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Volume 9
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10.3390/diagnostics9040186
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Review

Visceral Origin: An Underestimated Source of Neck Pain. A Systematic Scoping Review

by
Ángel Oliva-Pascual-Vaca
1,
Carlos González-González
1,
Jesús Oliva-Pascual-Vaca
1,2,3,*,
Fernando Piña-Pozo
3,
Alejandro Ferragut-Garcías
4,
Juan Carlos Fernández-Domínguez
4 and
Alberto Marcos Heredia-Rizo
1
1
Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, 41009 Sevilla, Spain
2
Escuela de Osteopatía de Madrid, 28002 Madrid, Spain
3
Department of Physiotherapy, Universitary School of Osuna, University of Sevilla, 41640 Sevilla, Spain
4
Department of Nursing and Physiotherapy, University of the Balearic Islands, 07112 Palma de Mallorca, Spain
*
Author to whom correspondence should be addressed.
Diagnostics 2019, 9(4), 186; https://doi.org/10.3390/diagnostics9040186
Submission received: 3 October 2019 / Revised: 1 November 2019 / Accepted: 6 November 2019 / Published: 12 November 2019
(This article belongs to the Section Pathology and Molecular Diagnostics)
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Abstract

The diagnosis of neck pain is challenging. Many visceral disorders are known to cause it, and clinical practice guidelines recommend to rule them out during neck pain diagnosis. However, the absence of suspicion of any cause impedes one from establishing that specific aetiology as the final diagnosis. To investigate the degree of consideration given to visceral aetiology, a systematic search of trials about neck pain was carried out to evaluate their selection criteria. The search yielded 309 eligible articles, which were screened by two independent reviewers. The PEDro scale score was used to assess the methodological quality of the studies. The following information was retrieved: number of authors affiliated to a clinical or non-clinical institution, number of citations in the Web of Science, study aims, characteristics of participants, and eligibility criteria. The top 15 most cited trials, and the 15 most recent studies about treatment efficacy in neck pain, published in first quartile journals of the Journal Citation Reports, were selected. Females represented 67.5% of participants. A single study was of poor methodological quality (4/10). Based on the eligibility criteria of the articles that were systematically reviewed, it would appear that visceral aetiology was not considered in eighty percent of the trials on neck pain, showing a low level of suspicion both in research and clinical settings.
Keywords: referred pain; visceral pain; diagnosis; phrenic nerve; neck pain referred pain; visceral pain; diagnosis; phrenic nerve; neck pain

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MDPI and ACS Style

Oliva-Pascual-Vaca, Á.; González-González, C.; Oliva-Pascual-Vaca, J.; Piña-Pozo, F.; Ferragut-Garcías, A.; Fernández-Domínguez, J.C.; Heredia-Rizo, A.M. Visceral Origin: An Underestimated Source of Neck Pain. A Systematic Scoping Review. Diagnostics 2019, 9, 186. https://doi.org/10.3390/diagnostics9040186

AMA Style

Oliva-Pascual-Vaca Á, González-González C, Oliva-Pascual-Vaca J, Piña-Pozo F, Ferragut-Garcías A, Fernández-Domínguez JC, Heredia-Rizo AM. Visceral Origin: An Underestimated Source of Neck Pain. A Systematic Scoping Review. Diagnostics. 2019; 9(4):186. https://doi.org/10.3390/diagnostics9040186

Chicago/Turabian Style

Oliva-Pascual-Vaca, Ángel, Carlos González-González, Jesús Oliva-Pascual-Vaca, Fernando Piña-Pozo, Alejandro Ferragut-Garcías, Juan Carlos Fernández-Domínguez, and Alberto Marcos Heredia-Rizo. 2019. "Visceral Origin: An Underestimated Source of Neck Pain. A Systematic Scoping Review" Diagnostics 9, no. 4: 186. https://doi.org/10.3390/diagnostics9040186

APA Style

Oliva-Pascual-Vaca, Á., González-González, C., Oliva-Pascual-Vaca, J., Piña-Pozo, F., Ferragut-Garcías, A., Fernández-Domínguez, J. C., & Heredia-Rizo, A. M. (2019). Visceral Origin: An Underestimated Source of Neck Pain. A Systematic Scoping Review. Diagnostics, 9(4), 186. https://doi.org/10.3390/diagnostics9040186

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