The Burden and Determinants of Neck Pain in the General Population
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Best evidence synthesis.
To undertake a best evidence synthesis of the published evidence on the burden and determinants of neck pain and its associated disorders in the general population.
Summary of Background Data
The evidence on burden and determinants of neck has not previously been summarized.
The Bone and Joint Decade 2000−2010 Task Force on Neck Pain and Its Associated Disorders performed a systematic search and critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Studies meeting criteria for scientific validity were included in a best evidence synthesis.
We identified 469 studies on burden and determinants of neck pain, and judged 249 to be scientifically admissible; 101 articles related to the burden and determinants of neck pain in the general population. Incidence ranged from 0.055 per 1000 person years (disc herniation with radiculopathy) to 213 per 1000 persons (self-reported neck pain). Incidence of neck injuries during competitive sports ranged from 0.02 to 21 per 1000 exposures. The 12-month prevalence of pain typically ranged between 30% and 50%; the 12-month prevalence of activity-limiting pain was 1.7% to 11.5%. Neck pain was more prevalent among women and prevalence peaked in middle age. Risk factors for neck pain included genetics, poor psychological health, and exposure to tobacco. Disc degeneration was not identified as a risk factor. The use of sporting gear (helmets, face shields) to prevent other types of injury was not associated with increased neck injuries in bicycling, hockey, or skiing.
Neck pain is common. Nonmodifiable risk factors for neck pain included age, gender, and genetics. Modifiable factors included smoking, exposure to tobacco, and psychological health. Disc degeneration was not identified as a risk factor. Future research should concentrate on longitudinal designs exploring preventive strategies and modifiable risk factors for neck pain.
Keywordsneck pain epidemiology incidence prevalence risk factors associated factors
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- 11.SAS Online Doc 9.1.3 [computer program]. Version 9.1.3. 2004.Google Scholar
- 43.van den Heuvel SG, Heinrich J, Jans MP, et al. (2005) The effect of physical activity in leisure time on neck and upper limb symptoms. Prev Med 41:260–70Google Scholar
- 44.Deleted in proof.Google Scholar
- 57.Chiu TT, Leung AS (2005) Neck pain in Hong Kong: a telephone survey on prevalence, consequences, and risk groups. Spinex 31:E540–4Google Scholar
- 58.Chopra A, Saluja M, Patil J, et al. (2002) Pain and disability, perceptions and beliefs of a rural Indian population: A WHO-ILAR COPCORD study. WHO-International League of Associations for Rheumatology. Community Oriented Program for Control of Rheumatic Diseases. J Rheumatol 29:614–21PubMedGoogle Scholar
- 74.Isacsson A, Hanson BS, Ranstam J, et al. (1995) Social network, social support and the prevalence of neck and low back pain after retirement. A population study of men born in 1914 in Malmo, Sweden. Scand J Soc Med 23: 17–22Google Scholar
- 89.Schytt E, Lindmark G, Waldenstrom U (2005) Physical symptoms after childbirth: prevalence and associations with self-rated health. Int J ObstetGynaecol 112:210–7Google Scholar
- 99.Lien L, Claussen B, Hauff E, et al. (2005) Bodily pain and associated mental distress among immigrant adolescents: a population-based cross-sectional study. Eur Child Adolesc Psychiatry 7:375Google Scholar
- 101.Harma A, Kaltiala-Heino R, Rimpela M, et al. (2002) Are adolescents with frequent pain symptoms more depressed?. Scand J Prim Health Care 2:96Google Scholar
- 108.van Gent C, Dols J, de Rover C, et al. (2003) The weight of schoolbags and the occurrence of neck, shoulder, and back pain in young adolescents. Spine 9:916–21Google Scholar
- 111.Wedderkopp N, Andersen LB, Froberg K, et al. Back pain reporting in young girls appears to be puberty-related. BMC Musculoskelet Disord 2005;6.Google Scholar
- 123.Carey TS, Garrett JM, Jackman A, et al. (1999) Recurrence and care seeking after acute back pain: results of a long-term follow-up study. North Carolina Back Pain Project. Med Care 37:157–64Google Scholar
- 134.Bates D, Buchwald D, Lee J, et al. (1991) A comparison of case definitions of chronic fatigue syndrome. Clin Infect Dis 18(Supp 1):S11–5Google Scholar
- 135.Beaton DE, Cole DC, Manno M, et al. (2000) Describing the burden of upper-extremity musculoskeletal disorders in newspaper workers: what difference do case definitions make?. J Occup Rehabil 10:39–53Google Scholar