Guzman Jaime, Hurwitz Eric L, Carroll Linda J, Haldeman Scott, Côté Pierre, Carragee Eugene J, Peloso Paul M, van der Velde Gabrielle, Holm Lena W, Hogg-Johnson Sheilah, Nordin Margareta, Cassidy J David
Department of Medicine, University of British Columbia, Canada.
J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S17-28. doi: 10.1016/j.jmpt.2008.11.007.
Iterative discussion and consensus by a multidisciplinary task force scientific secretariat reviewing scientific evidence on neck pain and its associated disorders.
To provide an integrated model for linking the epidemiology of neck pain with its management and consequences, and to help organize and interpret existing knowledge, and to highlight gaps in the current literature.
The wide variability of scientific and clinical approaches to neck pain described in the literature requires a unified conceptual model for appropriate interpretation of the research evidence.
The 12-member Scientific Secretariat of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders critically reviewed and eventually accepted as scientifically admissible a total of 552 scientific papers. The group met face-to-face on 18 occasions and had frequent additional telephone conference meetings over a 6-year period to discuss and interpret this literature and to agree on a conceptual model, which would accommodate findings. Models and definitions published in the scientific literature were discussed and repeatedly modified until the model and case definitions presented here were finally approved by the group.
Our new conceptual model is centered on the person with neck pain or who is at risk for neck pain. Neck pain is viewed as an episodic occurrence over a lifetime with variable recovery between episodes. The model outlines the options available to individuals who are dealing with neck pain, along with factors that determine options, choices, and consequences. The short- and long-term impacts of neck pain are also considered. Finally, the model includes a 5-axis classification of neck pain studies based on how subjects were recruited into each study.
The Scientific Secretariat found the conceptual model helpful in interpreting the available scientific evidence. We believe it can assist people with neck pain, researchers, clinicians, and policy makers in framing their questions and decisions.
由一个多学科特别工作组科学秘书处进行反复讨论并达成共识，该秘书处负责审查有关颈部疼痛及其相关疾病的科学证据。
提供一个综合模型，将颈部疼痛的流行病学与其管理及后果联系起来，帮助整理和解释现有知识，并突出当前文献中的空白。
文献中描述的针对颈部疼痛的科学和临床方法存在很大差异，因此需要一个统一的概念模型来恰当地解释研究证据。
2000 - 2010年骨与关节十年颈部疼痛及其相关疾病特别工作组的12名成员组成的科学秘书处，严格审查并最终认可了总共552篇科学论文，认为其具有科学可接受性。该小组在6年时间里共进行了18次面对面会议，并经常召开额外的电话会议，以讨论和解释这些文献，并就一个能够容纳研究结果的概念模型达成一致。对科学文献中发表的模型和定义进行了讨论并反复修改，直到此处呈现的模型和病例定义最终得到该小组的批准。
我们的新概念模型以患有颈部疼痛或有颈部疼痛风险的人为中心。颈部疼痛被视为一生中偶发的情况，发作之间的恢复情况各不相同。该模型概述了应对颈部疼痛的个体可采用的选择，以及决定选择、抉择和后果的因素。还考虑了颈部疼痛的短期和长期影响。最后，该模型包括一个基于受试者如何被纳入每项研究的颈部疼痛研究的五轴分类。
科学秘书处发现该概念模型有助于解释现有的科学证据。我们相信它可以帮助颈部疼痛患者、研究人员、临床医生和政策制定者构建他们的问题并做出决策。
