Effectiveness of app-based relaxation for patients with chronic low back pain (Relaxback) and chronic neck pain (Relaxneck): study protocol for two randomized pragmatic trials

Abstract Objectives To assess the prevalence of chronic neck pain (CNP), chronic low back pain (CLBP), and migraine headache (MH) in the Spanish population and to identify sociodemographic and health-related variables associated with CNP, CLBP, and MH. Design Observational study. Setting Spain. Subjects A total of 22,511 persons 18 years of age or older (10,304 males and 12,207 females) who participated in the 2017 Spanish National Health Survey. Methods Stratified three-stage sampling was applied. CNP, CLBP, and MH were the dependent variables. The analysis was conducted separately by gender. Sociodemographic features, self-perceived health status, lifestyle habits, comorbidities, and pain features were analyzed by using logistic regression models. Results Females reported a higher prevalence of CNP, CLBP, and MH (P < 0.001) than males. For both sexes, anxiety and/or depression and poor self-rated health were associated with a significantly increased prevalence of CNP, CLBP, and MH. For CNP and CLBP, the identified associated factors were older age and limitations to usual activity. For CNP and MH, the most common associated factor was comorbid respiratory disease. Conclusions Our study identified several factors associated with CNP, CLBP, and MH in Spanish female and male adults, with potential implications for health care providers.

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Gender Differences in the Prevalence and Characteristics of Pain in Spain: Report from a Population-Based Study

Pain Medicine ◽

10.1093/pm/pnz004 ◽

2019 ◽

Vol 20 (12) ◽

pp. 2349-2359 ◽

Cited By ~ 6

Author(s):

Isabel Jiménez-Trujillo ◽

Ana López-de-Andrés ◽

José Luis del Barrio ◽

Valentín Hernández-Barrera ◽

Marisa Valero-de-Bernabé ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Chronic Low Back Pain ◽

Female Gender ◽

Chronic Neck Pain ◽

Population Based ◽

Low Back ◽

Cross Sectional ◽

Self Rated Health

Abstract Objective To assess the prevalence and characteristics of chronic neck pain, chronic low back pain, and migraine or frequent headaches among Spanish adults in 2014 according to gender, to identify predictors for each of these types of pains, and to compare the prevalence with those found in 2009. Design Cross-sectional study. Setting Spain. Methods We used data collected from the 2014 European Health Interview Survey (N = 22,842). Sociodemographic features, self-rated health status, lifestyle habits, comorbid conditions, pain characteristics, and self-reported use of medications were analyzed. Results The prevalence of all types of pain was significantly higher among women than men. For chronic neck pain, the figures were 25.68% vs 12.54%, for chronic low back pain, 27.03% vs 18.83%, and for migraine or frequent headaches, 15.93% vs 6.74%, in women and men, respectively. Predictors of these types of pain included female gender, advanced age, poor self-rated health, psychological distress, comorbidities, and obesity. The prevalence of neck pain and low back pain increased from 2009 to 2014 for both sexes, and the prevalence of migraine or frequent headaches remained stable over time. Conclusions The prevalence and intensity of all the forms of chronic pain were higher among women. Women experiencing pain used prescribed medications for pain, anxiety, and/or depression and sleeping pills more than men. The prevalence of chronic neck and low back has increased in the last five years in Spain, and the prevalence of migraine or frequent headaches has remained stable.

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Patient Willingness to Pay for Reductions in Chronic Low Back Pain and Chronic Neck Pain

Journal of Pain ◽

10.1016/j.jpain.2019.05.002 ◽

2019 ◽

Vol 20 (11) ◽

pp. 1317-1327 ◽

Cited By ~ 2

Author(s):

Patricia M. Herman ◽

Jill E. Luoto ◽

Mallika Kommareddi ◽

Melony E. Sorbero ◽

Ian D. Coulter

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Willingness To Pay ◽

Chronic Low Back Pain ◽

Chronic Neck Pain ◽

Low Back ◽

Patient Willingness

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Chronic low back pain in individuals with chronic neck pain of traumatic and non-traumatic origin: A population-based study

Acta Orthopaedica ◽

10.1080/17453670610045812 ◽

2006 ◽

Vol 77 (1) ◽

pp. 132-137 ◽

Cited By ~ 14

Author(s):

Michel Guez ◽

Christer Hildingsson ◽

Salmir Nasic ◽

Göran Toolanen

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Chronic Low Back Pain ◽

Chronic Neck Pain ◽

Population Based ◽

Low Back ◽

Population Based Study ◽

Traumatic Origin

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Are Patients with Chronic Low Back Pain or Chronic Neck Pain Fatigued?

Pain Medicine ◽

10.1111/j.1526-4637.2004.04026.x ◽

2004 ◽

Vol 5 (2) ◽

pp. 187-195 ◽

Cited By ~ 41

Author(s):

David A. Fishbain ◽

R. B. Cutler ◽

Brandly Cole ◽

J. Lewis ◽

E. Smets ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Chronic Low Back Pain ◽

Chronic Neck Pain ◽

Low Back

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The impact of patient preferences and costs on the appropriateness of spinal manipulation and mobilization for chronic low back pain and chronic neck pain

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2904-6 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Patricia M. Herman ◽

Margaret D. Whitley ◽

Gery W. Ryan ◽

Eric L. Hurwitz ◽

Ian D. Coulter

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Patient Preferences ◽

Chronic Low Back Pain ◽

Chronic Neck Pain ◽

Low Back ◽

System Perspective ◽

The Individual ◽

The Impact

Abstract Background Although the delivery of appropriate healthcare is an important goal, the definition of what constitutes appropriate care is not always agreed upon. The RAND/UCLA Appropriateness Method is one of the most well-known and used approaches to define care appropriateness from the clinical perspective—i.e., that the expected effectiveness of a treatment exceeds its expected risks. However, patient preferences (the patient perspective) and costs (the healthcare system perspective) are also important determinants of appropriateness and should be considered. Methods We examined the impact of including information on patient preferences and cost on expert panel ratings of clinical appropriateness for spinal mobilization and manipulation for chronic low back pain and chronic neck pain. Results The majority of panelists thought patient preferences were important to consider in determining appropriateness and that their inclusion could change ratings, and half thought the same about cost. However, few actually changed their appropriateness ratings based on the information presented on patient preferences regarding the use of these therapies and their costs. This could be because the panel received information on average patient preferences for spinal mobilization and manipulation whereas some panelists commented that appropriateness should be determined based on the preferences of individual patients. Also, because these therapies are not expensive, their ratings may not be cost sensitive. The panelists also generally agreed that preferences and costs would only impact their ratings if the therapies were considered clinically appropriate. Conclusions This study found that the information presented on patient preferences and costs for spinal mobilization and manipulation had little impact on the rated appropriateness of these therapies for chronic low back pain and chronic neck pain. Although it was generally agreed that patient preferences and costs were important to the appropriateness of M/M for CLBP and CNP, it seems that what would be most important were the preferences of the individual patient, not patients in general, and large cost differentials.

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