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 .
Role of manual therapy with exercise regime versus exercise regime alone in the management of non-specific chronic neck pain.
To evaluate the role of manual therapy with exercise regime versus exercise regime alone in the management of  non-specific chronic neck pain .  In this 62 subjects r and omized controlled trial 31 subjects in group A received manual therapy ( manipulation ) with supervised exercise regime whilst 31 subjects in group B performed only supervised exercise regime for the period of 3 weeks . Both groups had a home exercise program consisted of strengthening exercises for neck/scapuluar stability , stretching and general range of motion exercises for neck with advice regarding posture awareness and correction for 3 months . The results suggested significant reduction in pain intensity level in both groups ; over 3 weeks and 12 weeks ' time period in relation to baseline on visual analog scale ( p=0.001 ) . Similarly , statistically significant improvements noticed in Neck Disability Index ( NDI ) ( p=0.0001 ) in both groups while looking at baseline data with reference to 12 weeks ' time period . On closer inspection , the manual therapy ( manipulation ) with exercise regime appeared as a favorable treatment preference compared with exercise regime 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 .