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 .
Effects of neck coordination exercise on sensorimotor function in chronic neck pain: a randomized controlled trial.
OBJECTIVE To evaluate the effect of neck coordination exercise on sensorimotor function in women with neck pain compared with best-available treatment and sham treatment . DESIGN Observer-blinded r and omized controlled trial with short-term and 6-month follow-ups . SUBJECTS Women with chronic non-specific neck pain were r and omized to 3 groups :  neck coordination exercise with a novel training device ; strength training for the neck and shoulders ; or massage .  Each group had 36 participants . METHODS The intervention period was 11 weeks with 22 individually supervised sessions . Primary outcomes were postural sway measures and precision of goal -directed arm movements . Secondary outcomes were range of motion for the neck , peak speed of axial rotation , and neck pain . A repeated measures multivariate analysis of variance ( MANOVA ) was conducted separately on the primary outcomes for the short-term and 6-month evaluations and on the sensorimotor secondary outcomes for the 6-month effect . The 6-month effect on pain was analysed with a repeated measures analysis of variance ( ANOVA ) . RESULTS No significant treatment effects in favour of neck coordination exercise were found for short-term or 6-month evaluations . CONCLUSION Neck coordination exercise is no better than strength training and massage in improving sensorimotor function . Further research should investigate the use of cut-offs for sensorimotor dysfunctions prior to proprioceptive or coordinative training
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 .