Identifying prognostic factors predicting outcome in patients with chronic neck pain after multimodal treatment: A retrospective study.

Abstract:

OBJECTIVES:This study was conducted to identify possible prognostic factors to predict drop-out and favorable outcome in patients following a multimodal treatment program at an outpatient rehabilitation clinic. METHODS:A retrospective cohort study was conducted on 437 patients with chronic neck pain involved in an exercise-based rehabilitation program of an outpatient rehabilitation center between January 2008 and November 2011. Prognostic factors were analyzed through a univariate and a multivariate logistic regression analysis. RESULTS:Multivariate logistic regression revealed that a higher age (OR=0.960), presence of headache (OR=0.436) or low back pain (OR=0.525), and having low levels of depression (OR=1.044) increase the odds to complete the multimodal treatment program. A high NDI-score (OR=0.945), a high NRS-score for pain in the upper extremities (OR=0.862), a low NRS score for pain in the neck (OR=1.372), and a trauma in the patient's history (OR=0.411) decrease the odds of having a favorable outcome after the given treatment program. CONCLUSION:It is important to assess these prognostic factors as they may help therapists to identify patients with a good prognosis or patients at risk. For those at risk, this would allow the treatment approach to be redirected to address their specific needs.

journal_name

Man Ther

journal_title

Manual therapy

authors

De Pauw R,Kregel J,De Blaiser C,Van Akeleyen J,Logghe T,Danneels L,Cagnie B

doi

10.1016/j.math.2015.02.001

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

592-7

issue

4

eissn

1356-689X

issn

1532-2769

pii

S1356-689X(15)00018-1

journal_volume

20

pub_type

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