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 .
Immediate effects of the central posteroanterior mobilization technique on pain and range of motion in patients with mechanical neck pain
Purpose . To determine the immediate effects of the central posteroanterior ( PA ) mobilization technique on both pain and active cervical range of motion in patients with mechanical neck pain presenting with central or bilateral symptoms . Methods . A r and omized controlled trial was conducted in 60 patients who were r and omly allocated into either ‘ central PA ’ or ‘ r and om ’ mobilization group .  Two physical therapists and one assessor participated . Outcome measures included neck pain at rest , pain on the most painful movement , and active cervical range of motion taken before and immediately 5 min after the mobilization treatment . Results . Significant reductions in pain at rest and on the most painful movement were noted within-group comparisons ( p < 0.001 ) . However , the ‘ central PA ’ mobilization group obtained a significantly greater reduction in pain on the most painful movement than the ‘ r and om ’ mobilization group ( p < 0.05 ) . Both mobilization techniques had no effects on the active cervical range of motion . However , the differences in the means of pain reduction between both mobilization techniques were modest ( < 10 mm ) . Conclusion . The clinical recommendation regarding the selection of the central PA mobilization technique for treating patients with central or bilateral mechanical neck pain is therefore arguably
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 .