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 .
Short-term effects of spinal thrust joint manipulation in patients with chronic neck pain: a randomized clinical trial
Objective : To compare the effects of an isolated application of cervical spine thrust joint manipulation vs. the application of cervical , cervico-thoracic junction and thoracic manipulation on neck pain , disability and cervical range of motion in chronic neck pain . Design : R and omized clinical trial . Setting : Clinical practice . Participants : Eighty-two patients ( 41 females ) with chronic mechanical neck pain . Interventions : Patients were r and omly assigned to a cervical spine manipulation group or a full manipulative group who received mid-cervical , cervico-thoracic and thoracic joint manipulations . Measurements : Neck pain intensity ( 11-point numeric pain rating scale ) , self-reported disability ( Neck Disability Index ) and cervical range of motion were collected at baseline and one week after the intervention by an assessor blinded to the allocation of the patients . Results : A significant Group * Time interaction for Neck Disability Index ( P = 0.022 ) , but not for neck pain ( P = 0.612 ) , was found : patients in the full manipulative group exhibited greater reduction in disability than those who received the cervical spine manipulation alone , whereas both groups experienced similar decreases in neck pain . Patients in both groups experienced similar increases in cervical range of motion ( P > 0.4 ) . No effect of gender was observed ( P > 0.299 ) . Conclusions : In patients with chronic mechanical neck pain , manipulation of the cervical and thoracic spine leads to a greater reduction in disability at one week than after manipulation of the cervical spine alone , whereas changes in pain and range of motion are not affected differently
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 .