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 .
Simple educational intervention to improve the recovery from acute whiplash: results of a randomized, controlled trial.
OBJECTIVES To determine if an educational intervention in the acute stage of whiplash injury may improve the recovery rate . METHODS Consecutive subjects were r and omized to one of two treatment groups : educational intervention or usual care . The intervention group received an educational pamphlet based on the current evidence . The control group did not receive these material s but received usual emergency department care and a st and ard nondirected discharge information sheet . Both groups underwent follow-up by telephone interview at two weeks and three months . The primary outcome measure of recovery was the patient 's response to the question , " How well do you feel you are recovering from your injuries ? " RESULTS A total of 112 subjects agreed to participate . Age , gender , precollision employment level and health , initial symptoms , collision parameters , and emergency treatments were similar between the groups . At two weeks postcollision , 7.3 % in the treatment group reported recovery compared with 8.8 % in the control group ( absolute risk difference , -1.5 % ; 95 % confidence interval = -12.6 % to 9.7 % ) . At three months postcollision , 21.8 % in the treatment group reported complete recovery compared with 21.0 % in the control group ( absolute risk difference , 0.8 % ; 95 % confidence interval = -14.4 % to 16.0 % ) . At three months , there were no clinical ly or statistically significant differences between groups in severity of remaining symptoms , limitations in daily activities , therapy use , medications used , lost time from work , or litigation . CONCLUSIONS An evidence -based educational pamphlet provided to patients at discharge from the emergency department is no more effective than usual care for patients with grade 1 or 2 whiplash-associated disorder
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 .