Prevalence and Pattern of Neck Pain seen at The Physiotherapy Department, University of Port Harcourt Teaching Hospital: A Five-Year Retrospective Study

Authors

DOI:

https://doi.org/10.5281/zenodo.19496385

Keywords:

Prevalence, Pattern, Neck Pain, Physiotherapy Department, UPTH

Abstract

Background: Neck pain is on the increase mostly among the low- and middle-income countries, and impacts negatively on the healthcare system and quality of life of individuals. This study investigated the prevalence and pattern of neck pain seen at the Physiotherapy department, University of Port Harcourt Teaching Hospital, between year 2020 and 2024.

Methods: Retrospective study design was adopted for the study. A total of fifty- two (52) patient case files were extracted from the orthopedic unit of the physiotherapy department from 2020 to 2024 following ethical clearance. A patient extraction form was used to obtain information on the socio-demographic characteristics of the cases, different diagnostic tests for neck pain, diagnoses, pattern of occurrence, and treatment protocols. Descriptive statistics of mean, standard deviation, percentage, and Chi-square test were used to analyze the data. The level of significance was set as 0.05.

Results: The mean age of patients with neck pain was 51.73±10.40 years. There were 22 females (42.3%) and 30 males (57.7%), 41 cases of cervical spondylosis (78.8%), trauma 40 (76.9%), while fall and road traffic accident (RTA) accounted for 8 (15.3%) and 4 cases (7.7%) respectively. Cervical compression test was used for diagnoses in 41 patients (88.9%) while Distraction test was used for 31 cases (59.6%). Spurlin’s test was used for the diagnoses of neck pain in 32 (42.3%).  Forty-nine patients (94.2%) received cervical mobilization/traction as means of treatments while only one had Myofascial release (1.9%). Sixteen of the patients (30.8%) had Functional Activity Exercises and 25 (48.1%) received Neck Stabilization Exercises. There were significant associations between patient’s age, occupation and the prevalence of neck pain (X2 = 58.20, p = 0.05; X2 = 22.78, p = 0.001).

Conclusion: Cervical spondylosis was the most prevalent cause of neck pain while cervical mobilization/traction was mostly used for treatment. Also, there were significant associations between patient’s age, occupation and the prevalence of neck pain. More awareness should be created to educate the populace on the prevalence, pattern, and causes of neck pain as well as factors that are associated with it.  

Author Biographies

Ime Mathias Ubom

Department of Physiotherapy, University of Medical Sciences, Ondo, Nigeria

Department of Physiotherapy, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Ifeanyi Kalu Oti

Department of Physiotherapy. University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Ayodele Teslin Onigbinde

Department of Physiotherapy, University of Medical Sciences, Ondo, Nigeria

Anelechi Kenneth Madume

Department of Physiotherapy, Rivers State University, Port Harcourt, Nigeria

References

Kerry, R., & Cagnie, B. (2025).The Head and Neck: Theory and Practice. Jessica Kingsley Publishers.

Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJ, Kolahi AA, Safiri S. Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders. 2022 Jan 3;23(1):26.

Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. Bmj. 2017 Aug 14;358.

Igwesi-Chidobe CN, Effiong E, Umunnah JO, Ozumba BC. Occupational biopsychosocial factors associated with neck pain intensity, neck-disability, and sick leave: A cross-sectional study of construction labourers in an African population. Plos one. 2024 Apr 3;19(4):e0295352.

Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJ, Kolahi AA, Safiri S. Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders. 2022 Jan 3;23(1):26.

Xu F, Zhang X, Yang M, Zhao Q, Wang Q, Lian J, Zhang R, Chu T, Kou Z, Zhao M. Magnitude,temporal trend and inequality in burden of neck pain: an analysis of the Global Burden of Disease Study 2019. BMC musculoskeletal disorders. 2025 Feb 27;26(1):202.

Safiri S, Kolahi AA, Hoy D, Buchbinder R, Mansournia MA, Bettampadi D, Ashrafi-Asgarabad A, Almasi-Hashiani A, Smith E, Sepidarkish M, Cross M. Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the GlobalBurden of Disease Study 2017. bmj. 2020 Mar 26;368.

Alhakami, A. M., Madkhli, A., Ghareeb, M., Faqih, A., Abu-Shamla, I., Batt, T., Refaei, F.,Sahely, A., Qassim, B., Shami, A. M.,& Alhazmi, A. H. (2022).The prevalence and associated factors of neck pain among ministry of health office workers in Saudi

Genebra CV, Maciel NM, Bento TP, Simeão SF, De Vitta A. Prevalence and factors associated with neck pain: a population-based study. Brazilian journal of physical therapy. 2017 Jul 1;21(4):274-80.

Genebra CV, Maciel NM, Bento TP, Simeão SF, De Vitta A. Prevalence and factors associated with neck pain: a population-based study. Brazilian journal of physical therapy. 2017 Jul 1;21(4):274-80.

Ehsani F, Mosallanezhad Z, Vahedi G. The prevalence, risk factors and consequences of neck pain in office employees. Middle East Journal of Rehabilitation and Health. 2017;4(2):e42031.

Chen X, Coombes BK, Sjøgaard G, Jun D, O’Leary S, Johnston V. Workplace-based interventions for neck pain in office workers: systematic review and meta-analysis. Physical therapy. 2018 Jan;98(1):40-62.

Kallings LV, Blom V, Ekblom B, Holmlund T, Eriksson JS, Andersson G, Wallin P, Ekblom-Bak

Workplace sitting is associated with self-reportedgeneral health and back/neck pain: a cross-sectional analysis in 44,978 employees. BMC Public Health. 2021 May 6;21(1):875.

Genebra CV, Maciel NM, Bento TP, Simeão SF, De VittaA. Prevalence and factors associated with neck pain: a population-based study. Brazilian journal of physical therapy. 2017 Jul 1;21(4):274-80.

ABIFARIN TO. THE PREVALENCE OF NECK PAIN AMONG SECONDARY SCHOOL TEACHERS IN ILORIN, KWARA STATE. 2025.

Shin, D.W., Shin, J. I., Koyanagi, A., Jacob, L., Smith, L., Lee, H., Chang, Y., & Song, T.-J.Global, regional, and national neck pain burden in the general population, 1990–2019: An analysis of the global burden of disease study 2019. Front. Neurol., 2022; 13, 955367.https://doi:10.3389/fneur.2022.955367

Dieleman JL, Cao J, Chapin A, Chen C, Li Z, Liu A, Horst C, Kaldjian A, Matyasz T, Scott KW,Bui AL. US health care spending by payer and health condition, 1996-2016. Jama. 2020 Mar 3;323(9):863-84.

Chou R, Côté P, Randhawa K, Torres P, Yu H, Nordin M, Hurwitz EL, Haldeman S, Cedraschi

C. The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low-and middle-income communities. European Spine Journal. 2018 Sep;27(Suppl 6):851-60.

Jackson T, Thomas S, Stabile V, Han X, Shotwell M, McQueen K. Prevalence of chronic pain in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet.

Apr 27;385:S10.

Li Y, Zhang S,Shu P. Global burden of neck pain in 204 countries from 1990–2019. Archives of medical science: AMS. 2023 Nov 6;19(6):1811.

Mesa?Castrillon CI, Beckenkamp PR, Ferreira M, Simic M, Davis PR, Michell A, Pappas E,Luscombe G, Noronha MD, Ferreira P. Global prevalence of musculoskeletal pain in rural and urban populations. A systematic review with meta?analysis. Musculoskeletal pain in rural and urban populations. Australian Journal of Rural Health. 2024 Oct;32(5):864-76.

Alok R, Srivastava R, Kumar P, Das SK,Agarwal GG, Dhaon P. Prevalence of rheumatic musculoskeletal symptoms in rural and urban areas: a cross?sectional study in northern India.International Journal of Rheumatic Diseases. 2017 Nov;20(11):1638-47.

Shitu, A., Oyeyemi, A. Y., Muhammad, A. S., Bello, U. M., Oyeyemi, A. L., & Jajere, A.Prevalence of neck pain among heavy truck drivers in Maiduguri north-eastern Nigeria.Journal of the Nigeria Society of Physiotherapy,2022;21(1), 11-18, January-June,https://doi:10.5897/JNSP2021.0021

Bazvand, Z,Tavafian, S. S., Boozari, S., & Shahrbanian, S. Ergonomic and at-work exercises based educational program among nurses working in hospital: A protocol design regarding neck disorders prevention.International Journal of Musculoskeletal Pain Prevention, 2020; 5(2), 318–328.

Hara, Y., & Yoshii, Y. Diagnostic Dilemmas in Carpal Tunnel Syndrome and Cervical Spine Disorders: A Comprehensive Review. Diagnostics, 2025; 15(2), 122.https://doi.org/10.3390/diagnostics15020122

Lv Y, Tian W, Chen D, et al. The prevalence and associated factors of symptomatic cervical spondylosis in Chinese adults: a community-based cross-sectional study.BMC Musculoskelet Disord2018; 19: 25.

Bener A, Saleh NM, Al-Nufal M, et al. Cervical spondylosis: a cross-sectional study of riskfactors and clinical features in a multi-ethnic population.J Clin Orthop Trauma2022; 31:101931.

Peng B, DePalma MJ. Cervical disc degeneration and neck pain.J Pain Res2018; 11: 2853–2857.

Prentice WE. Joint mobilization and traction techniques in rehabilitation. InRehabilitationtechniques for sports medicine and athletic training 2024 Jun 1 (pp. 329-354). Routledge.

Nweke CV. Joint Mobilization and Its Resultant Effects. Cross Curr. Int. J. Med. Biosci. 2023;5:72-7.

Baeske R. Mobilisation with movement: a step towards understanding the importance ofperipheral mechanoreceptors. Physical Therapy Reviews. 2015 Nov 2;20(5-6):299-305.

O'Grady WH, Russell M, Donatelli R, Donatelli G. The Effectiveness of Manual Therapy:Histological and Physiological Effects. InFoundations of Orthopedic Physical Therapy 2024 Jun1 (pp. 339-358). Routledge.

Schroeder J, Kaplan L, Fischer DJ, Skelly AC. The outcomes of manipulation or mobilizationtherapy compared with physical therapy or exercise for neck pain: a systematicreview. Evidence-based spine-care journal. 2013 Apr;4(01):030-41.

Colombo C, Salvioli S, Gianola S, Castellini G, Testa M. Traction therapy for cervical radicularsyndrome is statistically significant but not clinically relevant for pain relief. A systematicliterature review with meta-analysis and trial sequential analysis. Journal of clinical medicine.

Oct 22;9(11):3389.

Romeo A, Vanti C, Boldrini V, Ruggeri M, Guccione AA, Pillastrini P, Bertozzi L. Cervicalradiculopathy: effectiveness of adding traction to physical therapy—a systematic review andmeta-analysis of randomized controlled trials. Physical Therapy. 2018 Apr;98(4):231-42.

Savva C, Korakakis V, Efstathiou M, Karagiannis C. Cervical traction combined with neuralmobilization for patients with cervical radiculopathy: a randomized controlled trial. Journal ofBodywork and Movement Therapies. 2021 Apr 1; 26:279-89.

Published

2026-04-11

How to Cite

[1]
Ime Mathias Ubom, Ifeanyi Kalu Oti, Ayodele Teslin Onigbinde and Anelechi Kenneth Madume 2026. Prevalence and Pattern of Neck Pain seen at The Physiotherapy Department, University of Port Harcourt Teaching Hospital: A Five-Year Retrospective Study. IPHO-Journal of Advance Research in Medical & Health Science. 4, 2 (Apr. 2026), 24–32. DOI:https://doi.org/10.5281/zenodo.19496385.