The burden and determinants of neck pain in the general population -: Results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders

被引：534

作者：

Hogg-Johnson, Sheilah ^{[1
,2
]}

van der Velde, Gabrielle ^{[1
,3
,4
,5
]}

Carroll, Linda J. ^{[6
,7
]}

Holm, Lena W. ^{[8
]}

Cassidy, J. David ^{[2
,3
,4
,5
]}

Guzman, Jaime ^{[9
]}

Cote, Pierre ^{[1
,2
,3
,4
,5
]}

Haldeman, Scott ^{[10
,11
]}

Ammendolia, Carlo ^{[3
,4
,5
]}

Carragee, Eugene ^{[12
,13
,14
]}

Hurwitz, Eric ^{[15
]}

Nordin, Margareta ^{[16
,17
,18
,19
,20
]}

Peloso, Paul ^{[21
]}

机构：

[1] Inst Work & Hlth, Toronto, ON M5G 2E9, Canada

[2] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada

[3] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON, Canada

[4] Toronto Western Res Inst, Div Hlth Care & Outcomes Res, Toronto, ON, Canada

[5] Toronto Western Hosp, Univ Hlth Network Rehabil Solut, Ctr Res Expertise Improved Disabil Outcomes, Toronto, ON M5T 2S8, Canada

[6] Univ Alberta, Sch Publ Hlth, Dept Publ Hlth Sci, Edmonton, AB, Canada

[7] Univ Alberta, Sch Publ Hlth, Alberta Ctr Injury Control & Res, Edmonton, AB, Canada

[8] Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden

[9] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada

[10] Univ Calif Irvine, Dept Neurol, Irvine, CA 92717 USA

[11] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA

[12] Stanford Univ, Sch Med, Dept Orthoped Surg, Stanford, CA 94305 USA

[13] Stanford Univ Hosp & Clin, Orthoped Spine Ctr, Stanford, CA USA

[14] Stanford Univ Hosp & Clin, Spinal Surg Serv, Stanford, CA USA

[15] Univ Hawaii Manoa, John A Burns Sch Med, Dept Publ Hlth Sci, Honolulu, HI 96822 USA

[16] CUNY, Dept Orthoped, New York, NY 10021 USA

[17] CUNY, Dept Environm Med, New York, NY 10021 USA

[18] CUNY, Sch Med, Program Ergon & Biomech, New York, NY 10031 USA

[19] CUNY, Grad Sch Arts & Sci, New York, NY 10031 USA

[20] CUNY, Med Ctr, Occupat & Ind Orthoped Ctr, New York, NY 10031 USA

[21] Merck & Co Inc, Rahway, NJ 07065 USA

来源：

SPINE | 2008年 / 33卷 / 04期

关键词：

neck pain; epidemiology; incidence; prevalence; risk factors; associated factors;

D O I：

10.1097/BRS.0b013e31816454c8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. Best evidence synthesis. Objective. To undertake a best evidence synthesis of the published evidence on the burden and determinants of neck pain and its associated disorders in the general population. Summary of Background Data. The evidence on burden and determinants of neck has not previously been summarized. Methods. The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders performed a systematic search and critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results. We identified 469 studies on burden and determinants of neck pain, and judged 249 to be scientifically admissible; 101 articles related to the burden and determinants of neck pain in the general population. Incidence ranged from 0.055 per 1000 person years (disc herniation with radiculopathy) to 213 per 1000 persons (self-reported neck pain). Incidence of neck injuries during competitive sports ranged from 0.02 to 21 per 1000 exposures. The 12-month prevalence of pain typically ranged between 30% and 50%; the 12-month prevalence of activity-limiting pain was 1.7% to 11.5%. Neck pain was more prevalent among women and prevalence peaked in middle age. Risk factors for neck pain included genetics, poor psychological health, and exposure to tobacco. Disc degeneration was not identified as a risk factor. The use of sporting gear (helmets, face shields) to prevent other types of injury was not associated with increased neck injuries in bicycling, hockey, or skiing. Conclusion. Neck pain is common. Nonmodifiable risk factors for neck pain included age, gender, and genetics. Modifiable factors included smoking, exposure to tobacco, and psychological health. Disc degeneration was not identified as a risk factor. Future research should concentrate on longitudinal designs exploring preventive strategies and modifiable risk factors for neck pain.

引用

页码：S39 / S51

页数：13

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