An investigation to determine the association between neck pain and upper limb disability for patients with non-specific neck pain: A secondary analysis

Abstract This study investigated the relationship between neck pain and upper limb disability in patients with non-specific neck pain ( n = 151) recruited from physiotherapy departments in the United Kingdom. Baseline neck pain/disability was measured using the Northwick Park Neck Pain Questionnair...

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Veröffentlicht in:	Manual therapy 2011-10, Vol.16 (5), p.434-439
Hauptverfasser:	McLean, Sionnadh Mairi, Moffett, Jennifer Klaber, Sharp, Donald Macfie, Gardiner, Eric
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Arm - physiopathology Disability Evaluation Female Hand - physiopathology Humans Male Middle Aged Neck pain Neck Pain - diagnosis Neck Pain - physiopathology Neck Pain - rehabilitation Pain Measurement Pain self efficacy Physical Medicine and Rehabilitation Predictors Shoulder - physiopathology United Kingdom Upper Extremity - physiopathology Upper limb disability Young Adult
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creator	McLean, Sionnadh Mairi Moffett, Jennifer Klaber Sharp, Donald Macfie Gardiner, Eric
description	Abstract This study investigated the relationship between neck pain and upper limb disability in patients with non-specific neck pain ( n = 151) recruited from physiotherapy departments in the United Kingdom. Baseline neck pain/disability was measured using the Northwick Park Neck Pain Questionnaire (NPQ). Baseline upper limb disability was measured using the Disabilities of Arm, Shoulder, Hand questionnaire (DASH). A range of baseline psychosocial variables were measured as potential confounding variables. Pairwise analysis revealed a positive correlation between NPQ score and DASH score (Pearsons’ r = 0.799, p
doi_str_mv	10.1016/j.math.2011.01.003
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Baseline neck pain/disability was measured using the Northwick Park Neck Pain Questionnaire (NPQ). Baseline upper limb disability was measured using the Disabilities of Arm, Shoulder, Hand questionnaire (DASH). A range of baseline psychosocial variables were measured as potential confounding variables. Pairwise analysis revealed a positive correlation between NPQ score and DASH score (Pearsons’ r = 0.799, p < 0.001). After adjusting for potential confounding variables, stepwise linear regression indicated that increasing upper limb disability was predicted by two baseline variables: higher NPQ scores ( B = 0.743) and lower pain self efficacy (PSE) scores ( B = −0.489) { R2 = 0.713; n = 100, p < 0.001}. This study provides preliminary evidence that patients with severe neck pain/disability also report severe upper limb disability. The relationship between neck pain/disability and upper limb disability was mediated by PSE. Clinically, the presence of severe neck pain or low PSE should direct clinicians towards an assessment of upper limb function. In these cases upper limb disability may need to be addressed as part of the neck management process.</description><identifier>ISSN: 1356-689X</identifier><identifier>EISSN: 1532-2769</identifier><identifier>DOI: 10.1016/j.math.2011.01.003</identifier><identifier>PMID: 21345714</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arm - physiopathology ; Disability Evaluation ; Female ; Hand - physiopathology ; Humans ; Male ; Middle Aged ; Neck pain ; Neck Pain - diagnosis ; Neck Pain - physiopathology ; Neck Pain - rehabilitation ; Pain Measurement ; Pain self efficacy ; Physical Medicine and Rehabilitation ; Predictors ; Shoulder - physiopathology ; United Kingdom ; Upper Extremity - physiopathology ; Upper limb disability ; Young Adult</subject><ispartof>Manual therapy, 2011-10, Vol.16 (5), p.434-439</ispartof><rights>Elsevier Ltd</rights><rights>2011 Elsevier Ltd</rights><rights>Copyright © 2011 Elsevier Ltd. All rights reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-22b4c003411307a6b52448016a02af3a59633884a8496320863bdac8d5ef6b673</citedby><cites>FETCH-LOGICAL-c410t-22b4c003411307a6b52448016a02af3a59633884a8496320863bdac8d5ef6b673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.math.2011.01.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21345714$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McLean, Sionnadh Mairi</creatorcontrib><creatorcontrib>Moffett, Jennifer Klaber</creatorcontrib><creatorcontrib>Sharp, Donald Macfie</creatorcontrib><creatorcontrib>Gardiner, Eric</creatorcontrib><title>An investigation to determine the association between neck pain and upper limb disability for patients with non-specific neck pain: A secondary analysis</title><title>Manual therapy</title><addtitle>Man Ther</addtitle><description>Abstract This study investigated the relationship between neck pain and upper limb disability in patients with non-specific neck pain ( n = 151) recruited from physiotherapy departments in the United Kingdom. Baseline neck pain/disability was measured using the Northwick Park Neck Pain Questionnaire (NPQ). Baseline upper limb disability was measured using the Disabilities of Arm, Shoulder, Hand questionnaire (DASH). A range of baseline psychosocial variables were measured as potential confounding variables. Pairwise analysis revealed a positive correlation between NPQ score and DASH score (Pearsons’ r = 0.799, p < 0.001). After adjusting for potential confounding variables, stepwise linear regression indicated that increasing upper limb disability was predicted by two baseline variables: higher NPQ scores ( B = 0.743) and lower pain self efficacy (PSE) scores ( B = −0.489) { R2 = 0.713; n = 100, p < 0.001}. This study provides preliminary evidence that patients with severe neck pain/disability also report severe upper limb disability. The relationship between neck pain/disability and upper limb disability was mediated by PSE. Clinically, the presence of severe neck pain or low PSE should direct clinicians towards an assessment of upper limb function. In these cases upper limb disability may need to be addressed as part of the neck management process.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arm - physiopathology</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Hand - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neck pain</subject><subject>Neck Pain - diagnosis</subject><subject>Neck Pain - physiopathology</subject><subject>Neck Pain - rehabilitation</subject><subject>Pain Measurement</subject><subject>Pain self efficacy</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Predictors</subject><subject>Shoulder - physiopathology</subject><subject>United Kingdom</subject><subject>Upper Extremity - physiopathology</subject><subject>Upper limb disability</subject><subject>Young Adult</subject><issn>1356-689X</issn><issn>1532-2769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UtuKFDEQbURx19Uf8EHy5lOPufVNRBgWb7Dggwr7FtLpaqdmu5M2ld5l_sTPNcOsCj4IBSnIqUPVOacongu-EVzUr_ab2abdRnIhNjwXVw-Kc1EpWcqm7h7mXlV1Wbfd9VnxhGjPOe80rx4XZ1IoXTVCnxc_t56hvwVK-N0mDJ6lwAZIEGf0wNIOmCUKDk-fPaQ7AM88uBu2WPTM-oGtywKRTTj3bECyPU6YDmwMMUMSgk_E7jDtmA--pAUcjuj-UrxmW0bggh9sPGQ-Ox0I6WnxaLQTwbP796L49v7d18uP5dXnD58ut1el04KnUspeu3y5FkLxxtZ9JbVuszqWSzsqW3W1Um2rbatzJ3lbq36wrh0qGOu-btRF8fLEu8TwY806mBnJwTRZD2El07ZVx5uuFRkpT0gXA1GE0SwR57yzEdwcDTF7czTEHA0xPBdXeejFPf3azzD8GfntQAa8OQEgH3mLEA25LJmDASO4ZIaA_-d_-8-4m9Cjs9MNHID2YY1ZUDLCkDTcfDlG4pgIIXIauL5WvwDXPrMq</recordid><startdate>20111001</startdate><enddate>20111001</enddate><creator>McLean, Sionnadh Mairi</creator><creator>Moffett, Jennifer Klaber</creator><creator>Sharp, Donald Macfie</creator><creator>Gardiner, Eric</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111001</creationdate><title>An investigation to determine the association between neck pain and upper limb disability for patients with non-specific neck pain: A secondary analysis</title><author>McLean, Sionnadh Mairi ; Moffett, Jennifer Klaber ; Sharp, Donald Macfie ; Gardiner, Eric</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-22b4c003411307a6b52448016a02af3a59633884a8496320863bdac8d5ef6b673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arm - physiopathology</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Hand - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neck pain</topic><topic>Neck Pain - diagnosis</topic><topic>Neck Pain - physiopathology</topic><topic>Neck Pain - rehabilitation</topic><topic>Pain Measurement</topic><topic>Pain self efficacy</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Predictors</topic><topic>Shoulder - physiopathology</topic><topic>United Kingdom</topic><topic>Upper Extremity - physiopathology</topic><topic>Upper limb disability</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>McLean, Sionnadh Mairi</creatorcontrib><creatorcontrib>Moffett, Jennifer Klaber</creatorcontrib><creatorcontrib>Sharp, Donald Macfie</creatorcontrib><creatorcontrib>Gardiner, Eric</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Manual therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McLean, Sionnadh Mairi</au><au>Moffett, Jennifer Klaber</au><au>Sharp, Donald Macfie</au><au>Gardiner, Eric</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An investigation to determine the association between neck pain and upper limb disability for patients with non-specific neck pain: A secondary analysis</atitle><jtitle>Manual therapy</jtitle><addtitle>Man Ther</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>16</volume><issue>5</issue><spage>434</spage><epage>439</epage><pages>434-439</pages><issn>1356-689X</issn><eissn>1532-2769</eissn><abstract>Abstract This study investigated the relationship between neck pain and upper limb disability in patients with non-specific neck pain ( n = 151) recruited from physiotherapy departments in the United Kingdom. Baseline neck pain/disability was measured using the Northwick Park Neck Pain Questionnaire (NPQ). Baseline upper limb disability was measured using the Disabilities of Arm, Shoulder, Hand questionnaire (DASH). A range of baseline psychosocial variables were measured as potential confounding variables. Pairwise analysis revealed a positive correlation between NPQ score and DASH score (Pearsons’ r = 0.799, p < 0.001). After adjusting for potential confounding variables, stepwise linear regression indicated that increasing upper limb disability was predicted by two baseline variables: higher NPQ scores ( B = 0.743) and lower pain self efficacy (PSE) scores ( B = −0.489) { R2 = 0.713; n = 100, p < 0.001}. This study provides preliminary evidence that patients with severe neck pain/disability also report severe upper limb disability. The relationship between neck pain/disability and upper limb disability was mediated by PSE. Clinically, the presence of severe neck pain or low PSE should direct clinicians towards an assessment of upper limb function. In these cases upper limb disability may need to be addressed as part of the neck management process.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>21345714</pmid><doi>10.1016/j.math.2011.01.003</doi><tpages>6</tpages></addata></record>
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subjects	Adult Aged Aged, 80 and over Arm - physiopathology Disability Evaluation Female Hand - physiopathology Humans Male Middle Aged Neck pain Neck Pain - diagnosis Neck Pain - physiopathology Neck Pain - rehabilitation Pain Measurement Pain self efficacy Physical Medicine and Rehabilitation Predictors Shoulder - physiopathology United Kingdom Upper Extremity - physiopathology Upper limb disability Young Adult
title	An investigation to determine the association between neck pain and upper limb disability for patients with non-specific neck pain: A secondary analysis
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