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Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain.

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Date
2015-10
Authors
Horn, Maggie E
Brennan, Gerard P
George, Steven Z
Harman, Jeffrey S
Bishop, Mark D
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Abstract
OBJECTIVE: To determine the effect of clinical presentations of neck pain on short-term physical therapy outcomes. DESIGN: Retrospective analysis of pair-matched groups from a clinical cohort. SETTING: Thirteen outpatient physical therapy clinics in 1 health care system. PARTICIPANTS: Patients (N=1069) grouped by common clinical presentations of neck pain: nonspecific neck pain (NSNP) with duration <4 weeks; NSNP with duration >4 weeks; neck pain with arm pain; neck pain with headache; and neck pain from whiplash. INTERVENTION: Conservative interventions provided by physical therapists. MAIN OUTCOME MEASURES: Neck Disability Index (NDI) and numerical pain rating scale (NPRS) recorded at the initial and last visits. The main outcome of interest was achieving recovery status on the NDI. Changes in NDI and NPRS were compared between clinical presentation groups. RESULTS: Compared with patients presenting with NSNP >4 weeks, patients with NSNP <4 weeks had increased odds of achieving recovery status on the NDI (P<.0001) and demonstrated the greatest changes in clinical outcomes of pain (P≤.0001) and disability (P≤.0001). Patients with neck pain and arm pain demonstrated an increased odds of achieving recovery status on the NDI (P=.04) compared with patients presenting with NSNP >4 weeks. CONCLUSIONS: Treating patients with NSNP within <4 weeks of onset of symptoms may lead to improved clinical outcomes from physical therapy compared with other common clinical presentations.
Type
Journal article
Subject
Disability evaluation
Neck pain
Outcome assessment (health care)
Rehabilitation
Adult
Disability Evaluation
Female
Humans
Male
Middle Aged
Neck Pain
Outcome and Process Assessment (Health Care)
Pain Measurement
Physical Therapy Modalities
Retrospective Studies
Time Factors
Utah
Permalink
https://hdl.handle.net/10161/12757
Published Version (Please cite this version)
10.1016/j.apmr.2015.06.012
Publication Info
Horn, Maggie E; Brennan, Gerard P; George, Steven Z; Harman, Jeffrey S; & Bishop, Mark D (2015). Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain. Arch Phys Med Rehabil, 96(10). pp. 1756-1762. 10.1016/j.apmr.2015.06.012. Retrieved from https://hdl.handle.net/10161/12757.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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