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 .
Perceived value of spinal manipulative therapy and exercise among seniors with chronic neck pain: a mixed methods study.
OBJECTIVE To explore perceptions of spinal manipulative therapy and exercise among adults aged 65 years and older with chronic neck pain . DESIGN Mixed methods study embedded within a r and omized clinical trial . SUBJECTS/ PATIENTS Interviews were conducted with 222 of 241 r and omized clinical trial participants . They had a mean age of 72.2 years and they had neck pain of moderate severity and of 6 years mean duration . METHODS Semi-structured interviews were conducted at the completion of the 12 week intervention phase , during which participants received spinal manipulative therapy and exercise interventions . Interviews explored determinants of satisfaction with care , whether or not therapy was worthwhile , and what was liked and disliked about treatment . Interviews were recorded and transcribed ; content analysis was used to identify themes within responses . RESULTS Participants placed high value on their relationships with health care team members , supervision , individualized care , and the exercises and information provided as treatment . Change in symptoms did not figure as prominently as social and process-related themes . Percpetions of age , activities , and co-morbities influenced some seniors ' expectations of treatment results , and comorbidities impacted perceptions of their ability to participate in active care . CONCLUSION Relationship dynamics should be leveraged in clinical encounters to enhance patient satisfaction and perceived value of care
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 .