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 .
Implementation of specific strength training among industrial laboratory technicians: long-term effects on back, neck and upper extremity pain
Background Previous studies have shown positive effects of physical exercise at the workplace on musculoskeletal disorders . However , long-term adherence remains a challenge . The present study evaluates long-term adherence and effects of a workplace strength training intervention on back , neck and upper extremity pain among laboratory technicians . Methods Cluster-r and omized controlled trial involving 537 industrial laboratory technicians . Subjects were r and omized at the cluster level to one of two groups : training group 1 ( TG1 , n = 282 ) performing supervised strength training from February to June 2009 ( round one ) or training group 2 ( TG2 , n = 255 ) performing supervised strength training from August to December 2009 ( round two ) . The outcome measures were changes in self-reported pain intensity ( 0–9 ) in the back , neck and upper extremity as well as Disability of the Arm , Shoulder and H and ( DASH , 0–100 ) . Results Regular adherence , defined as at least one training session per week , was achieved by around 85 % in both groups in the supervised training periods . In the intention-to-treat analyses there were significant group by time effects for pain in the neck , right shoulder , right h and and lower back and DASH - result ing in significant reductions in pain ( mean 0.3 to 0.5 ) and DASH ( mean 3.9 ) in the scheduled training group compared to the reference group . For TG1 there were no significant changes in pain in round two , i.e. they maintained the pain reduction achieved in round one . Subgroup analyses among those with severe pain ( > = 3 on a scale of 0–9 ) showed a significant group by time effect for pain in the neck , right shoulder , upper back and lower back . For these subgroups the pain reduction in response to training ranged from 1.1 to 1.8 . Conclusions Specific strength training at the workplace can lead to significant long-term reductions in spinal and upper extremity pain and DASH . The pain reductions achieved during the intensive training phase with supervision appears to be maintained a half year later
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 .