain prevalence was found to be 66.1%. The mean age of the first occurrence of low back pain was 14.5(SD = 2.28). One year prevalence was found to be 25.4% whereas the one month prevalence was 13.7%. Males were the most to report low back pain comparatively to females with 53.1% and 43.9% respectively. High school children from the rural region were the most to report low back pain in comparison to those from urban region with 61.5% against 38.5% respectively.

Conclusion:  The findings of this study are important for clinicians, researchers and policy
makers. This information could be used by these health-care professionals to develop appropriate prevention and rehabilitation strategies for this specific group of patients.


Adams, M., Mannion, A., & Dolan, P. (1999). Personal risk factors for first-time low back pain. Spine, 24: 2497-2505.

Balague, F., Dutoit, G., & Waldburger, M. (1998). Low back pain in school children. An epidemiological study. Scandinavian Journal of Rehabilitation Medicine, 316(7139): 1196–1200.

Balague, F., Skovron, M.L., Nordin, M., Dutoit, G., Pol, L.R., & Waldburger, M. (1995). Low back pain in schoolchildren . A study of familial and psychological factors. Spine, 20:1265-

Balague, F., Dutoit, G., & Waldburger, M. (1988). Low-back pain in school children. An epidemiological study. Scandinavian Journal of Rehabilitation Medicine, 20:175–179.

Banks, N. J. (1998). Designing medical record abstraction forms. International Journal for Quality in Health Care, 10(2): 163-167.

Brattberg, G. (1994). The incidence of back pain and headache among Swedish school children. Quality of Life Research, 3:27-31.

Burton, A.K., Clarke, R.D., McClune, T.D., & Tillotson, K.M. (1996). The natural history of low back pain in adolescents. Spine, 21:2323-2328.

Cardon, G., & Balague, F. (2004). Backpacks and spinal disorders in school children. Europa Medicophysica, 40:15-21.

Deyo, R., Mirza, S., & Martin, B. (2006). Back pain prevalence and visit rates: estimates from US National surveys of 2002. Spine, 31:2724–2727.

Domholdt, E. (1993). Physical therapy Research: Principles and applications. Toronto, USA: WB. Saunders Publishers.

Gilgil, E., Kaçar, C., Bütün, B., Tuncer, T., Urhan, S., Yildirim, C., Sünbüloglu, G., Arikan, V., Tekeoglu, I., Õksüz, M., & Dündar, U. (2005). Prevalence of low back pain in a developing urban setting. Spine, 30:1093–1098.

Gliem, J.A., & Gliem, R.R. (2003). Calculating, Interpreting, and Reporting Cronbach s Alpha Reliability Coefficient for Likert- Type Scales (2nd ed.).The Ohio State University: Columbus

Harreby, M., Nygaard, B., Jessen, T., Larsen, E., Storr-Paulsen, A., Lindahl, A., Fisker, I., & Laegaard, E. (1999). Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic study. European Spine Journal, 8:444- 450.

Harreby, M., Neergaard, K., Hesselsoe, G. & Kjer, J. (1995)‐. Are radiological changes in the thoracic and lumbar spine of

adolescents risk factors for low back pain in adults? A 25 year prospective cohort study of 640 school children. Spine, 20:


Kristjansdottir, G. (1996). Prevalence of self-reported back pain in school children: a study of sociodemographic differences. European Journal of Pediatrics, 155:984-986.

Kuorinka, I., Johnson, B., Kilbom, A., Vinterberg, H., & Biering- Sorenson, F. (1987). Standardised

Nordic Questionnaires for analysis of musculoskeletal symptoms. Applied Ergonomics,

: 233-237.

LoBiondo-Wood, G., & Haber, J. (1998). Nursing research: methods, critical appraisal, and utililization (4thed.). Mosby:Mosby publisher

Louw, Q.A., Morris, L.D. & Grimmer-Somers, K. (2007). The Prevalence of low back pain in Africa: A systematic review. BMC Musculoskeletal Disorders, 24: 12-17

Naude, B., Mudzi, W., Mamabolo, M.V., & Becker (2009).

Physiotherapy modalities used in the management of chronic low back pain. Occupational health, 15(3): 78-82

Omokhodion, F., & Sanya, A. (2003). Risk factors for low back pain among office workers in Ibadan, Southwest Nigeria. Occupational Medicine, 53:287–289.

Pellisé, F., Balagué, F., Rajmil, L., Cedraschi, C., Aguirre, M., Fontecha, C.G., Pasarín, M., & Ferrer, M. (2009). Prevalence of low back pain and its effect on health-related quality of life in adolescents. Spine Unit, Hospital Universitari de Traumatologia I Rehabilitació Vall d'Hebron, Passeig Vall d'Hebron, 163(1): 65-71.

Phelip, X. (1999). Why the back of the child? European Spine Journal, 8:426-428.

Polit, D.F., & Hunger, P. (1995). Nursing Research: principles and Methods (6th ed). Philadeliphia: Lippincott Company.

Rubin, H.J, & Rubin, L.J (2004). Qualitative interviewing: The art of hearing data (2nded.). Thousand Oaks, CA: Sage Publications.

Salminen, J.J., Erkintalo, M.O., Pentti, J., Oksanen, A., & Kormano, M.J. (1999). Recurrent low back pain and early disc degeneration in the young. Spine, 24, 1316–1321.

Salminen, J.J., Erkintalo, M., Laine, M., & Pentti, J. (1995). Low back pain in the young. A prospective 3-year follow-up study of subjects with a‐nd wit‐hout low back pain. Spine, 20:2101-2108

Salminen, J.J., Pentti, J., & Terho, P. (1992). Low back pain and disability in 14 year old schoolchildren. Acta Paediatrica, 81, 1035–1039.

Salminen, J.J. (1984). Back pain in Finish school children. Acta

paediatrica Scandinavica Supplement, 13: 121-129.

Spence, S.M., Jensen, G.M., & Shepard, K.F. (1984). Comparison of methods of teaching children proper lifting techniques. Physiotherapy, 64:1055-1061

Taimela, S., Kujala, U.M., Salminen, J.J., & Viljanen, T. (1997). The prevalence of low-back pain among children and adolescents. A nationwide, cohortbased questionnaire survey in Finland. Spine, 22:1132–1136.

Vikat, A., Rimpela, M., Salminen, J.J., Rimpela, A., Savolainen, A., & Virtanen, S.M. (2000). Neck or shoulder pain and low back pain in Finnish adolescents. Scandinavian Journal of Public Health, 28: 164–173.

Walker, B., Muller, R., & Grant, W. (2004). Low back pain in Australian adults: Prevalence and associated disability. Journal of Manipulative and Physiological Therapeutics,


Walker, B. (2000). The Prevalence of Low Back Pain: A Systematic Review of the Literature from 1966 to 1998. Journal of Spinal Disorders, 13:205–217.

Watson, D.K., Papageorgiou, A.C., Jones, T.G., Taylor, S., Symmons, D.P.M., Silman, J.A., Macfarlane, J.G. (2002). low back pain in school children: Occurrence and characteristics. Journal of the International Association for the Study of Pain,

(1): 87-92.

Worster, A., & Haines, T. (2004). Advanced Statistics: Understanding Medical Record Review (MRR) Studies. Academic Emergency Medicine, 11(2), 187-192.