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 .
The immediate effects of mobilization technique on pain and range of motion in patients presenting with unilateral neck pain: a randomized controlled trial.
OBJECTIVE To determine the immediate effects on both pain and active range of motion ( ROM ) of the unilateral posteroanterior ( PA ) mobilization technique on the painful side in mechanical neck pain patients presenting with unilateral symptoms . DESIGN Triple-blind , r and omized controlled trial . SETTING Outpatient physical therapy , institutional clinic . PARTICIPANTS Patients ( N=60 ) , 2 physical therapists , and 1 assessor involved in this study . INTERVENTIONS The patients were r and omly allocated into either preferred or r and om mobilization group by using an opaque concealed envelope . The first therapist performed the screening , assessing , prescribing the spinal level(s ) , and the grade of mobilization . The second therapist performed the mobilization treatment according to their allocated group stated in an envelope . The assessor who was blind to the group allocation conducted the measurements of pain and active cervical ROM . MAIN OUTCOME MEASURES Pain intensity , active cervical ROM , and global perceived effect were measured at baseline and 5 minutes posttreatment . RESULTS After mobilization , there were no apparent differences in pain and active cervical ROM between groups . However , within-group changes showed significant decreases in neck pain at rest and pain on most painful movement ( P<0.001 ) with a significant increase in active cervical ROM after mobilization on most painful movement ( P=0.002 ) . CONCLUSIONS The results of this study did not provide support for the preference of the unilateral PA mobilization on the painful side to the r and om mobilization
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 .