A new conceptual model of neck pain -: Linking onset, course, and care:: The bone and joint decade 2000-2010 task force on neck pain and its associated disorders
A new conceptual model of neck pain -: Linking onset, course, and care:: The bone and joint decade 2000-2010 task force on neck pain and its associated disorders
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DOI：
10.1097/brs.0b013e3181643efb
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发表时间：
2008-02-15
期刊：
影响因子：
3
通讯作者：
Cassidy, J. David
中科院分区：
文献类型：
--
作者：
Guzman, Jaime;Hurwitz, Eric L.;Cassidy, J. David
研究设计。多学科工作组科学秘书处的迭代讨论和共识，审查关于颈部疼痛及其相关障碍的科学证据。提供一个将颈部疼痛的流行病学与其管理和后果联系起来的综合模型，并帮助组织和解释现有的知识，并突出当前文献中的空白。文献中描述的治疗颈部疼痛的科学和临床方法的多样性需要一个统一的概念模型来适当地解释研究证据。由12名成员组成的2000-2010年骨与关节十年颈部疼痛及其相关疾病工作队对总共552篇科学论文进行了严格审查，并最终被接受为科学上可以接受的论文。该小组举行了18次面对面的会议，并在6年的时间里经常举行电话会议，讨论和解释这些文献，并商定一个概念模式，以容纳调查结果。对科学文献中发表的模型和定义进行了讨论和反复修改，直到这里提出的模型和病例定义最终得到该小组的批准。我们的新概念模型以颈部疼痛或有颈部疼痛风险的人为中心。颈部疼痛被认为是一生中的一种间歇性事件，发作之间的恢复情况各不相同。该模型概述了应对颈部疼痛的个人可用的选择，以及决定选择、选择和后果的因素。颈部疼痛的短期和长期影响也被考虑在内。最后，根据受试者如何被纳入每项研究，该模型包括了颈部疼痛研究的5轴分类。科学秘书处认为概念模型有助于解释现有的科学证据。我们相信它可以帮助颈痛患者、研究人员、临床医生和政策制定者制定他们的问题和决定。
Study Design. Iterative discussion and consensus by a multidisciplinary task force scientific secretariat reviewing scientific evidence on neck pain and its associated disorders.Objective. To provide an integrated model for linking the epidemiology of neck pain with its management and consequences, and to help organize and interpret existing knowledge, and to highlight gaps in the current literature.Summary of Background Data. The wide variability of scientific and clinical approaches to neck pain described in the literature requires a unified conceptual model for appropriate interpretation of the research evidence.Methods. The 12- member Scientific Secretariat of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders critically reviewed and eventually accepted as scientifically admissible a total of 552 scientific papers. The group met face-to-face on 18 occasions and had frequent additional telephone conference meetings over a 6-year period to discuss and interpret this literature and to agree on a conceptual model, which would accommodate findings. Models and definitions published in the scientific literature were discussed and repeatedly modified until the model and case definitions presented here were finally approved by the group.Results. Our new conceptual model is centered on the person with neck pain or who is at risk for neck pain. Neck pain is viewed as an episodic occurrence over a lifetime with variable recovery between episodes. The model outlines the options available to individuals who are dealing with neck pain, along with factors that determine options, choices, and consequences. The short- and long-term impacts of neck pain are also considered. Finally, the model includes a 5-axis classification of neck pain studies based on how subjects were recruited into each study.Conclusion. The Scientific Secretariat found the conceptual model helpful in interpreting the available scientific evidence. We believe it can assist people with neck pain, researchers, clinicians, and policy makers in framing their questions and decisions.