For workers with persistent neck and shoulder pain , evidence supports mixed supervised and unsupervised high-intensity strength training or advice alone ( grade s I-III NAD ) .
A multimodal approach including manual therapy , self-management advice , and exercise is an effective treatment strategy for both recent-onset and persistent neck pain
OBJECTIVE The objective was to develop a clinical practice guideline on the management of neck pain-associated disorders ( NADs ) and whiplash-associated disorders ( WADs ) .
This guideline replaces 2 prior chiropractic guidelines on NADs and WADs .
Short-term effects of kinesio taping versus cervical thrust manipulation in patients with mechanical neck pain: a randomized clinical trial.
STUDY DESIGN R and omized clinical trial . OBJECTIVE To compare the effectiveness of cervical spine thrust manipulation to that of Kinesio Taping applied to the neck in individuals with mechanical neck pain , using self-reported pain and disability and cervical range of motion as measures . BACKGROUND The effectiveness of cervical manipulation has received considerable attention in the literature . However , because some patients can not tolerate cervical thrust manipulation , alternative therapeutic options should be investigated . METHODS Eighty patients ( 36 women ) were r and omly assigned to 1 of 2 groups : the manipulation group , which received 2 cervical thrust manipulations , and the tape group , which received Kinesio Taping applied to the neck .  Neck pain ( 11-point numeric pain rating scale ) , disability ( Neck Disability Index ) , and cervical-range-of-motion data were collected at baseline and 1 week after the intervention by an assessor blinded to the treatment allocation of the patients . Mixed-model analyses of variance were used to examine the effects of the treatment on each outcome variable , with group as the between-subjects variable and time as the within-subjects variable . The primary analysis was the group-by-time interaction . RESULTS No significant group-by-time interactions were found for pain ( F = 1.892 , P = .447 ) or disability ( F = 0.115 , P = .736 ) . The group-by-time interaction was statistically significant for right ( F = 7.317 , P = .008 ) and left ( F = 9.525 , P = .003 ) cervical rotation range of motion , with the patients who received the cervical thrust manipulation having experienced greater improvement in cervical rotation than those treated with Kinesio Tape ( P<.01 ) . No significant group-by-time interactions were found for cervical spine range of motion for flexion ( F = 0.944 , P = .334 ) , extension ( F = 0.122 , P = .728 ) , and right ( F = 0.220 , P = .650 ) and left ( F = 0.389 , P = .535 ) lateral flexion . CONCLUSION Patients with mechanical neck pain who received cervical thrust manipulation or Kinesio Taping exhibited similar reductions in neck pain intensity and disability and similar changes in active cervical range of motion , except for rotation . Changes in neck pain surpassed the minimal clinical ly important difference , whereas changes in disability did not . Changes in cervical range of motion were small and not clinical ly meaningful . Because we did not include a control or placebo group in this study , we can not rule out a placebo effect or natural changes over time as potential reasons for the improvements measured in both groups . LEVEL OF EVIDENCE Therapy , level 1b
For workers with persistent neck and shoulder pain , evidence supports mixed supervised and unsupervised high-intensity strength training or advice alone ( grade s I-III NAD ) .
A multimodal approach including manual therapy , self-management advice , and exercise is an effective treatment strategy for both recent-onset and persistent neck pain
OBJECTIVE The objective was to develop a clinical practice guideline on the management of neck pain-associated disorders ( NADs ) and whiplash-associated disorders ( WADs ) .
This guideline replaces 2 prior chiropractic guidelines on NADs and WADs .