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 .
Influence of Self-Efficacy on Compliance to Workplace Exercise
Background Continuous neck and shoulder pain is a common musculoskeletal complaint . Physical exercise can reduce pain symptoms , but compliance to exercise is a challenge . Exercise-specific self-efficacy has been found to be a predictor of participation in preplanned exercise . Little is known about the influence of exercise-specific self-efficacy on compliance to workplace physical exercise . Purpose To determine the influence of exercise-specific self-efficacy on compliance to specific strength exercises during working hours for laboratory technicians . Methods We performed a cluster-r and omized controlled trial , including laboratory technicians from two industrial production units in Copenhagen , Denmark . The participants were r and omized to supervised specific strength exercises for the neck and shoulder muscles  for 20 minutes three times a week ( n = 282 ) or to a reference group ( n = 255 ) . The participants answered baseline and follow-up questions regarding self-efficacy and registered all exercises in a diary . Results Overall compliance to exercises was 45 % . Compliance in company A ( private sector ) differed significantly between the three self-efficacy groups after 20 weeks . The odds ratio of compliance was 2.37 for moderate versus low self-efficacy , and 2.93 for high versus low self-efficacy . No significant difference was found in company B ( public sector ) or in the intervention group as a whole . Conclusion We did not find self-efficacy to be a general statistically significant predictor of compliance to exercises during 20 weeks , but found self-efficacy to be a predictor of compliance in a private sector setting . Workplace-specific differences might be present and should be taken into account
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 .