原创力文档predictors of outcome in neck pain patients undergoing chiropractic care comparison of acute and chronic patients预测结果在颈部疼痛患者接受按摩比较急性和慢性病人.pdfVIP
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predictors of outcome in neck pain patients undergoing chiropractic care comparison of acute and chronic patients预测结果在颈部疼痛患者接受按摩比较急性和慢性病人
Peterson et al. Chiropractic Manual Therapies 2012, 20:27
/content/20/1/27 CHIROPRACTIC MANUAL THERAPIES
RESEARCH Open Access
Predictors of outcome in neck pain patients
undergoing chiropractic care: comparison of
acute and chronic patients
Cynthia Peterson1*, Jennifer Bolton2 and B Kim Humphreys1
Abstract
Background: Neck pain is a common complaint in patients presenting for chiropractic treatment. The few studies
on predictors for improvement in patients while undergoing treatment identify duration of symptoms, neck
stiffness and number of previous episodes as the strong predictor variables. The purpose of this study is to
continue the research for predictors of a positive outcome in neck pain patients undergoing chiropractic treatment.
Methods: Acute ( 4 weeks) (n = 274) and chronic ( 3 months) (n = 255) neck pain patients with no chiropractic
or manual therapy in the prior 3 months were included. Patients completed the numerical pain rating scale (NRS)
and Bournemouth questionnaire (BQ) at baseline prior to treatment. At 1 week, 1 month and 3 months after start
of treatment the NRS and BQ were completed along with the Patient Global Impression of Change (PGIC) scale.
Demographic information was provided by the clinician. Improvement at each of the follow up points was
categorized using the PGIC. Multivariate regression analyses were done to determine significant independent
predictors of improvement.
Results: Baseline mean neck pain and total disability scores were significantly (p 0.001and p 0.008 respectively)
higher in acute patients. Both groups reported significant improvement at all data collection time points, but was
significantly larger for acute patients. The PGIC score at 1 week (OR = 3.35, 95% CI = 1.13-9.92) and the b
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