Overall , as a therapeutic intervention , structured patient education was equal or less effective than other conservative treatments including massage , supervised exercise , and physiotherapy .
However , structured patient education may provide small benefits when combined with physiotherapy .
Either mode of delivery ( ie , oral or written education ) provides similar results in patients with recent WAD .
Results suggest that structured patient education alone can not be expected to yield large benefits in clinical effectiveness compared with other conservative interventions for patients with WAD or NAD .
Moreover , structured patient education may be of benefit during the recovery of patients with WAD when used as an adjunct therapy to physiotherapy or emergency room care .
These benefits are small and short lived
BACKGROUND CONTEXT In 2008 , the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders recommended patient education for the management of neck pain .
However , the effectiveness of education interventions has recently been challenged .
PURPOSE To up date the findings of the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders and evaluate the effectiveness of structured patient education for the management of patients with whiplash-associated disorders ( WAD ) or neck pain and associated disorders ( NAD ) .
OUTCOME MEASURES Self-rated recovery , functional recovery ( eg , disability , return to activities , work , or school ) , pain intensity , health-related quality of life , psychological outcomes such as depression or fear , or adverse effects .
Naprapathic Manual Therapy or Evidence-based Care for Back and Neck Pain: A Randomized, Controlled Trial
Objectives To compare naprapathic manual therapy with evidence -based care for back or neck pain regarding pain , disability , and perceived recovery . Naprapathy that is common in the Nordic countries and in some states in the United States is characterized by manual manipulations with a focus on soft and connective tissues , aim ing to decrease pain and disability in the musculoskeletal system . Methods Four hundred and nine patients with pain and disability in the back or neck lasting for at least 2 weeks , recruited at 2 large public companies in Sweden in 2005 , were included in this r and omized controlled trial . The 2 interventions were naprapathy , including spinal manipulation/mobilization , massage , and stretching ( Index Group ) and support and advice to stay active and how to cope with pain , according to the best scientific evidence available , provided by a physician ( Control Group ) .  Pain , disability , and perceived recovery were measured by question naires at baseline and after 3 , 7 , and 12 weeks . Results At 7-week and 12-week follow-ups , statistically significant differences between the groups were found in all outcomes favoring the Index Group . At 12-week follow-up , a higher proportion in the naprapathy group had improved regarding pain [ risk difference (RD)=27 % , 95 % confidence interval ( CI ) : 17 - 37 ] , disability ( RD=18 % , 95 % CI : 7 - 28 ) , and perceived recovery ( RD=44 % , 95 % CI : 35 - 53 ) . Separate analysis of neck pain and back pain patients showed similar results . Discussion This trial suggests that combined manual therapy , like naprapathy , might be an alternative to consider for back and neck pain patients
Overall , as a therapeutic intervention , structured patient education was equal or less effective than other conservative treatments including massage , supervised exercise , and physiotherapy .
However , structured patient education may provide small benefits when combined with physiotherapy .
Either mode of delivery ( ie , oral or written education ) provides similar results in patients with recent WAD .
Results suggest that structured patient education alone can not be expected to yield large benefits in clinical effectiveness compared with other conservative interventions for patients with WAD or NAD .
Moreover , structured patient education may be of benefit during the recovery of patients with WAD when used as an adjunct therapy to physiotherapy or emergency room care .
These benefits are small and short lived
BACKGROUND CONTEXT In 2008 , the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders recommended patient education for the management of neck pain .
However , the effectiveness of education interventions has recently been challenged .
PURPOSE To up date the findings of the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders and evaluate the effectiveness of structured patient education for the management of patients with whiplash-associated disorders ( WAD ) or neck pain and associated disorders ( NAD ) .
OUTCOME MEASURES Self-rated recovery , functional recovery ( eg , disability , return to activities , work , or school ) , pain intensity , health-related quality of life , psychological outcomes such as depression or fear , or adverse effects .