Association Between Centralization and Directional Preference and Functional and Pain Outcomes in Patients With Neck Pain.
The prevalence of centralisation (CEN) and directional preference (DP) are well documented in patients with low back pain, with their presence largely dictating subsequent treatment strategies and determining outcomes. However, these variables have not been conclusively examined in patients with neck pain. The aim of the current study was to establish the prevalence of CEN and DP in patients with neck pain. A secondary goal was to determine if factors including age and sex varied with the presence of CEN and/or DP.
Data was collected from 304 subjects with neck pain. The prevalence of CEN and DP was 0.4 and 0.7 respectively. Both younger patients and those with comorbid conditions were more inclined to centralise, whilst those with acute symptoms were more likely to present with a DP.
These findings support the assessment of DP as a component of the physical examination of patients with neck pain. If present, it may be utilised to inform treatment strategies. > From: Edmond et al., J Orthop Sports Phys Ther (2014) (Epub ahead of print). All rights reserved to the Journal of Orthopaedic & Sports Physical Therapy.
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