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 .
Dose-Response of Strengthening Exercise for Treatment of Severe Neck Pain in Women
Abstract And ersen , CH , And ersen , LL , Pedersen , MT , Mortensen , P , Karstad , K , Mortensen , OS , Zebis , MK , and Sjøgaard , G. Dose-response of strengthening exercise for treatment of severe neck pain in women . J Strength Cond Res 27(12 ) : 3322–3328 , 2013—Specific strength training is shown to relieve neck pain in office workers . The purpose of this study is to evaluate the effectiveness of specific strength training in women with severe neck pain and to analyze the dose – response relationship between training adherence and pain reduction . One hundred eighteen untrained women with severe neck pain ( > 30 mm VAS pain ) were included from a larger study , in which the subjects were r and omized to 20-week specific strength training for the neck/shoulders or to a control group . In the intention-to-treat analysis , the training group experienced greater pain relief than the control group ( p < 0.01 ) . Participants who adhered “ per protocol ” decreased pain by 35 mm VAS ( 95 % confidence interval : −26 to −44 ) from baseline to follow-up corresponding to a 70 % reduction . In the dose – response analyses , participants with medium and high training adherence showed better pain relief than the control group and those with low adherence ( p < 0.0001 ) . The decrease from baseline in the medium and high adherence groups was 37 mm VAS ( 28–46 mm ) and 33 mm VAS ( 24–43 mm ) , respectively . Specific strength training  reduces pain intensity in women with severe neck pain , and 1–2 training sessions per week for 20 weeks ( ∼30 training sessions ) seems sufficient for optimal pain relief
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 .