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 a thoracic spine thrust manipulation on the autonomic nervous system: a randomized clinical trial
Abstract Thoracic spine manipulation has been shown to be effective for the management of neck pain . The purpose of this study was to investigate the immediate effect of a T3–T4 spinal thrust manipulation on autonomic nervous system activity in subjects with chronic cervical pain . An additional aim was to determine if the manipulation result ed in an immediate pain relief in patients with chronic neck pain when compared to a placebo intervention . One hundred subjects with chronic neck pain were r and omly assigned to receive either a thoracic thrust manipulation or a placebo intervention . The Friedman 's test was used to evaluate the change in pupil diameter within both groups . The Wilcoxen signed-ranks test was used to explore pupil changes over time and to make paired comparisons of the pupil change between the groups . The Mann – Whitney U test was used to compare the change in pain perception for the chronic cervical pain group subjects receiving either the thrust manipulation or the placebo intervention . The results demonstrated that manipulation did not result in a change in sympathetic activity . Additionally , there was no significant difference in the subject 's pain perception ( P=0.961 ) when comparing the effects of the thrust manipulation to the placebo intervention within this group of subjects with chronic neck pain . The clinical impression of this study is that manipulation of the thoracic spine may not be effective in immediately reducing pain in patients with chronic neck pain
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 .