Course and prognostic factors for neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.
METHODS
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.


BACKGROUND
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.


CONCLUSIONS
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.
Carroll
Linda J
LJ
Department of Public Health Sciences, School of Public Health, University of Alberta, Canada. lcarroll@ualberta.ca
Hogg-Johnson
Sheilah
S
Côté
Pierre
P
van der Velde
Gabrielle
G
Holm
Lena W
LW
Carragee
Eugene J
EJ
Hurwitz
Eric L
EL
Peloso
Paul M
PM
Cassidy
J David
JD
Guzman
Jaime
J
Nordin
Margareta
M
Haldeman
Scott
S