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 .
Self-management of persistent neck pain: a randomized controlled trial of a multi-component group intervention in primary health care.
UNLABELLED Studies regarding self-management of persistent neck pain are infrequent . OBJECTIVE to compare treatment effects of ( a ) a multi-component pain and stress self-management group intervention ( PASS ) and ( b ) individually administered physical therapy ( IAPT ) for patients with persistent musculoskeletal tension-type neck pain . METHODS Persons seeking physical therapy treatment due to persistent tension-type neck pain at nine primary health care centers in Sweden were r and omly assigned to either PASS or IAPT . Before treatment ( baseline ) and at 10- and 20-weeks the participants completed a self- assessment question naire comprising : the Self-Efficacy Scale , the Neck Disability Index , the Coping Strategies Question naire , the Hospital Anxiety and Depression Scale , the Fear-Avoidance Beliefs Question naire and questions regarding neck pain , analgesics and utilization of health care . Intention-to-treat analyses were performed using repeated measures analysis of variance between baseline , 10-week and 20-week follow-up . RESULTS One hundred and fifty six participants were included ( PASS n=77 , IAPT n=79 ) . On average participants receiving PASS attended seven treatment sessions and participants receiving IAPT 11 sessions over the 20-week follow-up period . Repeated measures ANCOVA showed significant time x group interaction effects for ability to control pain ( p<0.001 ) , self-efficacy regarding pain-interfering activities ( p=0.005 ) , disability due to neck pain ( p=0.001 ) and levels of catastrophic thinking ( p<0.001 ) in favour of PASS . CONCLUSION PASS had a better effect than IAPT in the treatment of persistent musculoskeletal tension-type neck pain regarding coping with pain , in terms of patients ' self-reported pain control , self-efficacy , disability and catastrophizing , over the 20-week follow-up
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 .