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 .
High power laser therapy treatment compared to simple segmental physical rehabilitation in whiplash injuries (1° and 2° grade of the Quebec Task Force classification) involving muscles and ligaments.
INTRODUCTION whiplash is a frequent post traumatic pathology caused by muscle , tendon and capsular elements over stretching . The authors conducted a short term prospect i ve r and omised study to test the effectiveness of a multi wave High Power Laser Therapy ( HPLT ) versus conventional simple segmental physical rehabilitation ( PT ) included in Italian tariff nomenclature performance physiotherapy Study Design : prospect i ve r and omised study ( Level II ) . MATERIAL AND METHODS the authors identified 135 homogeneous patients with whiplash grade 1 - 2 of the Quebec Task Force classification ( QTFC ) . INAIL , the Italian National Workers Insurance , based in Milan , was reliable source for identifying patients . All patients with whiplash injuries grade 1 or 2 QTFC , were eligible for the study , starting from April 28 2010 to September 30 2010 . Patients referred to a Coordinator ( C.M. ) who applied the inclusion and exclusion criteria . Patients who agreed to participate were r and omly assigned to one of the two treatment groups . Date s for initial treatment session were arranged , including cervical spine X-ray , and assessment . Each patient gave informed consent for participation and agreed to adopt only the study treatment for 6 weeks . Group A ( 84 patients ) was treated with High Power Laser Therapy ( HPLT ) , Group B ( 51 patients ) received conventional simple segmental physical rehabilitation ( PT ) . During the treatment period , no other electro-medical therapy , analgesics or anti-inflammatory drugs were allowed . All patients were assessed at baseline ( T0 ) and at the end of the treatment period ( T1 ) using a Visual Analogical Scale ( VAS ) , ( T2 ) the date of return to work was registered afterwards . RESULTS there was a reduction in VAS pain scores at T1 . Group A ( VAS = 20 ) Group B ( VAS = 34,8 ) ( p = 0.0048 ) . Laser treatment allowed quick recovery and return to work ( T2 ) . Group A after 48 days against 66 days of Group B ( p=0.0005 ) . CONCLUSIONS results suggest that High Power Laser Therapy - is an effective treatment in patients with whiplash injury , compared to conventional simple segmental physical rehabilitation
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 .