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 .
The effectiveness of Long's manipulation on patients with chronic mechanical neck pain: a randomized controlled trial.
Long 's manipulation ( LM ) is a representative Chinese manipulation approach incorporating both spinal manipulation and traditional Chinese massage ( TCM ) techniques . This r and omized controlled trial ( RCT ) aim ed to compare the immediate and short-term relative effectiveness of LM to TCM on patients with chronic neck pain . Patients were r and omly assigned to either LM group or TCM group . LM group was treated with Long 's manipulation , while the TCM group received TCM therapy . Patients attended 8 sessions of treatment ( one session every three days ) . Outcome measures included neck disability ( Northwick Park Neck Pain Question naire ; NPQ ) , pain intensity ( Numeric Pain Rating Scale ; NPRS ) , patient perceived satisfaction of care ( PPS ) ( 11-point scale ) , craniovertebral angle ( CV angle ) and cervical range of motion ( ROM ) . A blinded assessor performed assessment at baseline , immediate after treatment and 3 months post treatment . LM group achieved significantly greater improvement than TCM group in pain intensity ( p < 0.001 ) , neck disability ( p = 0.049 ) and satisfaction ( p < 0.001 ) up to 3-month follow-up . There was no significant difference in improvements in CV angle and most of cervical ROM between groups ( p = 0.169 ∼ 0.888 ) with an exception of flexion at 3-month follow-up ( p = 0.005 ) . This study shows that LM could produce better effects than TCM in relieving pain and improving disability in the management of patients with chronic mechanical 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 .