Predictors of Outcome in Neck and Shoulder Symptoms

Bot, S.D.M.; Waal, Johanna M. van der; Terwee, Caroline B.; Windt, D.A.W.M. van der; Scholten, R. J. P. M.; Bouter, Lex M.; Dekker, J.

doi:10.1097/01.brs.0000174279.44855.02

Cited by 180 publications

(179 citation statements)

References 34 publications

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“…A study on patients with low back pain has also found prognostic factors to differ when varying outcome measures or different durations of followup were used (30). We found similar results in patients with hip and upper extremity complaints (31)(32)(33). This may be caused by different mechanisms that may underlie the recovery of pain and disability in patients with musculoskeletal complaints.…”

Section: Discussionsupporting

confidence: 68%

Course and prognosis of knee complaints in general practice

Waal¹,

Bot²,

Terwee³

et al. 2005

Arthritis & Rheumatism

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Objective. Patients frequently present with knee complaints in general practice. Information about the course and prognosis of knee complaints is needed to inform patients and facilitate decisions on referral and treatment. The objective of the study was to assess the course of knee complaints and to identify predictors of outcome in patients visiting their general practitioner with a new episode of knee complaints. Methods. Data were collected by means of self-administered questionnaires. After 3 and 12 months of followup, the following outcomes were assessed: perceived recovery, change in pain, and change in physical functioning. As potential predictors of outcome, several sociodemographic variables, characteristics of the symptom, baseline scores of the outcome measures, and intra-and extra-individual variables were analyzed using multiple regression analyses. Results. We included 251 patients with a new episode of knee complaints presented in general practice. Only 25% reported recovery after 3 months, increasing to 44% after 12 months. A history of knee complaints, a longer duration of the current episode of knee complaints, other coexisting musculoskeletal complaints, and a higher level of distress were associated with a worse prognosis. In the linear regression models, 41-53% of the variance in pain reduction and improvement in functioning could be explained by the predictors. The area under the receiver operating characteristic curves, estimating the predictive accuracy of the Cox regression models concerning perceived recovery, was 0.77 after 3 months and 0.72 after 12 months. Conclusion. Many patients did not recover after 12 months. Distress was found to be strongly associated with less pain reduction and less improvement in functioning.

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Section: Discussionsupporting

confidence: 68%

Course and prognosis of knee complaints in general practice

Waal¹,

Bot²,

Terwee³

et al. 2005

Arthritis & Rheumatism

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“…In the present study, the "initial pain intensity" factor was treated as a continuous variable in the regression analysis, and the findings revealed that the higher the initial pain intensity, the higher the risk of developing chronic nonspecific neck pain. The 37,38) . Bot et al (2005) reported that more intense pain at baseline significantly reduced the probability of recovery at 3 months in patients with neck and shoulder pain 37) .…”

Section: Discussionmentioning

confidence: 99%

“…The 37,38) . Bot et al (2005) reported that more intense pain at baseline significantly reduced the probability of recovery at 3 months in patients with neck and shoulder pain 37) . Campbell et al (2013) found that pain intensity experienced during a period of primary care consultation, and patients' perceptions about whether their back pain would persist, were significant predictors of poor outcome at 6 months and at 5 years in patients with low back pain 39) .…”

Section: Discussionmentioning

confidence: 99%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study: Rattaporn Sihawong, et al. Faculty of Allied Health Sciences, Chulalongkorn University, Thailand Objective All occupations expose workers to varied and unique conditions. The nature of work has been recognized as influencing the health of workers. Whether predictors for chronic neck and low back pain would be occupation‐specific is unknown. This study aimed to identify predictors for chronic neck and low back pain in a cohort of office workers. Methods A prospective study was carried out among 669 healthy office workers. At baseline, risk factors were assessed using a questionnaire and standardized physical examination. A symptomatic case was defined as an individual who reported pain greater than 30 mm on a 100‐mm VAS, and chronic pain was defined as experiencing ongoing neck or low back pain for greater than 3 months over the past 6 months. Two regression models were built to analyze the risk factors for developing chronic neck and low back pain. Results Of the sample, 17 and 27% of office workers who reported a new onset of neck or low back pain developed chronicity, respectively. Predictors for chronic neck pain were high body mass index, frequent neck extension during the work day, high initial pain intensity, and high psychological job demands. The development of chronic low back pain was associated with history of low back pain and high initial pain intensity. Conclusions The findings suggest that predictors for chronic musculoskeletal pain in a subpopulation may be a subset of predictors identified in a general population or occupation specific. Successful management to prevent chronic musculoskeletal pain may also need to consider the patient's occupation.

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“…[55][56][57][58][59][60] It is possible that the patient may have improved because of the natural course of the disorder or other factors that were not measured or that we are unaware of. Because this was a single case report, it is not appropriate to generalize the effects from this patient to other patients with BJHS and spinal pain.…”

Section: Limitationsmentioning

confidence: 99%

Multimodal Chiropractic Care of Pain and Disability for a Patient Diagnosed With Benign Joint Hypermobility Syndrome: A Case Report

Strunk

Pfefer

Dube

2014

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe multimodal chiropractic care of a female patient diagnosed with benign joint hypermobility syndrome (BJHS) and a history of chronic spine pain. Clinical features: A 23-year-old white female presented for chiropractic care with chronic low back pain, neck pain, and headaches. The patient was diagnosed with BJHS, including joint hypermobility of her thumbs, elbows, right knee, and lumbopelvic region. A 6-year history of low back pain and varicose veins in her posterior thighs and knees were additional significant diagnostic findings of BJHS. Interventions and outcomes: The treatment consisted of spinal and extremity manipulation, Graston technique, and postisometric relaxation combined with sensory motor stimulation and scapular stabilization exercises. The patient was seen 15 times over an 18-week period. After 18 weeks of care, the Revised Oswestry Low Back Questionnaire and Headache Disability Index demonstrated clinically important improvements with her low back pain and headache; but little change was noted in her neck pain as measured by the Neck Disability Index. Conclusion: This patient with BJHS who had decreased disability and spine pain improved after a course of multimodal chiropractic care.

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Predictors of Outcome in Neck and Shoulder Symptoms

Abstract: The results found in this study indicate that besides clinical characteristics, psychological factors also predict the outcome of neck and shoulder symptoms.

Cited by 180 publications

References 34 publications

Course and prognosis of knee complaints in general practice

Course and prognosis of knee complaints in general practice

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Multimodal Chiropractic Care of Pain and Disability for a Patient Diagnosed With Benign Joint Hypermobility Syndrome: A Case Report

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