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 .
Strength training and stretching versus stretching only in the treatment of patients with chronic neck pain: a randomized one-year follow-up study
Objective : To compare the effectiveness of a 12-month home-based combined strength training and stretching programme against stretching alone in the treatment of chronic neck pain .  Design : A r and omized follow-up study . Participants : One hundred and one patients with chronic non-specific neck pain were r and omized in two groups . Intervention : The strength training and stretching group was supported by 10 group training sessions and the stretching group was instructed to perform stretching exercises only as instructed in one group session . Main outcome measurements : Neck pain , disability , neck muscle strength and mobility of cervical spine were measured before and after the intervention . Results : No significant differences in improvement in neck pain and disability were found between the two training groups . Mean ( SD ) pain decreased from 64 ( 17 ) mm by 37 ( 95 % confidence interval ( CI ) 44 to 30 ) mm in the strength training and stretching group , and from 60 ( 17 ) mm by 32 ( 39 to 25 ) mm in the stretching group . The improvements in disability were significant in both groups ( P<0.001 ) , while the changes in neck strength and mobility were minor . Training adherence decreased over time from the targeted three sessions a week , ending up at 1.1 ( 0.7 ) times a week for strength training and stretching group and 1.4 ( 0.8 ) times a week for stretching group . Conclusions : No statistically significant differences in neck pain and disability were observed between the two home-based training regimens . Combined strength training and stretching or stretching only were probably as effective in achieving a long-term improvement although the training adherence was rather low most of the time
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 .