Psychological Factors and Domains of Neck Pain Disability

Young, Sharon B.; Aprill, Charles; Braswell, Jennifer; Ogard, William K.; Richards, J. Scott; McCarthy, John P.

doi:10.1111/j.1526-4637.2009.00571.x

Cited by 41 publications

(34 citation statements)

References 24 publications

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“…The NDI is the most widely used questionnaire for disability due to neck pain (114,115). It is highly reliable and strongly internally consistent, as documented in several studies, and has strong and well-documented validity (114), and been found valid and reliable in chronic neck pain (116) and in subacute WAD (117).…”

Section: Main Outcomementioning

confidence: 98%

“…It has been translated into Swedish and found reliable (116). It has five items that are classified to impairments, three to activity limitations and two that are indicative of participation restrictions (115). The 10 items are; pain intensity, personal care, lifting, sleeping, driving, recreation, headache, concentration, reading and work.…”

Section: Main Outcomementioning

confidence: 99%

“…The index can be used either as a score of maximum 50, which is most commonly used, or as a percentage out of 100% (114). There is some disagreement whether it has a one factor (118) or two factor structure (115,117), and whether these two factors correlate or not. In WAD a two-factor structure is suggested, where one of the factors is labelled "pain and interference with cognitive function" (neck pain, headache, sleeping, concentration and reading), and the other one is labelled "functional disability" (work, personal care, driving, lifting, recreation).…”

Section: Main Outcomementioning

confidence: 99%

See 2 more Smart Citations

Neck-specific exercise with or without a behavioural approach, or prescription of physical activity in chronic whiplash associated disorders

Ludvigsson¹

2016

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Section: Main Outcomementioning

confidence: 98%

Section: Main Outcomementioning

confidence: 99%

Section: Main Outcomementioning

confidence: 99%

See 1 more Smart Citation

Neck-specific exercise with or without a behavioural approach, or prescription of physical activity in chronic whiplash associated disorders

Ludvigsson¹

2016

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“…NDI has a minimal detectable change (MDC) of 20% change and the minimal clinically important difference (MCID) is a 14% change. The NPRS has an MDC of 2 points and an MCID of 1.3 points in mechanical neck pain patients [32][33][34][35].…”

Section: Outcome Measuresmentioning

confidence: 99%

The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain

Zemadanis¹

2018

J Nov Physiother Rehabil

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Background: Mechanical chronic neck pain is very common musculoskeletal dysfunction among people, manifesting one or more pain-induced movements and disability impairments. Clinical guidelines suggest passive cervical mobilization and thoracic manipulation as manual therapy interventions. Mulligan concept has positive effect in patients with lumbar and thoracic spine mechanical chronic pain. Study objective was to investigate possible clinical effects of Mulligan techniques in patients with cervical pain according to pain and disability status.Methods: forty participants diagnosed with mechanical chronic cervical pain, randomly assigned into experimental and control group. NAG, SNAG and self-SNAG joint mobilization in a nine-sessions protocol implemented to the study group, while SHAM-Mulligan techniques applied to control group. Self-reported questionnaires Numeric Pain Rating scale (NPRT) and Neck Disability Index (NDI) were used for the measurement of pain and disability levels respectively. Possible Interactions among Factors (TIME X GROUP) and simple effects in three-time measurements of pre, post and one-month follow-up concerning NDI and NPRS variables, were detected with Mixed-ANOVA test.Results: Baseline scores of pain and disability resulted in no differences between groups. A signifi cant Group and Time factors interaction founded and simple main effects analysis showed that Mulligan concept-group had signifi cant improvement in post-intervention NPRT and NDI scores (p<.001), compared to baseline scores. Follow-up also differed compared to post-treatment score (p<.001). SHAM-Mulligan control group had no signifi cant differences in dependent variables at any level of TIME factor (p>.001). Signifi cant differences were found between groups according to second and third measurement phase (p<.001). Conclusion:Our fi ndings suggest that Mulligan concept techniques improve symptoms of pain and disability in chronic mechanical neck pain patients in short and mid-term effect level.Summary: mobilization techniques of SNAGs, NAGS and self-SNAGs reduces pain and improve function in patients with mechanical neck pain. Taken into consideration the safety and simplicity of application, future studies are encourage to examine the underline mechanism of action.

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“…4). On the other hand, the potential confounding effects of psychosocial factors on NDI scores may call into question the responsiveness of the NDI to evaluate treatment outcomes after surgery [162]. …”

Section: Neck Disability In Patients With Cr and Scheduled For Surgermentioning

confidence: 99%

Neck disability in patients with cervical radiculopathy and evaluation of structured postoperative physiotherapy

Wibault¹

2015

Linköping University Medical Dissertations

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Non-surgical and surgical approaches to treatment are used in patients with cervical radiculopathy (CR) due to disc disease. Overall, good effects of surgery have been reported on arm pain and neurological symptoms. However, the effects on neck functioning are more uncertain. Studies have shown persistent activity limitations; participation restrictions; and impairments in neck-related body functions after surgery. Structured physiotherapy combining neck-specific exercises with a behavioural approach has been suggested as treatment before as well as after surgery to improve clinical outcomes in patients with CR. Randomized clinical trials of postoperative physiotherapy to inform evidence-based clinical guidelines for the treatment of patients with CR are lacking. The overall aim of the thesis was to investigate the additional benefit of structured postoperative physiotherapy combining neck-specific exercises with a behavioural approach compared to standard postoperative approach in patients with CR. A further aim was to evaluate the contribution of different aspects of neck-related body functions and mental functions on preoperative neck disability in these patients. A total of 202 patients with CR who were scheduled for surgery were recruited, and randomized preoperatively to either structured postoperative physiotherapy, or standard postoperative approach. Standard postoperative approach was in accordance with Swedish postoperative care, and may have included pragmatic physiotherapy after surgery when needed. Patients were evaluated with a set of questionnaires and clinical examinations before surgery and at 3 and 6 months after surgery. Outcomes included patient-reported measures of pain, neck functioning, global outcome, clinical evaluation of neckrelated body functions, self-efficacy and coping strategies, as well as expectation fulfilment and enablement. Differences between treatment groups were investigated in complete case and per-protocol approaches (Paper III & IV). A sub-sample of patients with CR who were scheduled for surgery were also compared with neck-healthy individuals for assessment of head repositioning accuracy with a cervical range of motion device (Paper I). In patients with CR who were scheduled for surgery, associations between preoperative measures of neck-related body functions, mental functions, and other contextual factors with patientreported neck disability were studied (Paper II). With the exception of greater expectation fulfilment in patients who received structured postoperative physiotherapy (p = 0.01), there were no differences between the treatment groups in outcomes at 6 months after surgery. There were no differences reported for changes in outcomes from before surgery to 6 months after surgery between the groups, but all outcomes significantly improved from baseline in both groups (p<0.001) (Paper III & IV). However, global outcome and frequency of neck pain improved during the postoperative period only in patients who received structured postoperative physiot...

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Psychological Factors and Domains of Neck Pain Disability

Cited by 41 publications

References 24 publications

Neck-specific exercise with or without a behavioural approach, or prescription of physical activity in chronic whiplash associated disorders

Neck-specific exercise with or without a behavioural approach, or prescription of physical activity in chronic whiplash associated disorders

The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain

Neck disability in patients with cervical radiculopathy and evaluation of structured postoperative physiotherapy

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