Course and prognostic factors for neck pain in workers -: Results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders

被引：114

作者：

Carroll, Linda J. ^{[1
,2
]}

Hogg-Johnson, Sheilah ^{[3
,4
]}

Cote, Pierre ^{[3
,4
,5
,6
,7
]}

van der Velde, Gabrielle ^{[3
,5
,7
]}

Holm, Lena W. ^{[8
]}

Carragee, Eugene J. ^{[9
,10
,11
]}

Hurwitz, Eric L. ^{[12
]}

Peloso, Paul M. ^{[13
]}

Cassidy, J. David ^{[4
,5
,6
,7
]}

Guzman, Jaime ^{[14
]}

Nordin, Margareta ^{[15
,16
,17
,18
,19
]}

Haldeman, Scott ^{[6
,20
,21
]}

机构：

[1] Univ Alberta, Sch Publ Hlth, Dept Publ Hlth Sci, Edmonton, AB T6G 2E1, Canada

[2] Univ Alberta, Sch Publ Hlth, Alberta Ctr Injury Control & Res, Edmonton, AB, Canada

[3] Inst Work & Hlth, Toronto, ON, Canada

[4] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada

[5] Toronto Western Hosp, Univ Hlth Network Rehabil Solut, Ctr Res Expertise Improved Disabil Outcomes, Toronto, ON, Canada

[6] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON, Canada

[7] Toronto Western Res Inst, Div Hlth Care & Outcomes Res, Toronto, ON, Canada

[8] Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden

[9] Stanford Univ, Sch Med, Dept Orthoped Surg, Stanford, CA 94305 USA

[10] Stanford Univ Hosp & Clin, Orthoped Spine Ctr, Stanford, CA USA

[11] Stanford Univ Hosp & Clin, Spinal Surg Serv, Stanford, CA USA

[12] Univ Hawaii Manoa, John A Burns Sch Med, Dept Publ Hlth Sci, Honolulu, HI 96822 USA

[13] Merck & Co Inc, Rahway, NJ 07065 USA

[14] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada

[15] CUNY, Dept Orthoped, New York, NY 10021 USA

[16] CUNY, Dept Environm Med, New York, NY 10021 USA

[17] CUNY, Sch Med, Program Ergon & Biomech, New York, NY 10031 USA

[18] CUNY, Grad Sch Arts & Sci, New York, NY USA

[19] CUNY, Med Ctr, Occupat & Ind Orthoped Ctr, New York, NY USA

[20] Univ Calif Irvine, Dept Neurol, Irvine, CA 92717 USA

[21] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA

来源：

SPINE | 2008年 / 33卷 / 04期

关键词：

neck pain; systematic review; epidemiology; prognosis;

D O I：

10.1097/BRS.0b013e31816445d4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. Best-evidence synthesis. Objective. To perform a best evidence synthesis on the course and prognostic factors for neck pain and its associated disorders in workers. Summary of Background Data. Knowledge of the course of neck pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of neck pain in the workplace. 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 the literature published between 1980 and 2006 to assemble the best evidence on neck pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results. We found 226 articles related to course and prognostic factors in neck pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with neck pain reported neck pain 1 year later. Few workplace or physical job demands were identified as being linked to recovery from neck pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior neck pain and prior sick leave were associated with poorer prognosis. Conclusion. The Neck Pain Task Force presents a report of current best evidence on course and prognosis for neck pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

引用

页码：S93 / S100

页数：8

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