PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Psychological Factors in Recurrent Non-specific Neck Pain

비특이성 목 통증 재발의 심리적 인자

  • Mi-Ran Goo (Department of Physical Therapy, Kyungsung University) ;
  • Deok-Hoon Jun (Department of Physical Therapy, Daegu University)
  • 구미란 (경성대학교 물리치료학과) ;
  • 전덕훈 (대구대학교 물리치료학과)
  • Received : 2024.07.23
  • Accepted : 2024.08.12
  • Published : 2024.08.31
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Abstract

Purpose: The aim of this study was to determine the influence of psychological and other risk factors on the recurrence of nonspecific neck pain. To achieve this, a nationwide cohort provided by the National Health Insurance Service in South Korea, with a three-year follow-up, was used. Methods: The study included patients who did not experience neck pain for the first year but were diagnosed with nonspecific neck pain (ICD-10 code: M54.2) in the second year. The progress of their neck pain recurrence was followed up for the next two years. Medical records, including age, gender, health insurance premium quintile, regional health vulnerability index score, initial onset duration, total hospitalization duration, and secondary diagnosis at onset, were extracted for analysis. Multivariate logistic regression analysis was performed to analyze the recurrence rate and risk factors for nonspecific neck pain recurrence. Results: Among a total of 591,215 patients, 29.2% experienced recurrence within two years. Patients with psychological disorders had a higher recurrence rate (30.6-33.8%) than those without psychological disorders (29.2%). Specifically, mood disorders (OR = 1.16) and stress-related disorders (OR = 1.06) were identified as risk factors for the recurrence of nonspecific neck pain. Older age (OR = 1.16-1.43), being female (OR = 1.17), being employed (OR = 1.23), and using medial aids (OR = 1.41) were also identified as risk factors. Conclusion: This study provides evidence for a high recurrence rate of nonspecific neck pain and highlights the need to consider psychological factors as well as personal factors in comprehensive interventions to prevent recurrent nonspecific neck pain.

Keywords

Acknowledgement

이 연구는 국민건강보험공단의 자료(REQ202301289-019)를 활용한 것으로, 연구의 결과는 국민건강보험공단과 관련이 없음을 밝힙니다.

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