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 .
The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain
Objective : To determine the efficacy of Sustained Natural Apophyseal Glides ( SNAGs ) with and without Isometric Exercise Training Program ( IETP ) in Non-specific Neck Pain ( NSNP ) Methods : This r and omized control trial of one year duration was conducted at out-patient department of Physiotherapy and Rehabilitation , Khyber Teaching Hospital ( KTH ) Peshawar , Pakistan from July 2012 to June 2013 . The sample of 102 patients of NSNP were r and omly selected through simple r and om sampling technique , and placed into two groups . The SNAGs manual physical therapy technique with IETP was applied on 51 patients in group A and SNAGs manual physical therapy techniques was applied alone on 51 patients in group B. The duration of intervention was 6 weeks , at 4 times per week . The Neck Disability Index ( NDI ) and Visual Analog Scale ( VAS ) for neck pain were assessment tools used for all patients before and after 6 weeks of physical therapy intervention . All the patients were assessed through NDI and VAS before intervention and at the completion of 6 weeks program . The data of all 102 was analyzed by SPSS-20 and statistical test was applied at 95 % level of significance determine the efficacy of both the treatments interventions and compare with each other . Results : The patients in group A , treated with SNAGs and followed by IETP for 6 weeks , demonstrated more improvement in pain and physical activity as assessed by VAS ( p=0.013 ) and NDI ( p=0.003 ) , as compared to the patients treated with SNAGS alone , as pain and function assessed by VAS ( p=0.047 ) and NDI ( p=0.164 ) . In group A the NDI score improved from 40 to 15 and VAS from 7 to 4 , while in group B the NDI score improved from 42 to 30 and VAS from 7 to 4 . Conclusion : Patients with non-specific neck pain treated with SNAGs manual physical therapy techniques and followed by IETP was more effective in reduction of pain and enhancement of function , as compared to those patients treated with SNAGs manual physical therapy techniques alone
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 .