PMID- 30015651
OWN - NLM
STAT- MEDLINE
DCOM- 20191104
LR  - 20191104
IS  - 2380-0194 (Electronic)
IS  - 2380-0186 (Linking)
VI  - 31
IP  - 9
DP  - 2018 Nov
TI  - Real-World Effectiveness of Physical Therapy for Common Neck Pain Diagnoses: A 
      Multivariate Analysis of 1554 Patients.
PG  - 395-399
LID - 10.1097/BSD.0000000000000691 [doi]
AB  - STUDY DESIGN: Retrospective cohort study (Level of evidence-3). OBJECTIVE: The 
      objective of this study was to investigate the real-life effectiveness of 
      physical therapy (PT) for patients initially presenting with common neck pain 
      diagnoses. SUMMARY OF BACKGROUND DATA: Neck pain is a common cause of morbidity 
      and a leading cause of disability in the United States. PT is prescribed as a 
      first-line treatment for the vast majority of patients with neck pain; however, 
      there is limited literature supporting the effectiveness of these treatments. 
      METHODS: A total of 1554 patients enrolled in PT for the nonoperative treatment 
      of neck pain were included in the study. Three primary patient-reported outcome 
      (PRO) measures [neck disability index (NDI), resting numeric pain rating scale 
      (NPRS), and activity NPRS] were recorded before and at conclusion of therapy. 
      Improvement was noted if patients met a threshold value for a minimal clinically 
      important difference (MCID). Bivariate analysis using a chi test and multiple 
      logistic regression analysis were performed to determine risk factors predictive 
      of treatment failure. RESULTS: About 40.5% of patients achieved MCID for NDI with 
      an average change of -6.31 points. For resting NPRS and activity NPRS scores, 
      50.6% and 52.1% of patients achieved MCID with an average change of -1.93 and 
      -2.36, respectively. After multiple logistic regression analysis, worker's 
      compensation status was found to be an independent predictor for treatment 
      failure in all groups; whereas, Medicare status was found predictive of achieving 
      MCID in the activity NPRS group. CONCLUSIONS: We observed that up to half of the 
      patients analyzed met the minimum criteria for improvement in neck pain with 
      respect to the PRO measures, suggesting that real-life effectiveness of PT for 
      common neck pain diagnoses may approach 50%.
FAU - Divi, Srikanth N
AU  - Divi SN
AD  - Department of Orthopaedic Surgery, University of Chicago Medical Center, Chicago, 
      IL.
FAU - Eleswarapu, Ananth S
AU  - Eleswarapu AS
AD  - Department of Orthopaedics, University of Miami Health System, Miami, FL.
FAU - Stout, Christopher E
AU  - Stout CE
AD  - ATI, Bolingbrook, IL.
AD  - Department of Psychiatry, University of Illinois at Chicago, College of Medicine, 
      Chicago, IL.
FAU - Lee, Michael J
AU  - Lee MJ
AD  - Department of Orthopaedic Surgery, University of Chicago Medical Center, Chicago, 
      IL.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Clin Spine Surg
JT  - Clinical spine surgery
JID - 101675083
SB  - IM
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Neck Pain/*diagnosis/*therapy
MH  - Pain Measurement
MH  - *Physical Therapy Modalities
MH  - Risk Factors
MH  - Treatment Outcome
EDAT- 2018/07/18 06:00
MHDA- 2019/11/05 06:00
CRDT- 2018/07/18 06:00
PHST- 2018/07/18 06:00 [pubmed]
PHST- 2019/11/05 06:00 [medline]
PHST- 2018/07/18 06:00 [entrez]
AID - 10.1097/BSD.0000000000000691 [doi]
PST - ppublish
SO  - Clin Spine Surg. 2018 Nov;31(9):395-399. doi: 10.1097/BSD.0000000000000691.