Patient-reported outcomes measured with and without dizziness associated with non-specific chronic neck pain: implications for primary care

PeerJ

article

Raúl Ferrer-Peña¹  Gonzalo Vicente-de-Frutos¹  Diego Flandez-Santos¹  Carlos Martín-Gómez¹  Carolina Roncero-Jorge⁴  César Calvo-Lobo⁵ 

[1] Department of Physiotherapy, Facultad de Ciencias de la Salud, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid;Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento ,(INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid;Centro de Salud Entrevías, Gerencia de Atenciín Primaria, Fundación para la Investigación e Innovación Biomédica en Atención Primaria de la Comunidad de Madrid;Servicio de Hospitalización Médica, Hospital Universitario del Sureste;Institute of Biomedicine ,(IBIOMED), Nursing and Physical Therapy Department, Universidad de León

关键词: Disability;    Neck pain;    Dizziness;    Primary care;    Quality of life;   

DOI  :  10.7717/peerj.7449

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

BackgroundThe aim of this study was to compare health-related quality of life (HRQoL) and disability and fear of movement in patients with non-specific chronic neck pain (NSCNP) associated with dizziness with respect to patients with isolated NSCNP in primary care settings.MethodsA cross-sectional study was carried out in a primary care center. A total of 120 patients were divided into two groups and analyzed in this study. One group of patients reported dizziness combined with NSCNP (n = 60), and the other reported no dizziness with their NSCNP (n = 60). Patient-reported outcome measurements were HRQoL (primary outcome) and disability and kinesiophobia (secondary outcomes) assessed by the EuroQoL Five Dimensions and Five Levels (EQ-5D-5L), neck disability index (NDI) and Tampa Scale of Kinesiophobia (TSK-11), respectively.ResultsStatistically significant differences (P < 0.05) for a 95% confidence interval (CI) with a large effect size (Cohen d) were found between both groups with greater values of disability (mean difference = 6.30 points; 95% CI [3.84–8.75]; d = 0.94) and kinesiophobia (mean difference = 8.36 points; 95% CI [6.07–10.65]; d = 1.33), and an impairment of HRQoL (mean difference = 16.16 points; 95% CI [11.09–21.23]; d = 1.16), for patients with NSCNP associated with dizziness with respect to patients with isolated NSCNP.ConclusionsPatients with NSCNP in conjunction with dizziness present higher HRQoL impairment and higher disability and kinesiophobia compared to patients with isolated NSCNP.

【 授权许可】

CC BY