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 .
Effectiveness of Specific Neck Stabilization Exercises or a General Neck Exercise Program for Chronic Neck Disorders: A Randomized Controlled Trial
Objective . In a cohort of primary care patients with chronic neck pain , to determine whether specific neck stabilization exercises , in addition to general neck advice and exercise , provide better clinical outcome at 6 weeks than general neck advice and exercise alone . Methods . This was a multicenter r and omized controlled trial in 4 physical therapy departments . Seventy-four participants ( mean age 51.3 yrs ) were r and omized to specific neck stabilization exercises with a general neck advice and exercise program ( n = 37 ) or a  general neck advice and exercise program alone ( n = 37 ) . They attended a 1-hour clinical examination , followed by a maximum of 4 treatment sessions . Assessment s were undertaken at baseline , 6 weeks , and 6 months . The primary outcome was the Neck Pain and Disability Scale ( NPDS ) . Analysis was by intention to treat . Results . Seventy-one ( 96 % ) participants received their allocated intervention . There was 91 % followup at 6 weeks and 92 % followup at 6 months . The mean ( SD ) 6-week improvement ( reduction ) in NPDS score was 10.6 ( 20.2 ) for the specific exercise program and 9.3 ( 15.7 ) for the general exercise program . There were no significant between-group differences in the NPDS at either 6 weeks or 6 months . For secondary outcomes , participants in the specific exercise group were less likely to be taking pain medication at 6-week followup ( p = 0.02 ) . There were no other significant between-group differences . Conclusion . Adding specific neck stabilization exercises to a general neck advice and exercise program did not provide better clinical outcome overall in the physical therapy treatment of chronic neck pain
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 .