Evidence Based Interventions for Neck Pain: Difference between revisions
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== | == Introduction == | ||
When managing individuals with neck pain clinicians should consider implementing approaches based on risk, impairment, or response to treatment when choosing their interventions. | |||
== | Once any signs of [[Red Flags in Spinal Conditions|potentially serious disease]] are excluded, the physiotherapist can confidently consider the condition to be suitable for physiotherapy management. | ||
== Self Management Approach == | |||
=== Education === | |||
Patient education play a great role in the management of individuals with neck pain<ref name=":0">Rebbeck T. T[http://www.jospt.org/doi/pdf/10.2519/jospt.2017.7138 he Role of Exercise and Patient Education in the Noninvasive Management of Whiplash: A Clinical Commentary.] Journal of Orthopaedic & Sports Physical Therapy. 2017 Jun 16(0):1-32.</ref> and this may be the most important and most challenging part of the treatment. The physiotherapist needs to provide a careful explanation to reassure the patient that no serious disease or injury has been found. Great care is needed to select appropriate, non-threatening words that will not be misinterpreted by the patient<ref>Bedell SE, Graboys TB, Bedell E, Lown B. Words that harm, words that heal. Arch Intern Med 2004; 164:1365–8.</ref> and providing biomechanical information about the spine that is not evidence-based can add to their concerns<ref name=":1">Moffett J, McLean S. [https://academic.oup.com/rheumatology/article/45/4/371/1784935/ The role of physiotherapy in the management of non-specific back pain and neck pain]. Rheumatology. 2005 Dec 6;45(4):371-8.</ref>. It is important to avoid reinforcing patients’ fears about the threatening processes that might be going on in their spine as these fears or concerns can act as a barrier to recovery and need to be properly addressed<ref name=":1" />. | |||
=== Encourage Usual Activity === | |||
An essential component of treatment for individuals with neck pain is to encourage active self-management. The primary aim is to help patients resume normal activities as far as possible, as soon as possible. This advice can be supported by offering simple evidence-based educational materials. | |||
== Intervention Approaches == | |||
=== Exercise Therapy === | |||
Exercise-based neck/shoulder rehabilitation can be an effective way of managing cervicogenic disorders. No one exercise regime stands out although there is some evidence that both strengthening and endurance regimes have superior benefits over other forms of activity, such as stretching programmes or returning to normal activity<ref name=":0" />. Multimodal treatment approaches that include the use of exercise therapy appear to be more effective than single treatments alone for the management of neck pain | |||
=== Passive Treatments === | |||
Manual Therapy | |||
Massage | |||
Physical Modalities | |||
=== Psychosocial Aspects === | |||
== Sub Heading 3 == | == Sub Heading 3 == | ||
Revision as of 11:35, 23 September 2017
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - Rachael Lowe, Kim Jackson, Simisola Ajeyalemi, Jess Bell and Nupur Smit Shah
Introduction[edit | edit source]
When managing individuals with neck pain clinicians should consider implementing approaches based on risk, impairment, or response to treatment when choosing their interventions.
Once any signs of potentially serious disease are excluded, the physiotherapist can confidently consider the condition to be suitable for physiotherapy management.
Self Management Approach[edit | edit source]
Education[edit | edit source]
Patient education play a great role in the management of individuals with neck pain[1] and this may be the most important and most challenging part of the treatment. The physiotherapist needs to provide a careful explanation to reassure the patient that no serious disease or injury has been found. Great care is needed to select appropriate, non-threatening words that will not be misinterpreted by the patient[2] and providing biomechanical information about the spine that is not evidence-based can add to their concerns[3]. It is important to avoid reinforcing patients’ fears about the threatening processes that might be going on in their spine as these fears or concerns can act as a barrier to recovery and need to be properly addressed[3].
Encourage Usual Activity[edit | edit source]
An essential component of treatment for individuals with neck pain is to encourage active self-management. The primary aim is to help patients resume normal activities as far as possible, as soon as possible. This advice can be supported by offering simple evidence-based educational materials.
Intervention Approaches[edit | edit source]
Exercise Therapy[edit | edit source]
Exercise-based neck/shoulder rehabilitation can be an effective way of managing cervicogenic disorders. No one exercise regime stands out although there is some evidence that both strengthening and endurance regimes have superior benefits over other forms of activity, such as stretching programmes or returning to normal activity[1]. Multimodal treatment approaches that include the use of exercise therapy appear to be more effective than single treatments alone for the management of neck pain
Passive Treatments[edit | edit source]
Manual Therapy
Massage
Physical Modalities
Psychosocial Aspects[edit | edit source]
Sub Heading 3[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Rebbeck T. The Role of Exercise and Patient Education in the Noninvasive Management of Whiplash: A Clinical Commentary. Journal of Orthopaedic & Sports Physical Therapy. 2017 Jun 16(0):1-32.
- ↑ Bedell SE, Graboys TB, Bedell E, Lown B. Words that harm, words that heal. Arch Intern Med 2004; 164:1365–8.
- ↑ 3.0 3.1 Moffett J, McLean S. The role of physiotherapy in the management of non-specific back pain and neck pain. Rheumatology. 2005 Dec 6;45(4):371-8.
