Trial reportThe Clinical journal of pain2019
Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain.
Trial report in The Clinical journal of pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- The association between psychosocial factors and mental health symptoms in cervical spine pain with or without radiculopathy on health outcomes: a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Efficacy and safety of Shi's cervical manipulation versus diclofenac for patients with acute and subacute neck pain: a multicenter clinical randomized trial.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2025Trial
- The efficiency of tactile discrimination training and oculomotor exercises in people with chronic neck pain: a randomized controlled trial.BMC musculoskeletal disorders · 2025Trial
- Observational
- Systemic Inflammation, Sleep, and Psychological Factors Determine Recovery Trajectories for People With Neck Pain: An Exploratory Study.The journal of pain · 2024Article
- Identifying Weekly Trajectories of Pain Severity Using Daily Data From an mHealth Study: Cluster Analysis.JMIR mHealth and uHealth · 2024Article
- Development and initial testing of a brief, generic self-reported disability questionnaire: The Universal Disability Index.PloS one · 2024Article
- Automatic Variable Selection Algorithms in Prognostic Factor Research in Neck Pain.Journal of clinical medicine · 2023Article
- Clinical indicators for recommending continued care to patients with neck pain in chiropractic practice: a cohort study.Chiropractic & manual therapies · 2023Observational
- The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Exploring visual pain trajectories in neck pain patients, using clinical course, SMS-based patterns, and patient characteristics: a cohort study.Chiropractic & manual therapies · 2022Article
- The association between different outcome measures and prognostic factors in patients with neck pain: a cohort study.BMC musculoskeletal disorders · 2022Observational
- Time Course and Risk Profile of Work-Related Neck Disability: A Longitudinal Latent Class Growth Analysis.Physical therapy · 2022Article
- Association between Psychological Stress and Neck Pain among College Students during the Coronavirus Disease of 2019 Pandemic: A Questionnaire-Based Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2021Article
- Recovery trajectories in common musculoskeletal complaints by diagnosis contra prognostic phenotypes.BMC musculoskeletal disorders · 2021Observational
- Feasibility study: one year fortnightly follow-up of the evolution of supra-spinatus degeneration via text-messages.Chiropractic & manual therapies · 2020Observational
- Neck pain patterns and subgrouping based on weekly SMS-derived trajectories.BMC musculoskeletal disorders · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objectives of this study were to describe the 1-year trajectories of disabling subacute or persistent neck pain and to investigate whether baseline age, sex, pain characteristics, and depressive symptoms are associated with such trajectories. STUDY DESIGN AND
settingParticipants (n=617) included in a randomized controlled trial provided weekly pain intensity ratings by responding to text messages over 1 year. We used latent class mixed model analyses to identify clusters of individual trajectories. Thereafter, we used logistic regression to determine the association between baseline age, sex, pain characteristics, depressive symptoms and treatment, and trajectories of neck pain.
resultsSix different clusters of trajectories were identified. Most participants (73%) followed a trajectory of decreasing pain throughout follow-up. The remaining experienced unfavorable trajectories: persistent pain of high intensity (22%) and slightly (3%) or highly (2%) fluctuating levels of pain reaching high levels of pain intensity. Pain intensity at baseline: odds ratio (OR): 3.76 (95% confidence interval [CI]: 2.49-5.68), depressive symptoms: OR: 3.46 (95% CI: 2.01-5.95), younger age: OR: 2.29 (95% CI: 1.48-3.54), female sex: OR: 1.51 (95% CI: 1.01-2.26), and sudden onset of pain: OR: 1.74 (95% CI: 1.13-2.69) were associated with unfavorable trajectories.
conclusionsMost individuals with disabling subacute or chronic neck pain show improvement in pain intensity over a year. However, a quarter present unfavorable trajectories. High pain intensity at baseline, depressive symptoms, younger age, female sex, and sudden onset of pain are factors associated with unfavorable trajectories.
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