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 .
A 10-year incidence of acute whiplash injuries after road traffic crashes in a defined population in northern Sweden.
OBJECTIVE To examine the annual incidence of acute whiplash injuries after road traffic crashes in a geographic catchment area in Northern Sweden during the period 2000 - 2009 . DESIGN Descriptive epidemiology determined by prospect ively collected data from a defined population . SETTING The study was conducted at a public hospital in Sweden . PARTICIPANTS The population of the hospital 's catchment area ( 136,600 inhabitants in 1999 and 144,500 in 2009 ) . METHODS At the emergency department , all injured persons ( approximately 11,000 per year ) were asked to answer a question naire about the injury incident . Data from the medical records also were analyzed . From 2000 - 2009 , 15,506 persons were injured in vehicle crashes . Persons who were subject to an acute neck injury within whiplash-associated disorder grade s 1 - 3 were included . The overall and annual incidences were calculated as incidence . Age , gender , type of injury event , and direction of impact were described . The incidences were compared with national statistics on insurance cl aims from 2003 , 2007 , and 2008 to detect changes in the proportions of cl aims . MAIN OUTCOME MEASURES The annual incidence of acute whiplash injuries . Secondary outcome measures were types of injury events , age and gender distribution , changes in the proportion of rear-end crashes during 2000 - 2009 , and changes in the proportion of insurance cl aims during 2003 - 2008 . RESULTS During 2000 - 2009 , 3297 cases of acute whiplash injury were encountered . The overall incidence was 235/100,000/year . The average yearly increase in incidence was 1.0 % . Women comprised 51.9 % and men 48.1 % of the injured . Car occupants ( 86.4 % ) and bicycle riders ( 6.1 % ) were most frequently injured . The proportion of rear-end crashes decreased from 55 % to 45 % from 2000 - 2009 . The proportion of insurance cl aims significantly decreased between 2003 and 2008 ( P < .0001 , χ(2 ) test ) . CONCLUSION The incidence of emergency department visits attributable to acute whiplash injuries after road traffic crashes have been relatively stable during the past decade in our area , except in 2007 and 2008 , when a peak occurred
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 .