Guy's and St Thomas Hospital NHS Foundation Trust, Physiotherapy Department, St Thomas Hospital, Westminster Bridge Road, London, United Kingdom.
Guy's and St Thomas Hospital NHS Foundation Trust, Physiotherapy Department, St Thomas Hospital, Westminster Bridge Road, London, United Kingdom; Centre for Human and Aerospace Physiological Sciences, King's College London, United Kingdom; Pain Section, Neuroimaging, Institute of Psychiatry, Kings College London, United Kingdom; School of Health Sciences, University of South Australia, Australia.
Physiotherapy. 2018 Mar;104(1):54-60. doi: 10.1016/j.physio.2017.01.004. Epub 2017 Feb 13.
To determine the factors associated with physical activity participation in adults with chronic cervical spine pain.
A systematic review was conducted including searches of PubMed (MEDLINE), EMBASE and CINAHL from inception to June 12th, 2016. Grey literature and reference checking was also undertaken. Quantitative studies including factors related to physical activity participation in adults with chronic cervical spine pain were included. Two independent authors conducted the searches, extracted data and completed methodological quality assessment.
A total of seven studies met the selection criteria, however, four papers were finally included in the final review. A modified Downs and Black criteria was used to assess methodological quality, each study included was classed as moderate quality. A total of six factors were assessed against physical activity participation for people with chronic neck pain. These included: pain, fear of movement, smoking habits, socioeconomic status, gender, leisure and work time habits. A significant relationship was demonstrated between pain, leisure and work time habits and physical activity. Subjects were less likely to participate in physical activity if they were in pain. Subjects with neck pain were less likely to participate in physical activity in their leisure and work time.
This review, based on a small number of heterogeneous studies demonstrated key factors that are likely to affect physical activity in people with chronic neck pain, most notably, pain levels, leisure and work habits. This review suggests that more in-depth, high quality studies are required to fully understand the impact of chronic pain on physical activity.
PROSPERO CRD42015027970.
确定与慢性颈痛成人身体活动参与相关的因素。
系统综述，包括从开始到 2016 年 6 月 12 日在 PubMed（MEDLINE）、EMBASE 和 CINAHL 进行的检索。还进行了灰色文献和参考文献检查。包括与慢性颈痛成人身体活动参与相关的因素的定量研究。两名独立作者进行了检索、提取数据和完成方法学质量评估。
共有 7 项研究符合选择标准，但最终只有 4 篇论文纳入最终综述。使用改良的 Downs 和 Black 标准评估方法学质量，纳入的每项研究均为中等质量。共评估了 6 个因素与慢性颈痛患者的身体活动参与相关。这些因素包括：疼痛、运动恐惧、吸烟习惯、社会经济地位、性别、休闲和工作时间习惯。疼痛、休闲和工作时间习惯与身体活动之间存在显著关系。疼痛患者不太可能参加身体活动。颈痛患者在休闲和工作时间不太可能参加身体活动。
本综述基于少数异质性研究，确定了可能影响慢性颈痛患者身体活动的关键因素，尤其是疼痛水平、休闲和工作习惯。本综述表明，需要进行更深入、高质量的研究，以充分了解慢性疼痛对身体活动的影响。
PROSPERO CRD42015027970。
