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 .
Effect of Training Supervision on Effectiveness of Strength Training for Reducing Neck/Shoulder Pain and Headache in Office Workers: Cluster Randomized Controlled Trial
Objective . To investigate the effect of workplace neck/shoulder strength training with and without regular supervision on  neck/shoulder pain and headache among office workers . Method . A 20-week cluster r and omized controlled trial among 351 office workers was r and omized into three groups : two training groups with the same total amount of planned exercises three times per week ( 1 ) with supervision ( 3WS ) throughout the intervention period , ( 2 ) with minimal supervision ( 3MS ) only initially , and ( 3 ) a reference group ( REF ) . Main outcome is self-reported pain intensity in neck and shoulder ( scale 0–9 ) and headache ( scale 0–10 ) . Results . Intention-to-treat analyses showed a significant decrease in neck pain intensity the last 7 days in 3MS compared with REF : −0.5 ± 0.2 ( P < 0.02 ) and a tendency for 3WS versus REF : −0.4 ± 0.2 ( P < 0.07 ) . Intensity of headache the last month decreased in both training groups : 3WS versus REF : −1.1 ± 0.2 ( P < 0.001 ) and 3MS versus REF : −1.1 ± 0.2 ( P < 0.001 ) . Additionally , days of headache decreased 1.0 ± 0.5 in 3WS and 1.3 ± 0.5 in 3MS versus REF . There were no differences between the two training groups for any of the variables . Conclusion . Neck/shoulder training at the workplace reduced neck pain and headache among office workers independently of the extent of supervision . This finding has important practical implication s for future workplace interventions
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 .