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 Feldenkrais method on chronic neck/scapular pain in people with visual impairment: a randomized controlled trial with one-year follow-up.
OBJECTIVE To determine whether the Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment . DESIGN R and omized controlled trial with an untreated control group . SETTING Low vision center . PARTICIPANTS Patients ( N=61 ) with visual impairment ( mean , 53.3 y ) and nonspecific chronic ( mean , 23.8 y ) neck/scapular pain . INTERVENTIONS Participants were r and omly assigned to the Feldenkrais method group ( n=30 ) or untreated control group ( n=31 ) . Patients in the treatment group underwent one 2-hour Feldenkrais method session per week for 12 consecutive weeks . MAIN OUTCOME MEASURES Blind assessment of perceived pain ( visual analog scale [ VAS ] ) during physical therapist palpation of the left and right occipital , upper trapezius , and levator scapulae muscle areas ; self-assessed degree of pain on the Visual , Musculoskeletal , and Balance Complaints question naire ; and the Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain scale . RESULTS Patients undergoing Feldenkrais method reported significantly less pain than the controls according to the VAS and Visual , Musculoskeletal , and Balance Complaints question naire ratings at posttreatment follow-up and 1-year follow-up . There were no significant differences regarding the Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain scale ratings . CONCLUSIONS Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment
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 .