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 .
Microwave diathermy for treating nonspecific chronic neck pain: a randomized controlled trial.
BACKGROUND CONTEXT Although the use of deep heat therapy is widespread , there is scant literature available on its effectiveness in treating back or neck pain . PURPOSE The purpose of this study was to determine the efficacy of microwave diathermy to treat nonspecific chronic neck pain . DESIGN The study was design ed as a double-blind , r and omized controlled trial . PATIENT SAMPLE The patient sample consisted of 149 patients with nonspecific chronic neck pain in a hospital of the And alusian Public Health Care System , Spain OUTCOME MEASURES The study outcome measures are as follows : at baseline , pain intensity ( using a visual analogue scale ) , disability ( Neck Disability Index ) , and health-related quality of life ( 36-item short form health survey [ SF-36 ] ) ; at 3 weeks , baseline measures and patients ' perceived overall outcome and satisfaction with the treatment ; and at 6 months , 3-week measures , therapeutic co- interventions , and adherence to exercises . METHODS Patients were allocated r and omly to three groups . The first group received continuous microwave diathermy , the second group was administered pulsed microwaves , and the third group ( the control group ) received unplugged microwaves . All three groups received the same general treatment : range of motion , isometric exercises , and transcutaneous electrical nerve stimulation . RESULTS The three groups had reduced pain and disability , and improvement was seen in some dimensions of the SF-36 . However , there were no differences found in any of the parameters measured among the three therapeutic groups . CONCLUSIONS Microwave diathermy does not provide additional benefit to a treatment regimen of chronic neck pain that already involves other treatment approaches
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 .