Goo Miran, Jun Deokhoon
Department of Physical Therapy, Kyungsung University, Busan, South Korea.
Department of Physical Therapy, Daegu University, Gyeongsan, South Korea.
Musculoskelet Sci Pract. 2025 Feb;75:103236. doi: 10.1016/j.msksp.2024.103236. Epub 2024 Nov 22.
The aim of this study were to introduce a profile of a nationwide cohort for patients with neck pain and to identify the patterns of recurrent neck pain over time.
Health insurance data for 1,127,323 patients (43.5 ± 11.5 years, 60.8% females) with neck pain in 2010 were extracted from the National Health Information Database of South Korea. Data on the duration and frequency of neck pain and the number of healthcare visits recorded between 2002 and 2018 were screened and used for descriptive analysis.
During the study period, patients experienced 4.1 episodes of neck pain, and 74% of patients experienced multiple episodes. The duration of one episode was 12.1 ± 35.7 days. Following each episode, more than 73% of patients experienced a subsequent episode of neck pain. As patients experienced more episodes, the recurrence rate increased gradually from 73% to 80%, and subsequent episodes occurred in a shorter time and lasted longer with a higher number of healthcare visits, compared to a preceding episode.
The study highlighted the dynamic pattern of interfering neck pain, with episodes occurring more frequently and lasting longer over time. Early intensive management with a long-term follow-up is recommended to prevent a dynamic pattern of interfering neck pain.
本研究旨在介绍一个全国性颈部疼痛患者队列的概况，并确定颈部疼痛随时间复发的模式。
从韩国国家健康信息数据库中提取了2010年1,127,323例颈部疼痛患者（43.5±11.5岁，60.8%为女性）的医疗保险数据。筛选了2002年至2018年间记录的颈部疼痛持续时间、频率以及医疗就诊次数的数据，并用于描述性分析。
在研究期间，患者经历了4.1次颈部疼痛发作，74%的患者经历了多次发作。一次发作的持续时间为12.1±35.7天。每次发作后，超过73%的患者随后又经历了颈部疼痛发作。随着患者经历的发作次数增多，复发率从73%逐渐增加到80%，与前一次发作相比，随后的发作发生时间更短，持续时间更长，医疗就诊次数更多。
该研究突出了干扰性颈部疼痛的动态模式，随着时间推移发作更频繁且持续时间更长。建议进行早期强化管理并长期随访，以预防干扰性颈部疼痛的动态模式。
