Prognostic factors for neck pain in general practice

Hoving, Jan L.; Vet, Henrica C.W. de; Twisk, Jos W. R.; Devillé, W.L.J.M.; Windt, Daniëlle van der; Koes, Bart W.; Bouter, Lex M.

doi:10.1016/j.pain.2004.05.002

Cited by 122 publications

(106 citation statements)

References 16 publications

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“…In the present study, the "initial pain intensity" factor was treated as a continuous variable in the regression analysis, and the findings revealed that the higher the initial pain intensity, the higher the risk of developing chronic nonspecific neck pain. The 37,38) . Bot et al (2005) reported that more intense pain at baseline significantly reduced the probability of recovery at 3 months in patients with neck and shoulder pain 37) .…”

Section: Discussionmentioning

confidence: 99%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study: Rattaporn Sihawong, et al. Faculty of Allied Health Sciences, Chulalongkorn University, Thailand Objective All occupations expose workers to varied and unique conditions. The nature of work has been recognized as influencing the health of workers. Whether predictors for chronic neck and low back pain would be occupation‐specific is unknown. This study aimed to identify predictors for chronic neck and low back pain in a cohort of office workers. Methods A prospective study was carried out among 669 healthy office workers. At baseline, risk factors were assessed using a questionnaire and standardized physical examination. A symptomatic case was defined as an individual who reported pain greater than 30 mm on a 100‐mm VAS, and chronic pain was defined as experiencing ongoing neck or low back pain for greater than 3 months over the past 6 months. Two regression models were built to analyze the risk factors for developing chronic neck and low back pain. Results Of the sample, 17 and 27% of office workers who reported a new onset of neck or low back pain developed chronicity, respectively. Predictors for chronic neck pain were high body mass index, frequent neck extension during the work day, high initial pain intensity, and high psychological job demands. The development of chronic low back pain was associated with history of low back pain and high initial pain intensity. Conclusions The findings suggest that predictors for chronic musculoskeletal pain in a subpopulation may be a subset of predictors identified in a general population or occupation specific. Successful management to prevent chronic musculoskeletal pain may also need to consider the patient's occupation.

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Section: Discussionmentioning

confidence: 99%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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“…Neck/shoulder disorders are common in Western society, causing major medical and socio-economic problems [11,13]. Approximately two out of three individuals will at some time during their lives experience at least one episode of pain in their neck or shoulders [22].…”

Section: Introductionmentioning

confidence: 99%

“…The prognosis for those suffering from neck/shoulder pain is relatively poor. Not more than about the half of the subjects with neck/ shoulder pain are pain-free after 1-5 years [2,4,6,13,14,19,21,23,32,34].…”

Section: Introductionmentioning

confidence: 99%

The influence of work-related exposures on the prognosis of neck/shoulder pain

et al. 2007

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To determine associations between work-related exposures and the prognosis of self-reported neck/ shoulder pain. This prospective cohort study was based on 803 working subjects who reported neck/shoulder pain at baseline. The proportion of subjects who 5-6 years later were symptom-free was calculated. Data concerning workrelated biomechanical, psychosocial, and organizational exposures were collected at baseline. The Cox regression analyses were used to calculate the relative chances (RC) of being symptom-free at the end of the study for single exposures, and also for up to three simultaneous workrelated exposures. Adjustments were made for sex and age. Only 36% of the subjects were symptom-free 5-6 years later. The relative chance for being symptom-free at the end of the study was 1.32 (95% CI = 0.99-1.74) for subjects who were exposed to sitting ‡75% of the working time and 1.53 (95% CI = 1.02-2.29) for subjects who were exposed to job strain, i.e., the combination of high demands and low decision latitude. The relative chance of being symptom-free at the end of the study was 0.61 (95% CI = 0.40-0.94) for subjects with at least two out of three simultaneous biomechanical exposures at work; manual handling, working with the hands above shoulder level, and working with vibrating tools. In a heterogeneous population with moderate nonspecific neck/shoulder pain, sedentary work enhanced the chance of being symptomfree 5-6 years later, whereas simultaneous exposures to at least two of manual handling, working with hands above shoulder level and working with vibrating tools were associated with a lower chance of being symptom-free at the end of the study. This could imply that subjects with neck/shoulder pain should avoid such simultaneous exposures.

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“…These groups were created as broad categories to describe common clinical presentations of patients with neck pain by the rehabilitation department at Intermountain Healthcare in 2002 to evaluate clinical outcomes. Studies support that the clinical presentation of neck pain with arm pain, 24,25 neck pain with headache, 26 and neck pain from whiplash 27 differ in their clinical course compared to patients with acute, subacute, or chronic nonspecific neck pain (NSNP). 28 This strategy has been implemented at Intermountain Healthcare since 2002, and there is a 94.5% adherence rate in collecting these clinical data by physical therapists.…”

Section: Clinical Presentationmentioning

confidence: 99%

Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain

Horn

Brennan

George

et al. 2015

Archives of Physical Medicine and Rehabilitation

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Neck pain is the second most common musculoskeletal disorder in population surveys and is associated with high injury and disability claims. 1,2 It is generally accepted that neck pain has a favorable course of care, 3 but there is variation in short-term outcomes in patients with neck pain. 3,4 Certain factors are known to be prognostic for the course of neck pain, and several interventions, including those provided by physical therapists, are likely to produce a favorable outcome. [5][6][7][8][9] Approximately 35% of persons with neck pain reported being seen by a physical therapist, the most frequently visited provider, 10 and evidence suggests that physical therapy can be an effective secondary prevention strategy for neck pain. 11 In recent years, organized efforts have been made to improve clinical outcomes and standardize physical therapy treatment, including using classification system approaches. Fritz and Brennan 12 supported that subgrouping patients with neck pain and providing interventions matched to the patient classification improves shortterm outcomes of pain and disability from physical therapy, but this approach has not been validated nor have other classification systems published in the literature been validated. 13,14 Therefore in this study, rather than introduce a new classification system, we wished to pragmatically examine a large cohort of patients with common clinical presentations of neck pain. The purposes of this study were to describe the demographics and Disclosures: none.

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Prognostic factors for neck pain in general practice

Cited by 122 publications

References 16 publications

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

The influence of work-related exposures on the prognosis of neck/shoulder pain

Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain

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