Demographic and occupational predictors of neck pain in pilots: Analysis and multinational comparison

Objective: This study aimed to elucidate the overall risk and demographic/occupational predictors of neck pain among professional aviators. Methods: There were 413 surveys characterizing the severity and character of neck pain symptoms that were administered to a multinational cohort of pilots representing 3 separate airframe types. All results were compared to a nonaviator control group. Univariate and multivariate regression analyses were performed to elucidate independent predictors of occupationally related neck pain. Results: Of the surveys, 92% were completed and returned. Multivariate analysis reveals that the pilot profession is independently predictive of increased occupational neck pain symptoms (OR 1.94, 95% CI 3.72, 1.01). High performance airframes, cargo/passenger airframes, and increasing age were also independent predictors of increased neck pain scores (OR = 3.91, 95% CI 7.10, 2.15; OR = 3.22, 95% CI =.83, 1.77; OR = 4.00, 95% CI 7.43, 2.15, respectively). Conclusions: Our broad, multinational/multi-airframe analysis reveals that the pilot profession, most notably high performance and long-haul cargo/passenger airframes, display an increased risk of neck pain symptoms.