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 .
Effects of an exercise programme on preventing neck pain among office workers: a 12-month cluster-randomised controlled trial
Objectives This study aim ed to evaluate the effects of an exercise programme focusing on muscle stretching and endurance training on the 12-month incidence of neck pain in office workers . Methods A 12-month prospect i ve cluster-r and omised controlled trial was conducted in healthy office workers with lower-than-normal neck flexion movement or neck flexor endurance . Participants were recruited from 12 large-scale enterprises . A total of 567 healthy office workers were r and omly assigned at the cluster level into either intervention ( n=285 ) or control ( n=282 ) groups . Participants in the intervention group received an exercise programme that included daily stretching exercise and twice-a-week muscle endurance training . Those in the control group received no intervention . The primary outcome measure was the 12-month incidence of neck pain , and the secondary outcome measures were pain intensity , disability level , and quality of life and health status . Analyses were performed using the Cox proportional hazard models . Results Over the 12-month follow-up , 12.1 % of participants in the intervention group and 26.7 % in the control group developed incident neck pain . Hazard rate ratios showed a protective effect of the exercise programme for neck pain ( HR=0.45 , 95 % CI 0.28 to 0.71 ) after adjusting for biopsychosocial factors . There was no significant difference in pain intensity , disability and quality of life and health status between those who reported incident neck pain in the intervention and control groups . Conclusions The exercise programme reduced incident neck pain and increased neck flexion movement for office workers with lower-than-normal neck flexion movement
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 .