Course and prognostic factors for 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：245
作者：
Carroll, Linda J. [1 ,2 ]
Hogg-Johnson, Sheilah [3 ,4 ]
van der Velde, Gabrielle [3 ,5 ,6 ,7 ]
Haldeman, Scott [8 ,9 ]
Holm, Lena W. [10 ]
Carragee, Eugene J. [11 ,12 ,13 ]
Hurwitz, Eric L. [14 ]
Cote, Pierre [4 ,6 ]
Nordin, Margareta [15 ,16 ,17 ,18 ,19 ]
Peloso, Paul M. [20 ]
Guzman, Jaime [21 ]
Cassidy, J. David [4 ,5 ,6 ,7 ]
机构：
[1] Univ Alberta, Sch Publ Hlth, Dept Publ Hlth Sci, Edmonton, AB T6G 2E1, Canada
[2] Univ Alberta, Sch Publ Hlth, Alberta Ctr Injury Control Res, Edmonton, AB T6G 2E1, Canada
[3] Inst Work & Hlth, Toronto, ON, Canada
[4] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada
[5] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON, Canada
[6] Toronto Western Hosp, Univ Hlth Network Rehabil Solut, Ctr Res Excellence Improved Disabil, Toronto, ON M5T 2S8, Canada
[7] Toronto Western Res Inst, Div Hlth Care Outcomes & Res, Toronto, ON, Canada
[8] Univ Calif Irvine, Dept Neurol, Irvine, CA 92717 USA
[9] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA
[10] Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden
[11] Stanford Univ, Dept Orthopaed Surg, Stanford, CA 94305 USA
[12] Stanford Univ Hosp & Clin, Orthopaed Spine Ctr, Stanford, CA USA
[13] Stanford Univ Hosp & Clin, Spinal Surg Serv, Stanford, CA USA
[14] Univ Hawaii Manoa, John A Burns Sch Med, Dept Publ Hlth Sci, Honolulu, HI 96822 USA
[15] CUNY, Dept Orthopaed, New York, NY 10021 USA
[16] CUNY, Dept Environm Med, New York, NY 10021 USA
[17] CUNY, Sch Med, Program Ergon & Biomech, New York, NY 10031 USA
[18] CUNY, Grad Sch Arts & Sci, New York, NY 10031 USA
[19] CUNY, Med Ctr, Occupat & ind Orthopaed Ctr, New York, NY 10021 USA
[20] Merck & Co Inc, Rahway, NJ 07065 USA
[21] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada
来源：
SPINE | 2008年 / 33卷 / 04期
关键词：
neck pain; systematic review; epidemiology; prognosis;
D O I：
10.1097/BRS.0b013e31816445be
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 on course and prognosis of neck pain and its associated disorders in the general population. Summary of Background Data. Knowing the course of neck pain guides expectations for recovery. Identifying prognostic factors assists in planning public policies, formulating interventions, and promoting lifestyle changes to decrease the burden of neck pain. Methods. The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders ( Neck Pain Task Force) conducted a critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Findings from studies meeting criteria for scientific validity were abstracted into evidence tables and included in a best evidence synthesis. Results. We found 226 articles on the course and prognostic factors in neck pain and its associated disorders. After critical review, 70 (31%) of these were accepted on scientific merit. Six studies related to course and 7 to prognostic factors in the general population. Between half and three quarters of persons in these populations with current neck pain will report neck pain again 1 to 5 years later. Younger age predicted better outcome. General exercise was unassociated with outcome, although regular bicycling predicted poor outcome in 1 study. Psychosocial factors, including psychologic health, coping patterns, and need to socialize, were the strongest prognostic factors. Several potential prognostic factors have not been well studied, including degenerative changes, genetic factors, and compensation policies. Conclusion. The Neck Pain Task Force undertook a best evidence synthesis to establish a baseline of the current best evidence on the course and prognosis for this symptom. General exercise was not prognostic of better outcome; however, several psychosocial factors were prognostic of outcome.
引用
收藏
页码：S75 / S82
页数：8
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