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 and exercise therapy for elderly patients with chronic neck pain (QIBANE): a randomized controlled study.
UNLABELLED The aim of this study was to evaluate the effectiveness of qigong compared with exercise therapy and no treatment .  Elderly patients with chronic neck pain ( > 6 months ) were r and omly assigned to qigong or exercise therapy ( each 24 sessions over a period of 3 months ) or to a waiting list control . Patients completed st and ardized question naires at baseline and after 3 and 6 months . The main outcome measure was average neck pain on the visual analogue scale after 3 months . Secondary outcomes were neck pain and disability ( NPAD ) and quality of life ( SF-36 ) .  One hundred seventeen patients ( age , 76 + /- 8 years , 95 % women ) were included in the intention-to-treat analysis . The average duration of neck pain was 19.0 + /- 14.9 years . After 3 months , no significant differences were observed between the qigong group and the waiting list control group ( visual analogue scale mean difference , -11 mm [ CI , -24.0 ; 2.1 ] , P = .099 ) or between the qigong group and the exercise therapy group ( -2.5 mm [ - 15.4 ; 10.3 ] , P = .699 ) . Results for the NPAD were similar ( qigong vs waiting list -6.7 ( -15.4 ; 2.1 ) , P = .135 ; qigong vs exercise therapy 2.3 ( -6.2 ; 10.8 ) ; P = .600 ) . We found no significant effect after 3 months of qigong or exercise therapy compared with no treatment . Further studies should include outcomes more suitable to elderly patients , longer treatment , and patients with less chronic pain . PERSPECTIVE In a r and omized controlled study , we evaluated whether a treatment of 24 qigong sessions over a period of 3 months is ( 1 ) superior to no treatment and ( 2 ) superior to the same amount of exercise therapy in elderly patients ( age , 76 + /- 8 years , 95 % women ) with long-term chronic neck pain ( 19.0 + /- 14.9 years ) . After 3 and 6 months , we found no significant differences for pain , neck pain , disability , and quality of life among the 3 groups
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 .