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 frequency and duration of strength training for effective management of neck and shoulder pain: a randomised controlled trial
Background Specific strength training can reduce neck and shoulder pain in office workers , but the optimal combination of exercise frequency and duration remains unknown . This study investigates how one weekly hour of strength training for the neck and shoulder muscles is most effectively distributed . Methods A total of 447 office workers with and without neck and /or shoulder pain were r and omly allocated at the cluster-level to one of four groups ; 1 × 60 ( 1WS ) , 3 × 20 ( 3WS ) or 9 × 7 ( 9WS ) min a week of supervised high-intensity strength training for 20 weeks , or to a reference group without training ( REF ) . Primary outcome was self-reported neck and shoulder pain ( scale 0–9 ) and secondary outcome work disability ( Disability in Arms , Shoulders and H and s ( DASH ) ) . Results The intention-to-treat analysis showed reduced neck and right shoulder pain in the training groups after 20 weeks compared with REF . Among those with pain ≥3 at baseline ( n=256 ) , all three training groups achieved significant reduction in neck pain compared with REF ( p<0.01 ) . From a baseline pain rating of 3.2 ( SD 2.3 ) in the neck among neck cases , 1WS experienced a reduction of 1.14 ( 95 % CI 0.17 to 2.10 ) , 3WS 1.88 ( 0.90 to 2.87 ) and 9WS 1.35 ( 0.24 to 2.46 ) which is considered clinical ly significant . DASH was reduced in 1WS and 3WS only . Conclusion One hour of specific strength training effectively reduced neck and shoulder pain in office workers . Although the three contrasting training groups showed no statistical differences in neck pain reduction , only 1WS and 3WS reduced DASH . This study suggests some flexibility regarding time-wise distribution when implementing specific strength training at the workplace
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 .