Identifying prognostic factors predicting outcome in patients with chronic neck pain after multimodal treatment: A retrospective study.

The objective of this study was to identify prognostic factors to predict drop-out and favorable outcome in patients following a holistic treatment program at an outpatient rehabilitation clinic. This was achieved through a retrospective study involving 437 chronic neck pain sufferers who were involved in an exercise-based rehab programme between January 2008 and November 2011. . Prognostic factors were analyzed through a univariate and a multivariate logistic regression analysis.

Multivariate logistic regression revealed that a higher age (OR=0.960), presence of headache (OR=0.436) or low back pain (OR=0.525), and having low levels of depression (OR=1.044) increase the odds to complete the multimodal treatment program. A high NDI-score (OR=0.945), a high NRS-score for pain in the upper extremities (OR=0.862), a low NRS score for pain in the neck (OR=1.372), and a trauma in the patient’s history (OR=0.411) decrease the odds of having a favorable outcome after the given treatment program. The conclusions are that it is important to be aware of these prognostic factors as they may help therapists to identify patients with a good prognosis or patients at risk. For those at risk, this would allow the treatment approach to be redirected to address their specific needs.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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