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The Model Of Chronic Neck Pain

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There is only Shahidi et al 2015’s group who has merged the neurophysiologic-biopsychosocial model of prospectively screening predictors for the development of chronic neck pain through an inception cohort study. Chronic neck pain was operationally defined as chronic idiopathic neck pain that is not trauma related at onset and this includes both chronic recurrent neck pain [“2 or more episodes of neck pain” with in-between periods of full recovery] and chronic persistent neck pain [neck pain with no periods of full recovery] CPNP) as defined by the Neck Pain Task Force in 2008 (Table 1 of Guzman et al 2008). Using over 170 healthy newly hired office workers, Shahidi et al 2015 conducted biopsychosocial-neurophysiologic baseline measurements theorized to be potential predictors of chronic idiopathic neck pain (CINP). These workers were followed up monthly for one year.by the researchers , Of those followed, 35 workers developed CINP. Based on these workers’ baseline measurements, three predictors were identified, namely: cervical extensor endurance, DNIC (or conditioned pain modulation) and depressed mood.
Out of the 35 who developed CINP, 15 were recurrent neck pain, while only 20 were chronic persistent neck pain (CPNP). Shahidi et al mentioned that one of the limitations of their study is that they did not do a sample size analysis. When compared to those (secondary analysis of a subgroup of 90 out of the 132 participants who did not develop CINP out of the original 171

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