Spinal pain—good sleep matters: a secondary analysis of a randomized controlled trial

Purpose The estimated prevalence of poor sleep in patients with non-specific chronic low back pain is estimated to 64 % in the adult population. The annual cost for musculoskeletal pain and reported poor sleep is estimated to be billions of dollars annually in the US. The aim of this cohort study wi...

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Veröffentlicht in:European spine journal 2016-03, Vol.25 (3), p.760-765
Hauptverfasser: Paanalahti, Kari, Wertli, Maria M., Held, Ulrike, Åkerstedt, Torbjörn, Holm, Lena W., Nordin, Margareta, Skillgate, Eva
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container_end_page 765
container_issue 3
container_start_page 760
container_title European spine journal
container_volume 25
creator Paanalahti, Kari
Wertli, Maria M.
Held, Ulrike
Åkerstedt, Torbjörn
Holm, Lena W.
Nordin, Margareta
Skillgate, Eva
description Purpose The estimated prevalence of poor sleep in patients with non-specific chronic low back pain is estimated to 64 % in the adult population. The annual cost for musculoskeletal pain and reported poor sleep is estimated to be billions of dollars annually in the US. The aim of this cohort study with one-year follow-up was to explore the role of impaired sleep with daytime consequence on the prognosis of non-specific neck and/or back pain. Methods Secondary analysis of a randomized controlled trial, including 409 patients. Results Patients with good sleep at baseline were more likely to experience a minimal clinically important difference in pain [OR 2.03 (95 % CI 1.22–3.38)] and disability [OR 1.85 (95 % CI 1.04–3.30)] compared to patients with impaired sleep at one-year follow-up. Conclusion Patients with non-specific neck and/or back pain and self-reported good sleep are more likely to experience a minimal clinically important difference in pain and disability compared to patients with impaired sleep with daytime consequence.
doi_str_mv 10.1007/s00586-015-3987-x
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The annual cost for musculoskeletal pain and reported poor sleep is estimated to be billions of dollars annually in the US. The aim of this cohort study with one-year follow-up was to explore the role of impaired sleep with daytime consequence on the prognosis of non-specific neck and/or back pain. Methods Secondary analysis of a randomized controlled trial, including 409 patients. Results Patients with good sleep at baseline were more likely to experience a minimal clinically important difference in pain [OR 2.03 (95 % CI 1.22–3.38)] and disability [OR 1.85 (95 % CI 1.04–3.30)] compared to patients with impaired sleep at one-year follow-up. 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The annual cost for musculoskeletal pain and reported poor sleep is estimated to be billions of dollars annually in the US. The aim of this cohort study with one-year follow-up was to explore the role of impaired sleep with daytime consequence on the prognosis of non-specific neck and/or back pain. Methods Secondary analysis of a randomized controlled trial, including 409 patients. Results Patients with good sleep at baseline were more likely to experience a minimal clinically important difference in pain [OR 2.03 (95 % CI 1.22–3.38)] and disability [OR 1.85 (95 % CI 1.04–3.30)] compared to patients with impaired sleep at one-year follow-up. 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Conclusion Patients with non-specific neck and/or back pain and self-reported good sleep are more likely to experience a minimal clinically important difference in pain and disability compared to patients with impaired sleep with daytime consequence.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26063054</pmid><doi>10.1007/s00586-015-3987-x</doi><tpages>6</tpages></addata></record>
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source MEDLINE; SpringerNature Journals
subjects Adult
Back pain
Back Pain - diagnosis
Back Pain - psychology
Back Pain - rehabilitation
Cohort Studies
Disability Evaluation
Female
Humans
Impaired sleep
Longitudinal Studies
Male
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Middle Aged
Musculoskeletal Manipulations - methods
Naprapathy
Neck pain
Neck Pain - diagnosis
Neck Pain - psychology
Neck Pain - rehabilitation
Neurosurgery
Original Article
Pain Measurement - methods
Prognosis
Sleep Wake Disorders - etiology
Sleep Wake Disorders - psychology
Spinal pain
Surgical Orthopedics
Treatment Outcome
title Spinal pain—good sleep matters: a secondary analysis of a randomized controlled trial
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