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PeerJ. 2019 Aug 7;7:e7449. doi: 10.7717/peerj.7449. eCollection 2019.

Patient-reported outcomes measured with and without dizziness associated with non-specific chronic neck pain: implications for primary care.

Author information

1
Department of Physiotherapy, Facultad de Ciencias de la Salud, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.
2
Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.
3
Centro de Salud Entrevías, Gerencia de Atenciín Primaria, Fundación para la Investigación e Innovación Biomédica en Atención Primaria de la Comunidad de Madrid (FIIBAP), Servicio Madrileño de Salud, Madrid, Spain.
4
Servicio de Hospitalización Médica, Hospital Universitario del Sureste, Arganda del Rey, Madrid, Spain.
5
Institute of Biomedicine (IBIOMED), Nursing and Physical Therapy Department, Universidad de León, Ponferrada, León, España.

Abstract

Background:

The aim of this study was to compare health-related quality of life (HRQoL) and disability and fear of movement in patients with non-specific chronic neck pain (NSCNP) associated with dizziness with respect to patients with isolated NSCNP in primary care settings.

Methods:

A cross-sectional study was carried out in a primary care center. A total of 120 patients were divided into two groups and analyzed in this study. One group of patients reported dizziness combined with NSCNP (n = 60), and the other reported no dizziness with their NSCNP (n = 60). Patient-reported outcome measurements were HRQoL (primary outcome) and disability and kinesiophobia (secondary outcomes) assessed by the EuroQoL Five Dimensions and Five Levels (EQ-5D-5L), neck disability index (NDI) and Tampa Scale of Kinesiophobia (TSK-11), respectively.

Results:

Statistically significant differences (P < 0.05) for a 95% confidence interval (CI) with a large effect size (Cohen d) were found between both groups with greater values of disability (mean difference = 6.30 points; 95% CI [3.84-8.75]; d = 0.94) and kinesiophobia (mean difference = 8.36 points; 95% CI [6.07-10.65]; d = 1.33), and an impairment of HRQoL (mean difference = 16.16 points; 95% CI [11.09-21.23]; d = 1.16), for patients with NSCNP associated with dizziness with respect to patients with isolated NSCNP.

Conclusions:

Patients with NSCNP in conjunction with dizziness present higher HRQoL impairment and higher disability and kinesiophobia compared to patients with isolated NSCNP.

KEYWORDS:

Disability; Dizziness; Neck pain; Primary care; Quality of life

Conflict of interest statement

The authors declare there are no competing interests.

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