Findings From The Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders
Findings From The Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders
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DOI：
10.1097/jom.0b013e3181d44f3b
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发表时间：
2010-04-01
影响因子：
3.2
通讯作者：
Cassidy, J. David
中科院分区：
文献类型：
--
作者：
Haldeman, Scott;Carroll, Linda;Cassidy, J. David
目的：总结颈部疼痛最佳证据综合的主要发现。方法：对有关颈部疼痛的负担和决定因素、其评估和干预、其病程和预后因素的文献进行系统搜索、严格审查和最佳证据综合。结果：有 552 项研究被认为具有足够的内部效度，可构成最佳证据综合的基础。颈部疼痛在不同人群和年龄段中都很常见。大多数人的症状并未完全消失，而且不同人群的恢复过程相似。在没有外伤和“危险信号”的情况下，不需要常规成像。强调活动和恢复正常功能的治疗比不注重活动和恢复正常功能的治疗更有益。结论：颈部疼痛很常见，其决定因素和预后是多因素的。
Objective: To summarize the key findings of a best-evidence synthesis on neck pain. Methods: A systematic search, critical review, and best-evidence synthesis of the literature on the burden and determinants of neck pain, its assessment and intervention, and its course and prognostic factors. Results: There were 552 studies judged to have adequate internal validity to form the basis of the best-evidence synthesis. Neck pain is common across populations and age groups. Most do not experience a complete resolution of symptoms, and its course of recovery is similar across populations. In the absence of trauma and "red flags," routine imaging is not needed. Treatments emphasizing activity and return to normal function are more beneficial than those without such a focus. Conclusion: Neck pain is common, and its determinants and prognosis are multifactorial.