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 .
Qigong Versus Exercise Versus No Therapy for Patients With Chronic Neck Pain: A Randomized Controlled Trial
Study Design . R and omized controlled trial . Objective . To evaluate whether qigong is more effective than no treatment and not inferior to exercise therapy . Summary of Background Data . Lifetime prevalence of chronic neck pain is close to 50 % . Qigong is often used by patients , although , the evidence is still unclear . Methods . Patients ( aged 20–60 years ) with chronic neck pain ( visual analog scale , VAS ≥40 mm ) were r and omized to 1 ) qigong or 2 ) exercise therapy ( 18 sessions over 6 months ) or 3 ) waiting list ( no treatment ) . At baseline and after 3 and 6 months , patients completed st and ardized question naires assessing neck pain ( VAS ) , neck pain and disability , and quality of life ( Short Form SF-36 question naire , SF-36 ) . The primary endpoint was average pain in the last 7 days on VAS at 6-month follow-up . Statistical analysis included generalized estimation equation models adjusted for baseline values and patient expectation . Results . A total of 123 patients ( aged 46 ± 11 years , 88 % women ) suffering from chronic neck pain for 3.2 ( SD ± 1.6 ) years were included . After 6 months , a significant difference was seen between the qigong and waiting list control groups ( VAS mean difference : −14 mm [ 95 % CI = −23.1 to −5.4 ] , P = 0.002 ) . Mean improvements in the exercise group were comparable to those in the qigong group ( difference between groups −0.7 mm [ CI = −9.1 to 7.7 ] ) but failed to show statistical significance ( P = 0.092 ) . Neck pain and disability , and SF-36 results also yielded superiority of qigong over no treatment and similar results in the qigong and exercise therapy groups . Conclusion . Qigong was more effective than no treatment in patients with chronic neck pain . Further studies could be design ed without waiting list control and should use a larger sample to clarify the value of qigong compared to exercise therapy
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 .