Factors Predicting Pain Reduction in Chronic Back and Neck Pain After Multimodal Treatment

Michaelson, Peter; Sjölander, Per; Johansson, Håkan

doi:10.1097/00002508-200411000-00010

Cited by 51 publications

(47 citation statements)

References 37 publications

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“…According to the biopsychosocial model, catastrophizing is a central variable in the fear-avoidance cycle, leading to chronic pain-related disability [38]. Thus, addressing the cognitive distortions occurring in catastrophizing, for instance by an evidence-based cognitive behavioral approach, may interrupt the fear-avoidance cycle and help to reduce the pain chronicity and disability [39].The possible implications to health policy makers may involve considering the long-term cost-effectiveness of a more expensive and articulated multi-modal approach, including cognitive-behavioral therapy, dedicated to patients with chronic neck pain with baseline catastrophic thinking [8,40].…”

Section: Predictors Of Poor Outcomementioning

confidence: 99%

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

et al. 2010

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The aim of this study was to describe the clinical course of patients with chronic, non-specific neck pain undergoing a public health covered, exercise-based rehabilitation program and to identify predictors of poor outcome. A prospective cohort study was carried out on patients with non-specific neck pain (6 months or longer), referred by their general practitioner to a 6-session program, including education and individually tailored exercise. The primary outcome measure for the course of neck pain was the Northwick neck pain questionnaire (NPQ) administered on baseline, discharge, and 1 year from discharge. Poor outcome was defined as NPQ score improving \30% (minimal clinically important difference-MCID-NPQ). The potential predictors included demographics, general health and psychological factors, neck pain history, and the clinical features described by NPQ. From January 2008 to June 2009, 212 patients were consecutively assessed for eligibility: 178 were enrolled and 162 completed follow-up (mean age = 65.3; 75% women). Baseline NPQ average score (40.7 ? 17.1) improved by MCID on discharge (26.1 ? 16.3) and at 1 year (28.5 ? 17.3%).The poor outcome was reported by 45% patients on discharge and by 56% at follow-up. Pain-related medication intake independently predicted poor short-(OR 4.24; 95% CI 1.83-9.84; p = 0.001) and long-term (OR 2.69; 95% CI 1.19-6.06; p = 0.017) outcome, and catastrophizing (OR 2.91; 95% CI 1.31-6.48; p = 0.009) predicted poor outcome at 1 year. Our cohort of patients with chronic neck pain undergoing an exercise-based rehabilitation program reported improvement by or beyond MICD-NPQ in 55% cases on discharge and in 44% cases at 1 year. Poor outcome was predicted by pain-related medication intake in the short and long term, and by catastrophizing in the long term.

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Section: Predictors Of Poor Outcomementioning

confidence: 99%

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

et al. 2010

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“…We accepted 5 studies which examined gender as a prognostic factor. [19][20][21][22]26 Two phase I studies looking at general population samples found a modest effect of gender, in that men were 33% 21 and 47% 22 more likely than women to have complete resolution of neck pain over a 1-year and 5-year follow-up period, respectively. The former study also reported that women were 19% more likely than men to have persistent pain.…”

Section: Demographic and Socioeconomic Factorsmentioning

confidence: 99%

Course and Prognostic Factors for Neck Pain in the General Population

Carroll

Hogg‐Johnson

Velde

et al. 2009

Journal of Manipulative and Physiological Therapeutics

140

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“…Insofern wurde auf eine Diagnosen differenzierende Auswertung verzichtet. Es scheint aber Hinweise auf Unterschiede zu geben [20].…”

Section: Tab 4 Ergebnisse Der Linearen Regression Zurunclassified

Vorhersage verschiedener Erfolgsmaße in der Behandlung chronischer Rückenschmerzen: Schmerzintensität, Beeinträchtigung und Funktionskapazität

Heinrich

Hafenbrack

Michel

et al. 2011

Schmerz

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Factors Predicting Pain Reduction in Chronic Back and Neck Pain After Multimodal Treatment

Cited by 51 publications

References 37 publications

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

Course and Prognostic Factors for Neck Pain in the General Population

Vorhersage verschiedener Erfolgsmaße in der Behandlung chronischer Rückenschmerzen: Schmerzintensität, Beeinträchtigung und Funktionskapazität

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