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 .
Is one better than another?: A randomized clinical trial of manual therapy for patients with chronic neck pain.
Our purpose was to compare the effectiveness of three manual therapy techniques : high velocity , low amplitude ( HVLA ) , mobilization ( Mob ) and sustained natural apophyseal glide ( SNAG ) in patients with chronic neck pain ( CNP ) . The r and omized controlled trial included patients with mechanically reproducible CNP , who were r and omized to the treatment group . Outcome measures were the Visual Analogue scale ( VAS ) , Neck Disability Index ( NDI ) , Global Rating of Change ( GROC ) and Cervical Range of Motion ( CROM ) . Two-way repeated measures analysis of variance compared outcomes at baseline , at the end of treatment and 1 , 2 and 3 months after treatment . A total of 51 subjects completed the trial . No significant differences were found between HVLA , Mob and SNAG at the end of treatment and during the follow-up in any of the analysed outcomes . There were no differences in satisfaction for all techniques . The results lead to the conclusion that there is no long-term difference between the application of HVLA , Mob and SNAG in pain , disability and cervical range of motion for patients with CNP
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 .