Prognostic factors for the improvement of pain and disability following multidisciplinary rehabilitation in patients with chronic neck pain
BMC Musculoskeletal Disorders Apr 08, 2021
Weigl M, et al. - In recent clinical studies, specific, multidisciplinary, bio-psychosocial, rehabilitation programs for chronic neck pain have been demonstrated as effective. Researchers conducted an observational, prospective cohort study with the aim to determine prognostic factors linked with improvements in chronic neck pain following participation in a 3-week, multidisciplinary, bio-psychosocial, rehabilitation program. Assessment of a total of 112 patients was done at the beginning, end, and 6 months following the completion of a multidisciplinary, bio-psychosocial, rehabilitation program. Improvement in pain+disability observed in patients at discharge remained sustained at the 6-month follow-up. Following were identified to be the prognostic factors linked with improvement in pain+disability scores at discharge: poor pain+disability baseline scores, older age, a good baseline cervical active range-of-motion (ROM), and improvements in the Short-form 36 mental health scale and cervical ROMs from baseline values. They noted similar prognostic factors to be linked with improvements in pain+disability at the 6-month follow-up, which included poor pain+disability baseline scores, improvements in the Short-form 36 mental health scale, cervical ROMs, and better cervical ROM baseline scores. However, older age did not remain a factor. Information concerning the prognostic factors may aid in the adoption of individualized therapy for cases who are less likely to respond to multidisciplinary rehabilitation.
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