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 isometric exercises as compared to general exercises in the management of chronic non-specific neck pain.
To evaluate the effectiveness of isometric exercises as compared to general exercises in  chronic non-specific neck pain .  For this r and omised controlled trial total 68 patients ( 34 each group ) with chronic non-specific neck pain were recruited from Alain Poly Clinic and Institute of Physical Medicine & Rehabilitation Dow University of Health Sciences , Karachi between May , 2012 and August , 2012 . Simple r and omisation method was used to assign participants into isometric exercise group and general exercise groups . The isometric exercise group performed exercises for neck muscle groups with a rubber b and and general exercises group performed active range of movement exercises for all neck movements . Patients in both groups received 3 supervised treatment sessions per week for 12 weeks . Visual Analogue Scale ( VAS ) , North wick Park Neck Pain Question naire and goniometer were used to assess pain , disability and neck range of movements at baseline and after 12 weeks . Both interventions showed statistically significant improvements in pain , function and range of movement p = 0.001f or isometric exercise group , p = 0.04 for general exercises group and p = 0.001 for range of movement . However , mean improvements in post intervention VAS score and North wick Park Neck Pain Question naire score was better in isometric exercises group as compared to general exercise group . In conclusion , both interventions are effective in the treatment of chronic non-specific neck pain however ; isometric exercises are clinical ly more effective than general exercises
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 .