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Title: Correlation among physical impairments, pain, disability, and patient satisfaction in patients with chronic neck pain
Authors: Chiu, TW
Lam, TH
Hedley, AJ
Keywords: Disabled persons
Neck pain
Issue Date: 2005
Publisher: W.B. Saunders
Source: Archives of physical medicine and rehabilitation, 2005, v. 86, no. 3, p. 534-540 How to cite?
Journal: Archives of physical medicine and rehabilitation 
Abstract: Objective: To investigate the correlations among pain, physical impairments, disability, and patient satisfaction in patients with chronic neck pain.
Design: A longitudinal cohort study with 6-month follow-up.
Setting: Institutional practice.
Participants: Subjects (N=218) with chronic neck pain.
Interventions: Subjects were treated with different physiotherapy modalities.
Main outcome measures: Data were obtained for self-reported disability, verbal numeric pain scale, patient satisfaction, and 2 measures of physical impairments during the initial visit, at 6 weeks, and finally at 6 months.
Results:The correlation among 4 sets of measurements varied. Moderate correlation was noted between disability and patient satisfaction (r range, .50–.65), and between disability and pain (r range, .55–.63). A fair relationship was found between pain and patient satisfaction (r range, .43–.48), but only weak relationships were found between physical impairments and pain (r range, −.08 to −.25). The correlations tended to increase in the follow-up assessments.
Conclusions: No strong correlations were found among disability, patient satisfaction, pain, and physical impairments although the correlations tended to increase in the follow-up assessments. The findings support the suggestion that clinicians should address as many relevant aspects of a presenting clinical entity as possible in the management of chronic neck pain.
ISSN: 0003-9993
EISSN: 1532-821X
DOI: 10.1016/j.apmr.2004.02.030
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