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 jyoti meditation for patients with chronic neck pain and psychological distress--a randomized controlled clinical trial.
UNLABELLED Chronic neck pain is a common medical complaint partly mediated by psychosocial distress and having a high socioeconomic impact . There is preliminary evidence that stress reduction by meditation might be beneficial in chronic pain syndromes . We aim ed to evaluate the effectiveness of an 8-week meditation program ( jyoti meditation ) in patients with chronic neck pain by means of a r and omized clinical trial . Eighty-nine patients ( aged 49.7 ± 10.5 years , 73 female ) with chronic neck pain who scored > 40 mm on a 100-mm visual analog scale and had concomitant increased perceived stress were r and omized to an 8-week  meditation program ( jyoti meditation ) with weekly 90-minute classes ( n = 45 ) or to a home-based exercise program ( n = 44 ) with a wait list offer for meditation . Both groups were instructed to practice at home . Outcomes were assessed at baseline and after 8 weeks . Primary outcome measure was change of mean pain at rest ( visual analog scale score ) from baseline to week 8 . Secondary outcomes included pain at motion , functional disability , pain-related bothersomeness , perceived stress , quality of life , and psychological outcomes . Patients had neck pain for a mean of 11 years . Eighteen patients in the meditation group and 16 patients in the exercise group were lost to follow-up . Meditation training significantly reduced pain when compared to the exercise group after 8 weeks ( reduction of 45.5 ± 23.3 mm to 21.6 ± 17.2 mm in the meditation group , and 43.8 ± 22.0 mm to 37.7 ± 21.5 mm in the exercise group ; mean difference : 13.2 mm [ 95 % confidence interval : 2.1 , 24.4 ; P = .02 ] ) . Pain-related bothersomeness decreased more in the meditation group ( group difference 11.0 mm [ 95 % confidence interval : 1.0 , 21.0 ; P = .03 ] ) . No significant treatment effects were found for pain at motion , psychological scores , and quality of life , although the meditation group showed nonsignificant greater improvements compared to the exercise group . In conclusion , meditation may support chronic pain patients  in pain reduction and pain coping . Further well- design ed studies including more active control comparisons and longer-term follow-up are warranted . PERSPECTIVE This article presents the results of a r and omized controlled trial on the clinical effects of an 8-week meditation program or self-care exercise in patients with chronic neck pain . Meditation reduced pain at rest but not disability and might be a useful treatment option for pain management 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 .