European Spine Journal

, Volume 17, Supplement 1, pp 214–220

Research Priorities and Methodological Implications

The Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders

Authors

    • Department of PublicHealth Sciences, and the Alberta Centre for Injury Control and Research,School of PublicHealthUniversity of Alberta
  • Eric L. Hurwitz
    • Department of Public Health Sciences, John A. Burns School of MedicineUniversity of Hawaii at Mānoa
  • Pierre Côté
    • Centre of Research Expertise in Improved Disability Outcomes(CREIDO)University Health Network Rehabilitation Solutions
    • Departments of Public Health Sciences and Health Policy, Management and EvaluationUniversity of Toronto
    • Division of Health Care and Outcomes ResearchToronto Western Research Institute
    • Institute for Work & Health
  • Sheilah Hogg-Johnson
    • Institute for Work and Health, Department of Public Health SciencesUniversity of Toronto
  • Eugene J. Carragee
    • Department of Orthopaedic SurgeryStanford University School of Medicine
    • Orthopaedic Spine Center and Spinal Surgery ServiceStanford University Hospital and Clinics
  • Margareta Nordin
    • Departments of Orthopedics and Environmental Medicine and Program of Ergonomics and Biomechanics, School of Medicine and Graduate School of Artsand ScienceNewYork University
    • Occupational and Industrial Orthopaedic Center (OIOC), New YorkUniversity Medical Center
  • Lena W. Holm
    • Institute of Environmental MedicineKarolinska Institutet
  • Gabrielle van der Velde
    • Department of Health Policy, Management and EvaluationUniversity of Toronto
    • Institute for Work & Health, Toronto Centre of Research Excellence in Improved Disability Outcomes(CREIDO)University Health Network Rehabilitation Solutions
    • Division of Health Care Outcomes and ResearchToronto Western Research Institute
  • J. David Cassidy
    • Centre of Research Expertise in Improved Disability Outcomes(CREIDO)University Health Network Rehabilitation Solutions
    • Division of Health Care and Outcomes ResearchToronto Western Research Institute
    • Departments of Public Health Sciences and Health Policy, Management and EvaluationUniversity of Toronto
  • Jaime Guzman
    • Department of MedicineUniversity of British Columbia, Occupational Health and Safety Agency for Healthcare
  • paul M. Peloso
    • Endocrinology, Analgesia and InflammationMerck & Co
  • Scott Haldeman
    • Department of NeurologyUniversity of California
    • Department of Epidemiology, School of Public HealthUniversity of California
Implications

DOI: 10.1007/s00586-008-0638-5

Cite this article as:
Carroll, L.J., Hurwitz, E.L., Côté, P. et al. Eur Spine J (2008) 17: 214. doi:10.1007/s00586-008-0638-5

Study Design

Best evidence synthesis.

Objective

To report on gaps in the literature and make methodologic recommendations based on our review of the literature on frequency and risk factors, assessment, intervention, and course and prognostic factors for neck pain and its associated disorders.

Summary of Background Data

The scientific literature on neck pain is large and of variable quality. We reviewed 1203 studies and judged 46 to be of sufficient scientific validity to be included in the best evidence synthesis. Scientific quality varied across study topics, and fundamental questions remain about important issues.

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 outline a large number of gaps in the current literature. For example,we found important gaps in our knowledge about neck pain in children (risk factors, screening criteria to rule out serious injury, management, course and prognosis); and in the prevention of neck pain-related activity limitations. Few studies addressed the impact of culture or social policies (such as governmental health policies or insurance compensation policies) on neck pain. A number of important questions remain about the effectiveness of commonly used interventions for neck pain.

Conclusion

The Neck Pain Task Force undertook a best evidence synthesis to establish a baseline of the current best evidence on the course and prognosis for whiplash-associated disorders. We identify a number of gaps in the current knowledge, and provide recommendations for the conduct of future studies.

Keywords

neck painsystematic reviewepidemiologyresearch recommendations

Copyright information

© Springer-Verlag 2008