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 Therjournal_title
Manual therapyauthors
De Pauw R,Kregel J,De Blaiser C,Van Akeleyen J,Logghe T,Danneels L,Cagnie Bdoi
10.1016/j.math.2015.02.001subject
Has Abstractpub_date
2015-08-01 00:00:00pages
592-7issue
4eissn
1356-689Xissn
1532-2769pii
S1356-689X(15)00018-1journal_volume
20pub_type
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