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 .
Effect of high-intensity laser therapy in the management of myofascial pain syndrome of the trapezius: a double-blind, placebo-controlled study
Myofascial pain syndrome ( MPS ) of the trapezius muscle is one of the main causes of neck pain . In this r and omized , double-blind study , we evaluated the effects of high-intensity laser therapy ( HILT ) in female patients with chronic MPS of the trapezius muscle . The patients were assigned to two groups . The HILT group was treated with HILT and exercise , and the sham therapy group was treated with placebo HILT and exercise . The patients were assessed for pain , cervical active range of motion , disability , and quality of life . Evaluations were performed before treatment ( week 0 ) and after treatment ( weeks 4 and 12 ) . Both groups showed significant improvement in all parameters at weeks 4 and 12 . However , in a comparison of the percentage changes in the parameters at weeks 4 and 12 relative to pretreatment values , the HILT group showed greater improvement in pain scores , the neck disability index , and several subparts of the short-form 36 health survey ( SF-36 ) ( physical functioning , role limitations due to physical functioning , bodily pain , general health perceptions , social functioning , and role limitations due to emotional problems ) than did the sham therapy group . We conclude that HILT is an effective therapeutic method in the treatment of patients with chronic MPS of the trapezius muscle
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 .