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 .
Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: a randomized controlled trial.
Spinal Manipulation ( SM ) has been purported to decrease pain and improve function in subjects with non-specific neck pain . Previous research has investigated which individuals with non-specific neck pain will be more likely to benefit from SM . It has not yet been proven whether or not the effectiveness of thoracic SM depends on the specific technique being used . This double-blind r and omized trial has compared the short-term effects of two thoracic SM maneuvers in subjects with chronic non-specific neck pain . Sixty participants were distributed r and omly into two groups . One group received the Dog technique ( n = 30 ) , with the subject in supine position , and the other group underwent the Toggle-Recoil technique ( n = 30 ) , with the participant lying prone , T4 being the targeted area in both cases . Evaluations were made of self-reported neck pain ( Visual Analogue Scale ) ; neck mobility ( Cervical Range of Motion ) ; and pressure pain threshold at the cervical and thoracic levels ( C4 and T4 spinous process ) and over the site described for location of tense b and s of the upper trapezius muscle . Measurements were taken before intervention , immediately afterward , and 20 min later . Both maneuvers improved neck mobility and mechanosensitivity and reduced pain in the short term . No major or clinical differences were found between the groups . In the between-groups comparison slightly better results were observed in the Toggle-Recoil group only for cervical extension ( p = 0.009 ) , right lateral flexion ( p = 0.004 ) and left rotation ( p < 0.05 )
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 .