Department of Neurology, University of California, Irvine, Calif, USA.
J Occup Environ Med. 2010 Apr;52(4):424-7. doi: 10.1097/JOM.0b013e3181d44f3b.
To summarize the key findings of a best-evidence synthesis on neck pain.
A systematic search, critical review, and best-evidence synthesis of the literature on the burden and determinants of neck pain, its assessment and intervention, and its course and prognostic factors.
There were 552 studies judged to have adequate internal validity to form the basis of the best-evidence synthesis. Neck pain is common across populations and age groups. Most do not experience a complete resolution of symptoms, and its course of recovery is similar across populations. In the absence of trauma and "red flags," routine imaging is not needed. Treatments emphasizing activity and return to normal function are more beneficial than those without such a focus.
Neck pain is common, and its determinants and prognosis are multifactorial.
总结颈部疼痛最佳证据综合的关键发现。
对有关颈部疼痛的负担和决定因素、评估和干预、病程和预后因素的文献进行系统检索、批判性评价和最佳证据综合。
有 552 项研究被认为具有足够的内部有效性，可以作为最佳证据综合的基础。颈部疼痛在不同人群和年龄组中都很常见。大多数人没有完全缓解症状，而且其恢复过程在不同人群中相似。在没有外伤和“危险信号”的情况下，不需要常规进行影像学检查。强调活动和恢复正常功能的治疗方法比没有这种重点的治疗方法更有益。
颈部疼痛很常见，其决定因素和预后是多因素的。
