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 .
Chronic neck pain and treatment of cognitive and behavioural factors: results of a randomised controlled clinical trial
Purpose Although there is growing evidence in favour of the bio-psychosocial approach to the treatment of  persistent neck pain  , it is question ed whether treating psychological factors can improve patient perceptions of disability , pain and quality of life . This r and omised , controlled study with 12 months ’ follow-up was conducted to evaluate the efficacy of adding cognitive-behavioural principles to exercises for chronic neck pain . Methods Eighty patients were r and omly assigned to the usual neck exercises plus cognitive-behavioural treatment ( PTcb group , 40 subjects ) or to treatment based on neck exercises alone ( PT group , 40 subjects ) . Before treatment ( T1 ) , at the end of treatment ( T2 ) and 12 months later ( T3 ) , all of the patients completed a booklet including the Neck Pain and Disability Scale , a numerical rating scale , and the Short-Form Health Survey Question naire ( SF-36 ) . Results The present trial failed to demonstrate its primary end point : the pre- and post-treatment difference in total NPDS scores was not statistically different between groups . Disability improved similarly in both groups over time , remaining stable until T3 in the PTcb group and slightly increasing at the same time in the PT group . Pain trends were comparable , with both groups showing an improvement between T1 and T2 , and a slight worsening between T2 and T3 . There were significant increases in all of the SF-36 domains except for health in general , and vitality in both groups by the end of treatment . SF-36 showed a between-group difference only for the physical activity domain ( 10.4 ; 95 % CI 2.4–18.5 ) . Conclusion Disability , pain and quality of life improved at the end of treatment in both groups , without differences between them
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 .