PDF(Pubmed)
Abstract：
Neck pain (NP) is a common musculoskeletal disorder among fighter pilots and has become a rising concern due to its detrimental impact on military combat effectiveness. The occurrence of NP is influenced by a variety of factors, but less attention has been paid to the association of NP with demographic, occupational, and cervical sagittal characteristics in this group. This study aimed to investigate the prevalence and risk factors of NP in Chinese male fighter pilots using a questionnaire and cervical sagittal measurements.
Demographic and flight-related data, as well as musculoskeletal pain information, were gathered from Chinese male fighter pilots via a self-report questionnaire. Cervical sagittal parameters were measured and subtypes were classified using standardized lateral cervical radiographs. Differences in various factors between the case and control groups were analyzed using t-tests or chi-square tests. Binary logistic regressions were conducted to explore potential risk factors contributing to NP. Predictors were presented as crude odds ratios (CORs) and adjusted odds ratios (AORs), along with their respective 95% confidence intervals (CIs).
A total of 185 male fighter pilots were included in this cross-sectional study. Among them, 96 (51.9%) reported experiencing NP within the previous 12 months. The multivariate regression analysis revealed that continuous flight training (AOR: 4.695, 95% CI: 2.226-9.901, p < 0.001), shoulder pain (AOR: 11.891, 95% CI: 4.671-30.268, p < 0.001), and low back pain (AOR: 3.452, 95% CI: 1.600-7.446, p = 0.002) were significantly associated with NP.
The high 12-month prevalence of NP among Chinese male fighter pilots confirms the existence of this growing problem. Continuous flight training, shoulder pain, and low back pain have significant negative effects on pilots\' neck health. Effective strategies are necessary to establish appropriate training schedules to reduce NP, and a more holistic perspective on musculoskeletal protection is needed. Given that spinal integrated balance and compensatory mechanisms may maintain individuals in a subclinical state, predicting the incidence of NP in fighter pilots based solely on sagittal characteristics in the cervical region may be inadequate.
Demographic and flight-related data, as well as musculoskeletal pain information, were gathered from Chinese male fighter pilots via a self-report questionnaire. Cervical sagittal parameters were measured and subtypes were classified using standardized lateral cervical radiographs. Differences in various factors between the case and control groups were analyzed using t-tests or chi-square tests. Binary logistic regressions were conducted to explore potential risk factors contributing to NP. Predictors were presented as crude odds ratios (CORs) and adjusted odds ratios (AORs), along with their respective 95% confidence intervals (CIs).
A total of 185 male fighter pilots were included in this cross-sectional study. Among them, 96 (51.9%) reported experiencing NP within the previous 12 months. The multivariate regression analysis revealed that continuous flight training (AOR: 4.695, 95% CI: 2.226-9.901, p < 0.001), shoulder pain (AOR: 11.891, 95% CI: 4.671-30.268, p < 0.001), and low back pain (AOR: 3.452, 95% CI: 1.600-7.446, p = 0.002) were significantly associated with NP.
The high 12-month prevalence of NP among Chinese male fighter pilots confirms the existence of this growing problem. Continuous flight training, shoulder pain, and low back pain have significant negative effects on pilots\' neck health. Effective strategies are necessary to establish appropriate training schedules to reduce NP, and a more holistic perspective on musculoskeletal protection is needed. Given that spinal integrated balance and compensatory mechanisms may maintain individuals in a subclinical state, predicting the incidence of NP in fighter pilots based solely on sagittal characteristics in the cervical region may be inadequate.
摘要：
■颈部疼痛（NP）是战斗机飞行员中常见的肌肉骨骼疾病，由于其对军事战斗力的不利影响，已成为一个日益关注的问题。NP的发生受多种因素的影响,但是对NP与人口统计学的关联关注较少，职业,和颈椎矢状特征。本研究旨在通过问卷调查和颈椎矢状面测量来调查中国男性战斗机飞行员中NP的患病率和危险因素。
■人口统计和飞行相关数据，以及肌肉骨骼疼痛信息，是通过自我报告问卷从中国男性战斗机飞行员那里收集的。测量宫颈矢状参数，并使用标准化的宫颈侧位X线片对亚型进行分类。采用t检验或卡方检验分析病例组和对照组各因素的差异。进行二元逻辑回归以探索导致NP的潜在危险因素。预测因子表示为粗赔率比(COR)和调整后赔率比(AOR)，以及他们各自的95%置信区间(CI)。
■这项横断面研究共包括185名男性战斗机飞行员。其中,96例（51.9%）报告在过去12个月内经历NP。多因素回归分析显示,连续飞行训练(AOR:4.695,95%CI:2.226-9.901,p<0.001),肩痛（AOR：11.891，95%CI：4.671-30.268，p<0.001），腰背痛(AOR:3.452,95%CI:1.600-7.446,p=0.002)与NP显著相关。
■中国男性战斗机飞行员12个月的高NP患病率证实了这个日益严重的问题的存在。持续的飞行训练,肩膀疼痛,和腰背痛对飞行员的颈部健康有显著的负面影响。有效的策略是必要的，以建立适当的培训时间表，以减少NP，需要对肌肉骨骼保护有更全面的观点。鉴于脊柱整合平衡和代偿机制可能使个体维持在亚临床状态，仅根据颈部矢状特征预测战斗机飞行员NP的发生率可能是不够的.
■人口统计和飞行相关数据，以及肌肉骨骼疼痛信息，是通过自我报告问卷从中国男性战斗机飞行员那里收集的。测量宫颈矢状参数，并使用标准化的宫颈侧位X线片对亚型进行分类。采用t检验或卡方检验分析病例组和对照组各因素的差异。进行二元逻辑回归以探索导致NP的潜在危险因素。预测因子表示为粗赔率比(COR)和调整后赔率比(AOR)，以及他们各自的95%置信区间(CI)。
■这项横断面研究共包括185名男性战斗机飞行员。其中,96例（51.9%）报告在过去12个月内经历NP。多因素回归分析显示,连续飞行训练(AOR:4.695,95%CI:2.226-9.901,p<0.001),肩痛（AOR：11.891，95%CI：4.671-30.268，p<0.001），腰背痛(AOR:3.452,95%CI:1.600-7.446,p=0.002)与NP显著相关。
■中国男性战斗机飞行员12个月的高NP患病率证实了这个日益严重的问题的存在。持续的飞行训练,肩膀疼痛,和腰背痛对飞行员的颈部健康有显著的负面影响。有效的策略是必要的，以建立适当的培训时间表，以减少NP，需要对肌肉骨骼保护有更全面的观点。鉴于脊柱整合平衡和代偿机制可能使个体维持在亚临床状态，仅根据颈部矢状特征预测战斗机飞行员NP的发生率可能是不够的.
