PNF and Movement 2024; 22(1): 101-111
Physical Activity and Non-specific Neck Pain Recurrence: A Nationwide Cohort Risk Factor Study Based on National Health Insurance Data
Mi-ran Goo P.T., Ph.D.
Department of Physical Therapy, Kyungsung University
Correspondence to: Mi-ran Goo (
Received: March 26, 2024; Revised: March 28, 2024; Accepted: March 29, 2024; Published online: April 30, 2024.
© Korea Proprioceptive Neuromuscular Facilitation Association. All rights reserved.

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Purpose: The purpose of this study was to investigate physical activity as a risk factor for neck pain recurrence using the National Health Insurance Data Sharing Service that utilizes a nationwide cohort in South Korea.
Methods: Medical records spanning a two-year period were extracted from the National Health Insurance database for 541,937 patients who sought healthcare services for neck pain (ICD 10 codes: M54.2) in 2020 and completed the national health examination survey. Selected variables for analysis included age, gender, health insurance premium decile, regional health vulnerability index, body mass index (BMI), acuity, blood pressure, and types of physical activity. A mixed-effect multivariate logistic regression analysis was conducted to examine the recurrence rate of neck pain and identify risk factors for neck pain recurrence.
Results: Among the participants, 124,433 patients (23.0%) experienced a recurrence of neck pain within two years, with higher recurrence rates observed among older individuals and females. Regression analysis revealed that the risk of neck pain recurrence increased with age (OR=1.51), being female (OR= 1.10), being a medical aid recipient (OR=1.51), and having anaerobic (OR=1.04) or vigorous physical activities (OR=1.06). By contrast, an increased health insurance premium decile (OR=0.96) and having moderate physical activity (OR=0.97) were associated with a decreased risk of neck pain recurrence.
Conclusion: This study highlights the importance of moderate physical activity as an effective strategy for reducing the recurrence of nonspecific neck pain, underscoring the necessity for personalized physical activity programs for patients.
Keywords: Neck pain, Recurrence, Physical activity, Risk factor, Big data

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