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Introduction. Neck pain is one of the main causes of incapacity for work. The economic impact of neck pain is considerable due to the cost of medical treatment and physiotherapy. Accidents in itinere, those that occur on the way between home and the workplace, can cause pain and functional impairment.
Objective. To analyze the relationship between the time off work following accidents on the way to and from work and the type of treatment received.
Material and method. Multicenter retrospective cohort study. Data will be collected from 146 patients. The primary variable of the study will be the time on sick leave (in days), with the type of intervention received (manual therapy or not) being the dependent variable. The secondary variables, estimated as modifying or confounding, will be the intensity of the pain (visual analog scale), sex, age, occupational cervical strain, type of contract (salaried/self-employed) and the number of physiotherapy sessions received.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Observational group | Data will be collected from medical records of a mutual insurance company that collaborates with the Social Security. The data will be from patients of both sexes with a medical diagnosis of neck pain secondary to traffic accidents while commuting and without a medical diagnosis of associated traffic pathology, between the years 2022 and 2024. The patients had received a physiotherapy intervention with and without manual therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational cohort group | Other | As this is an observational cohort study, there will be no intervention. In this study, only retrospective data will be collected for subsequent analysis. Similarly, the aim is to assess the relationship between the time on sick leave and the type of physiotherapy treatment received by patients. As this is an observational and retrospective cohort study, there is no risk derived from the development of the study for the subjects whose data form part of the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of time off work | The dependent variable, time off work, will be measured in days. | Screening visit |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of type of intervention received | The secondary variable, type of intervention received, will be evaluated with a dichotomous coding: manual therapy or no manual therapy. | Screening visit |
| Measurement of pain intensity at the time of medical discharge |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who have suffered a traffic accident while traveling to or from work between 2022 and 2024.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad Católica San Antonio de Murcia | Murcia | Murcia | 33006 | Spain |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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The secondary variable, pain intensity at the time of medical discharge, will be collected with the recording of the visual analog scale (range 0-10) |
| Screening visit |
| Measurement of the number of physiotherapy sessions received | The secondary variable, number of physiotherapy sessions received, will be measured quantitatively (in days of treatment administration). This value will be collected from the physiotherapy record | Screening visit |
| Measurement of the type of employment contract of the patients | The secondary variable, type of employment contract of the patients, will be collected in a dichotomous qualitative variable (salaried/self-employed) | Screening visit |
| Measuring the age of the patients | The secondary variable, age of the patients, will be collected in a quantitative variable of completed years (measured in days) | Screening visit |
| Measurement of patients' occupational cervical strain | The secondary variable, patients' cervical strain , will be collected in a qualitative variable (Yes/No) depending on the type of work of the patients, their daily work may or may not require cervical strain. | Screening visit |
| Measuring the gender of patients | The secondary variable, the gender of patients, will be collected in a qualitative variable (Female/Male). | Screening visit |