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 (Reprinted from Spine, vol 33, pg S75-S82, 2008)

被引：88
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, RTF, Dept Publ Hlth Sci, Sch Publ Hlth, 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 M5S 1A1, Canada
[5] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON M5S 1A1, Canada
[6] Toronto Western Hosp, Univ Hlth Network Rehabil Solut, CREIDO, Toronto, ON, 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, Sch Medicine, Stanford, CA 94305 USA
[12] Stanford Univ, Hosp & Clin, Orthopaed Spine Ctr, Stanford, CA 94305 USA
[13] Stanford Univ, Hosp & Clin, Spinal Surg Serv, Stanford, CA 94305 USA
[14] Univ Hawaii, John A Burns Sch Med, Dept Publ Hlth Sci, Honolulu, HI 96822 USA
[15] NYU, Sch Med, Dept Orthopaed, New York, NY USA
[16] NYU, Sch Med, Dept Environm Med, New York, NY USA
[17] NYU, Sch Med, Program Ergon & Biomech, New York, NY USA
[18] NYU, Grad Sch Arts & Sci, New York, NY USA
[19] NYU, Med Ctr, OIOC, New York, NY 10016 USA
[20] Merck & Co Inc, Endocrinol Analgesia & Inflammat, Rahway, NJ 07065 USA
[21] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada
来源：
JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS | 2009年 / 32卷 / 02期
基金：
加拿大健康研究院;
关键词：
neck pain; systematic review; epidemiology; prognosis; WHIPLASH-ASSOCIATED DISORDERS; FOLLOW-UP; DETERMINANTS; WORKERS; BURDEN; PREVALENCE; COHORT; ONSET; CARE;
D O I：
10.1016/j.jmpt.2008.11.013
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
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 I to 5 years later. Younger age predicted better outcome. General exercise was unassociated with outcome, although regular bicycling predicted poor outcome in I 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. (J Manipulative Physiol Ther 2009;32:S87-S96)
引用
收藏
页码：S87 / S96
页数：10
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