Volume 32, Issue 2, Supplement , Pages S87-S96, February 2009
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
Abstract
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.
Key words: neck pain, systematic review, epidemiology, prognosis
To access this article, please choose from the options below
The manuscript submitted does not contain information about medical device(s)/drug(s).
Corporate/Industry, Foundation, and Professional Organizational funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.
Reprinted from Carroll LJ et al. 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. Spine 2008;33:S75-S82. Reprinted with permission from Lippincott Williams & Wilkins
PII: S0161-4754(08)00340-0
doi:10.1016/j.jmpt.2008.11.013
© 2008 Lippincott Williams & Wilkins. Published by Elsevier Inc. All rights reserved.
Volume 32, Issue 2, Supplement , Pages S87-S96, February 2009
