PMID- 35284955 OWN - NLM STAT- MEDLINE DCOM- 20220520 LR - 20220913 IS - 1432-0932 (Electronic) IS - 0940-6719 (Linking) VI - 31 IP - 5 DP - 2022 May TI - Predictors of failure to achieve minimal clinical important difference for pain and disability after mechanical diagnosis and therapy (MDT)-based multimodal rehabilitation for neck pain: a retrospective analysis of 4998 patients. PG - 1291-1299 LID - 10.1007/s00586-022-07167-1 [doi] AB - PURPOSE: To determine predictors of failure to achieve minimal clinical important difference (MCID) for pain and disability at discharge after mechanical diagnosis and therapy (MDT)-based multimodal rehabilitation for neck pain (NP). METHODS: Pre- and post-treatment numerical pain rating scale (NPRS) and neck disability index (NDI) in patients with mechanical NP were analysed in this retrospective study. Multivariate analysis was performed to investigate the effect of covariates such as age, gender, lifestyle, body mass index, presentation, diabetes, osteoporosis, response to repeated movement testing, treatment sessions, compliance rate, and pre-treatment NPRS and NDI scores on failure to achieve MCID of >/= 30% for NPRS and NDI scores post-treatment. RESULTS: In the 4998 patients analysed for this study, 7% and 14.5% of patients failed to achieve MCID for NPRS and NDI scores, respectively, at the end of treatment. Age > 70 years, diabetes, osteoporosis, partial or non-response to repeated movements, lesser treatment sessions, and lower compliance rate were associated with increased risk for failure to achieve MCID for NPRS and NDI scores. A higher pre-treatment NDI score was associated with failure to achieve MCID for NPRS score, whereas lower pre-treatment NPRS and NDI scores were associated with failure to achieve MCID for NDI score. CONCLUSION: Although MDT-based multimodal rehabilitation helped to achieve significant reduction in pain and disability in mechanical NP, several baseline risk factors were associated with failure to achieve MCID for pain and disability after treatment. Identifying and modifying these factors as part of rehabilitation treatment may help to achieve better outcomes in mechanical NP. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Shetty, Gautam M AU - Shetty GM AUID- ORCID: 0000-0002-5211-2376 AD - QI Spine Clinic, #6 Level 2 Phoenix Market City, LBS Road, Kamani, Kurla (West), Mumbai, 400070, India. gautam.shetty@qispine.com. FAU - Vakil, Palak AU - Vakil P AD - QI Spine Clinic, #6 Level 2 Phoenix Market City, LBS Road, Kamani, Kurla (West), Mumbai, 400070, India. FAU - Jain, Shikha AU - Jain S AD - QI Spine Clinic, #6 Level 2 Phoenix Market City, LBS Road, Kamani, Kurla (West), Mumbai, 400070, India. FAU - Anandani, Garima AU - Anandani G AD - QI Spine Clinic, #6 Level 2 Phoenix Market City, LBS Road, Kamani, Kurla (West), Mumbai, 400070, India. FAU - Ram, C S AU - Ram CS AD - I.T.S College of Physiotherapy, Ghaziabad, India. LA - eng PT - Journal Article DEP - 20220313 PL - Germany TA - Eur Spine J JT - European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society JID - 9301980 SB - IM MH - Aged MH - Disability Evaluation MH - Humans MH - *Neck Pain/rehabilitation/therapy MH - *Osteoporosis MH - Pain Measurement MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Mechanical neck pain OT - Multimodal treatment OT - Physical therapy OT - Prognosis OT - Rehabilitation EDAT- 2022/03/15 06:00 MHDA- 2022/05/21 06:00 CRDT- 2022/03/14 06:02 PHST- 2021/04/30 00:00 [received] PHST- 2022/02/27 00:00 [accepted] PHST- 2022/02/08 00:00 [revised] PHST- 2022/03/15 06:00 [pubmed] PHST- 2022/05/21 06:00 [medline] PHST- 2022/03/14 06:02 [entrez] AID - 10.1007/s00586-022-07167-1 [pii] AID - 10.1007/s00586-022-07167-1 [doi] PST - ppublish SO - Eur Spine J. 2022 May;31(5):1291-1299. doi: 10.1007/s00586-022-07167-1. Epub 2022 Mar 13.