Neck Pain

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Sheilah Hogg-johnson - One of the best experts on this subject based on the ideXlab platform.

  • The Prevalence and Incidence of Work Absenteeism Involving Neck Pain
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Pierre Côté, Sheilah Hogg-johnson, Vicki L. Kristman, Marjan Vidmar, Dwayne Van Eerd, Dorcas E. Beaton, Peter M. Smith
    Abstract:

    Abstract Study Design Cohort study. Objective To measure the prevalence and incidence of work absenteeism involving Neck Pain in a cohort of claimants to the Ontario Workplace Safety & Insurance Board (WSIB). Summary of Background Data According to workers' compensation statistics, Neck Pain accounts for a small proportion of lost-time claims. However, these statistics may be biased by an underenumeration of claimants with Neck disorders. Methods We studied all lost-time claimants to the Ontario WSIB in 1998 and used 2 methods to enumerate Neck Pain cases. We report the prevalence and incidence of Neck Pain using 2 denominators: (1) annual number of lost-time claimants and (2) an estimate of the Ontario working population covered by the WSIB. Results The estimated percentage of lost-time claimants with Neck Pain ranged from 2.8% (95% CI 2.5–3.3) using only codes specific for Neck Pain to 11.3% (95% CI 9.5–13.1) using a weighted estimate of codes capturing Neck Pain cases. The health care sector had the highest percentage of claims with Neck Pain. The annual incidence of Neck Pain among the Ontario working population ranged from 6 per 10,000 full-time equivalents (FTE) (95% CI 5–6) to 23 per 10,000 FTE (95% CI 20–27) depending on the codes used to capture Neck Pain. Male workers between the ages of 20 and 39 years were the most likely to experience an episode of work absenteeism involving Neck Pain. Conclusion Neck Pain is a common and burdensome problem for Ontario workers. Our study highlights the importance of properly capturing all Neck Pain cases when describing its prevalence and incidence.

  • Treatment of Neck Pain: Noninvasive Interventions
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Abstract Study Design Best evidence synthesis. Objective To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. Summary of Background Data No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. Methods We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Results Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short- or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Conclusion Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Abstract Study Design Best-evidence synthesis. Objective To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Summary of Background Data Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. Methods The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain 1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. Conclusion The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain: Noninvasive Interventions
    European Spine Journal, 2008
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short-or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    European Spine Journal, 2008
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Best-evidence synthesis. To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. The Bone and Joint Decade 2000−2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

Linda J. Carroll - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Neck Pain: Noninvasive Interventions
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Abstract Study Design Best evidence synthesis. Objective To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. Summary of Background Data No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. Methods We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Results Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short- or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Conclusion Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Abstract Study Design Best-evidence synthesis. Objective To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Summary of Background Data Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. Methods The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain 1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. Conclusion The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain: Noninvasive Interventions
    European Spine Journal, 2008
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short-or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    European Spine Journal, 2008
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Best-evidence synthesis. To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. The Bone and Joint Decade 2000−2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain
    European Spine Journal, 2008
    Co-Authors: Eugene J. Carragee, Eric L. Hurwitz, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Ivan Cheng, Pierre Côthé, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on surgical interventions for Neck Pain alone or with radicular Pain in the absence of serious pathologic disease. There have been no comprehensive systematic literature or evidence-based reviews published on this topic. We systematically searched Medline for literature published from 1980 to 2006 on percutaneous and open surgical interventions for Neck Pain. Publications on the topic were also solicited from experts in the field. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our Best Evidence Synthesis. Of the 31,878 articles screened, 1203 studies were relevant to the Neck Pain Task Force mandate and of these, 31 regarding treatment by surgery or injections were accepted as scientifically admissible. Radiofrequency neurotomy, cervical facet injections, cervical fusion and cervical arthroplasty for Neck Pain without radiculopathy are not supported by current evidence. We found there is support for short-term symptomatic improvement of radicular symptoms with epidural corticosteroids. It is not clear from the evidence that long-term out comes are improved with the surgical treatment of cervical radiculopathy compared to non operative measures. However, relatively rapid and substantial symptomatic relief after surgical treatment seems to be reliably achieved. It is not evident that one open surgical technique is clearly superior to others for radiculopathy. Cervical foramenal or epidural injections are associated with relatively frequent minor adverse events (5%–20%); however, serious adverse events are very uncommon (

Eric L. Hurwitz - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Neck Pain: Noninvasive Interventions
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Abstract Study Design Best evidence synthesis. Objective To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. Summary of Background Data No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. Methods We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Results Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short- or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Conclusion Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Abstract Study Design Best-evidence synthesis. Objective To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Summary of Background Data Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. Methods The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain 1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. Conclusion The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain: Noninvasive Interventions
    European Spine Journal, 2008
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short-or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    European Spine Journal, 2008
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Best-evidence synthesis. To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. The Bone and Joint Decade 2000−2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain
    European Spine Journal, 2008
    Co-Authors: Eugene J. Carragee, Eric L. Hurwitz, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Ivan Cheng, Pierre Côthé, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on surgical interventions for Neck Pain alone or with radicular Pain in the absence of serious pathologic disease. There have been no comprehensive systematic literature or evidence-based reviews published on this topic. We systematically searched Medline for literature published from 1980 to 2006 on percutaneous and open surgical interventions for Neck Pain. Publications on the topic were also solicited from experts in the field. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our Best Evidence Synthesis. Of the 31,878 articles screened, 1203 studies were relevant to the Neck Pain Task Force mandate and of these, 31 regarding treatment by surgery or injections were accepted as scientifically admissible. Radiofrequency neurotomy, cervical facet injections, cervical fusion and cervical arthroplasty for Neck Pain without radiculopathy are not supported by current evidence. We found there is support for short-term symptomatic improvement of radicular symptoms with epidural corticosteroids. It is not clear from the evidence that long-term out comes are improved with the surgical treatment of cervical radiculopathy compared to non operative measures. However, relatively rapid and substantial symptomatic relief after surgical treatment seems to be reliably achieved. It is not evident that one open surgical technique is clearly superior to others for radiculopathy. Cervical foramenal or epidural injections are associated with relatively frequent minor adverse events (5%–20%); however, serious adverse events are very uncommon (

Eugene J. Carragee - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Neck Pain: Noninvasive Interventions
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Abstract Study Design Best evidence synthesis. Objective To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. Summary of Background Data No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. Methods We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Results Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short- or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Conclusion Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Abstract Study Design Best-evidence synthesis. Objective To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Summary of Background Data Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. Methods The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain 1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. Conclusion The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain: Noninvasive Interventions
    European Spine Journal, 2008
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short-or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    European Spine Journal, 2008
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Best-evidence synthesis. To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. The Bone and Joint Decade 2000−2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain
    European Spine Journal, 2008
    Co-Authors: Eugene J. Carragee, Eric L. Hurwitz, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Ivan Cheng, Pierre Côthé, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on surgical interventions for Neck Pain alone or with radicular Pain in the absence of serious pathologic disease. There have been no comprehensive systematic literature or evidence-based reviews published on this topic. We systematically searched Medline for literature published from 1980 to 2006 on percutaneous and open surgical interventions for Neck Pain. Publications on the topic were also solicited from experts in the field. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our Best Evidence Synthesis. Of the 31,878 articles screened, 1203 studies were relevant to the Neck Pain Task Force mandate and of these, 31 regarding treatment by surgery or injections were accepted as scientifically admissible. Radiofrequency neurotomy, cervical facet injections, cervical fusion and cervical arthroplasty for Neck Pain without radiculopathy are not supported by current evidence. We found there is support for short-term symptomatic improvement of radicular symptoms with epidural corticosteroids. It is not clear from the evidence that long-term out comes are improved with the surgical treatment of cervical radiculopathy compared to non operative measures. However, relatively rapid and substantial symptomatic relief after surgical treatment seems to be reliably achieved. It is not evident that one open surgical technique is clearly superior to others for radiculopathy. Cervical foramenal or epidural injections are associated with relatively frequent minor adverse events (5%–20%); however, serious adverse events are very uncommon (

Pierre Côté - One of the best experts on this subject based on the ideXlab platform.

  • The Prevalence and Incidence of Work Absenteeism Involving Neck Pain
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Pierre Côté, Sheilah Hogg-johnson, Vicki L. Kristman, Marjan Vidmar, Dwayne Van Eerd, Dorcas E. Beaton, Peter M. Smith
    Abstract:

    Abstract Study Design Cohort study. Objective To measure the prevalence and incidence of work absenteeism involving Neck Pain in a cohort of claimants to the Ontario Workplace Safety & Insurance Board (WSIB). Summary of Background Data According to workers' compensation statistics, Neck Pain accounts for a small proportion of lost-time claims. However, these statistics may be biased by an underenumeration of claimants with Neck disorders. Methods We studied all lost-time claimants to the Ontario WSIB in 1998 and used 2 methods to enumerate Neck Pain cases. We report the prevalence and incidence of Neck Pain using 2 denominators: (1) annual number of lost-time claimants and (2) an estimate of the Ontario working population covered by the WSIB. Results The estimated percentage of lost-time claimants with Neck Pain ranged from 2.8% (95% CI 2.5–3.3) using only codes specific for Neck Pain to 11.3% (95% CI 9.5–13.1) using a weighted estimate of codes capturing Neck Pain cases. The health care sector had the highest percentage of claims with Neck Pain. The annual incidence of Neck Pain among the Ontario working population ranged from 6 per 10,000 full-time equivalents (FTE) (95% CI 5–6) to 23 per 10,000 FTE (95% CI 20–27) depending on the codes used to capture Neck Pain. Male workers between the ages of 20 and 39 years were the most likely to experience an episode of work absenteeism involving Neck Pain. Conclusion Neck Pain is a common and burdensome problem for Ontario workers. Our study highlights the importance of properly capturing all Neck Pain cases when describing its prevalence and incidence.

  • Treatment of Neck Pain: Noninvasive Interventions
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Abstract Study Design Best evidence synthesis. Objective To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. Summary of Background Data No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. Methods We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Results Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short- or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Conclusion Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    Journal of Manipulative and Physiological Therapeutics, 2009
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Abstract Study Design Best-evidence synthesis. Objective To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Summary of Background Data Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. Methods The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain 1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. Conclusion The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

  • Treatment of Neck Pain: Noninvasive Interventions
    European Spine Journal, 2008
    Co-Authors: Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Linda J. Carroll, Margareta Nordin, Jaime Guzman, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson
    Abstract:

    Best evidence synthesis. To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for Neck Pain and its associated disorders. No comprehensive systematic literature reviews have been published on interventions for Neck Pain and its associated disorders in the past decade. We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for Neck Pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other Neck Pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short-or long-term. For both whiplash-associated disorders and other Neck Pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with Neck Pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of Neck Pain prevention strategies.

  • Course and Prognostic Factors for Neck Pain in Workers
    European Spine Journal, 2008
    Co-Authors: Linda J. Carroll, Eric L. Hurwitz, Eugene J. Carragee, Gabrielle Van Der Velde, Paul M. Peloso, Lena W. Holm, Pierre Côté, Sheilah Hogg-johnson, J. David Cassidy, Jaime Guzman
    Abstract:

    Best-evidence synthesis. To perform a best evidence synthesis on the course and prognostic factors for Neck Pain and its associated disorders in workers. Knowledge of the course of Neck Pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of Neck Pain in the workplace. The Bone and Joint Decade 2000−2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on Neck Pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. We found 226 articles related to course and prognostic factors in Neck Pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with Neck Pain reported Neck Pain1 year later. Few workplace or physical job demands were identified as being linked to recovery from Neck Pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior Neck Pain and prior sick leave were associated with poorer prognosis. The Neck Pain Task Force presents a report of current best evidence on course and prognosis for Neck Pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

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