Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22257
Title The association between self-reported cardiovascular disorders and troublesome neck pain: A population-based cohort study
URL http://www.ncbi.nlm.nih.gov/pubmed/22364915
Journal J Manipulative Physiol Ther. 2012 Mar-Apr;35(3):176-183
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: The purpose of this population-based cohort study was to investigate the association between self-reported cardiovascular disorders and troublesome neck pain.

Methods: Using data from the Saskatchewan Health and Back Pain Survey (1995), we formed a cohort of 922 randomly sampled Saskatchewan adults with no or mild neck pain. We used the Comorbidity Questionnaire to measure the point prevalence of self-reported cardiovascular disorders and classified them into 3 levels of severity: (1) absent, (2) present but does not or mildly impacts on my health, and (3) present and moderately or severely impacts on my health. Six and 12 months later, we measured the presence of troublesome neck pain (grades II-IV) using the Chronic Pain Questionnaire. Multivariable Cox regression was used to estimate the association between cardiovascular disorders and the troublesome neck pain while controlling for confounders.

Results: The follow-up rate was 73.8% (680/922) at 6 months and 62.7% (578/922) at 1 year. No association was found between self-reported cardiovascular disorders that had no or mild impact on health and the onset of troublesome neck pain. We found a crude association between self-reported cardiovascular disorders that moderately or severely impacted health and the onset of troublesome neck pain (crude hazard rate ratio, 4.3; 95% confidence interval, 1.8-10.0). The association was positively confounded by age, sex, and education (adjusted hazard rate ratio, 5.9; 95% confidence interval, 2.3-14.9).

Conclusions: Our analysis suggests that self-reported cardiovascular disorders that moderately or severely impact one's health are a risk factor for developing troublesome neck pain.

This abstract is reproduced with the permission of the publisher; full text by subscription. Click on the above link and select a publisher from PubMed's LinkOut feature.


 

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