Predictors of persistent pain in patients with acute neck pain treated with physical therapy: A prospective study with 2 years follow up.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-05-04 DOI:10.1002/msc.1775
Mosab M Aldabbas, Tarushi Tanwar, Iram Iram, Amer Ghrouz, Zubia Veqar
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Abstract

Background: Clinicians specialising in musculoskeletal medicine have observed that patients with neck pain often seek repeat consultations because of recurring neck pain. Despite this pattern, there is a lack of research exploring the persistence nature of neck pain. Understanding potential predictors of persistent neck pain could help clinicians develop effective treatment approaches to prevent the chronicity of these conditions.

Objective: The current study investigated the potential predictors of persistent neck pain over a 2-year period among patients with acute neck pain treated with physical therapy.

Methods: A longitudinal study design was employed. Data were collected at baseline and at 2-year follow-up from 152 acute neck pain patients aged (29.2 ± 6.7). Patients were recruited from physiotherapy clinics. Logistic regression was used for analysis. At 2-year follow-up, participants were reassessed for their pain intensity (Dependent variable) and categorised as recovered or reporting persistent neck pain. Baseline acute neck pain intensity, sleep quality, disability, depression, anxiety, and sleepiness were used as potential predictors.

Results: Among 152 participants, 51 (33.6%) patients with acute neck pain reported persistent neck pain at 2-year follow-up. 43% of the variation in the dependent variable was explained by the model. Despite the strong correlations between persistent pain at follow-up with all potential predictors, only sleep quality 95% CI (1.1,1.6), and anxiety 95% CI (1.1,1.4) were the significant predictors of persistent neck pain.

Conclusion: Our results suggest that poor sleep quality and anxiety may serve as potential predictors of persistent neck pain. The findings highlight the importance of a comprehensive approach to managing neck pain that addresses both physical and psychological factors. By targeting these co-morbidities, healthcare providers may be able to improve outcomes and prevent the progression of the case.

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接受物理治疗的急性颈部疼痛患者持续疼痛的预测因素:一项为期两年的前瞻性研究。
背景:肌肉骨骼医学专业的临床医生发现,颈部疼痛患者常常因为颈部疼痛反复发作而反复就诊。尽管存在这种模式,但缺乏对颈部疼痛持续性的研究。了解持续性颈部疼痛的潜在预测因素有助于临床医生制定有效的治疗方法,防止这些疾病的慢性化:本研究调查了接受物理治疗的急性颈部疼痛患者在两年内出现持续性颈部疼痛的潜在预测因素:方法:采用纵向研究设计。收集了 152 名急性颈部疼痛患者的基线数据和 2 年随访数据,患者年龄为(29.2 ± 6.7)岁。患者均来自物理治疗诊所。分析采用逻辑回归法。在 2 年的随访中,对参与者的疼痛强度(因变量)进行了重新评估,并将其分为痊愈和持续性颈痛两类。基线急性颈部疼痛强度、睡眠质量、残疾程度、抑郁、焦虑和嗜睡都是潜在的预测因素:在 152 名参与者中,有 51 名(33.6%)急性颈部疼痛患者在 2 年的随访中报告了持续性颈部疼痛。该模型解释了因变量中 43% 的变化。尽管随访时的持续性疼痛与所有潜在的预测因素都有很强的相关性,但只有睡眠质量 95% CI (1.1,1.6) 和焦虑 95% CI (1.1,1.4) 是持续性颈痛的重要预测因素:我们的研究结果表明,睡眠质量差和焦虑可能是持续性颈痛的潜在预测因素。研究结果凸显了针对生理和心理因素综合治疗颈痛的重要性。通过针对这些并发症的治疗,医疗服务提供者或许能够改善治疗效果并防止病情恶化。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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