Neck Pain Tool-kit: Step 4: Difference between revisions
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*Once you have found the evidence most applicable to your patient, click on ‘Step 5- Individualize your treatment’ for other considerations in applying the evidence to your patient | *Once you have found the evidence most applicable to your patient, click on ‘Step 5- Individualize your treatment’ for other considerations in applying the evidence to your patient | ||
= | = 4.1 Neck pain alone (non-specific) = | ||
== Acute/subacute neck pain == | == Acute/subacute neck pain == | ||
=== Thoracic manipulation === | === Thoracic manipulation === | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Cleland 2007 ==== | ==== Cleland 2007 ==== | ||
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|} | |} | ||
*Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3# | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
*Click to return to Step 3: Inform your technique for [[Neck Pain Tool-kit: Step 3#Acute.2Fsubacute_neck_pain|acute/subacute neck pain]] | |||
==== Gonzalez-Iglesias 2009<br> ==== | ==== Gonzalez-Iglesias 2009<br> ==== | ||
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ETT: Electrothermal therapy. | ETT: Electrothermal therapy. | ||
*Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3# | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
*Click to return to Step 3: Inform your technique for [[Neck Pain Tool-kit: Step 3#Acute.2Fsubacute_neck_pain|acute/subacute neck pain]] | |||
<br> | |||
== Subacute/chronic neck pain == | == Subacute/chronic neck pain == | ||
=== Manual therapy and exercise === | === Manual therapy and exercise === | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Bronfort 2001<ref name="Bronfort 2001" /> ==== | ==== Bronfort 2001<ref name="Bronfort 2001" /> ==== | ||
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|} | |} | ||
*Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3# | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
*Click to return to Step 3: Inform your technique for [[Neck Pain Tool-kit: Step 3#Subacute.2Fchronic_neck_pain|subacute/chronic neck pain]] | |||
==== Hoving 2002<ref name="Bronfort 2001" /> ==== | ==== Hoving 2002<ref name="Bronfort 2001" /> ==== | ||
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|} | |} | ||
*Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3# | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
*Click to return to Step 3: Inform your technique for [[Neck Pain Tool-kit: Step 3#Subacute.2Fchronic_neck_pain|subacute/chronic neck pain]] | |||
==== Jull 2002<ref name="Jull 2002" /> ==== | ==== Jull 2002<ref name="Jull 2002" /> ==== | ||
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|} | |} | ||
*Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3# | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
*Click to return to Step 3: Inform your technique for [[Neck Pain Tool-kit: Step 3#Subacute.2Fchronic_neck_pain|subacute/chronic neck pain]] | |||
<br> | <br> | ||
* | *Manual therapy | ||
=== Exercise === | === Exercise === | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
== Unspecified/mixed duration neck pain == | == Unspecified/mixed duration neck pain == | ||
=== Exercise === | === Exercise === | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
=== Manual therapy === | === Manual therapy === | ||
== | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
== 4.2 Neck pain with cervicogenic headache == | |||
=== Acute/subacute neck pain with cervicogenic headache === | === Acute/subacute neck pain with cervicogenic headache === | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Manual therapy and exercise ==== | ==== Manual therapy and exercise ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Exercise ==== | ==== Exercise ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Manual therapy ==== | ==== Manual therapy ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
=== Chronic neck pain with cervicogenic headache === | === Chronic neck pain with cervicogenic headache === | ||
==== Manual therapy and exercise ==== | ==== Manual therapy and exercise ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Exercise ==== | ==== Exercise ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Manual therapy ==== | ==== Manual therapy ==== | ||
== | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
== 4.3 Whiplash associated disorder == | |||
=== Acute/subacute whiplash associated disorder === | === Acute/subacute whiplash associated disorder === | ||
==== Manual therapy and exercise | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
==== Manual therapy and exercise ====*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Exercise ==== | ==== Exercise ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Manual therapy ==== | ==== Manual therapy ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
=== Chronic whiplash associated disorder === | === Chronic whiplash associated disorder === | ||
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==== Manual therapy and exercise<br> ==== | ==== Manual therapy and exercise<br> ==== | ||
== | *Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | ||
== 4.4 Neck pain with radiculopathy == | |||
=== Acute neck pain with radiculopathy<br> === | === Acute neck pain with radiculopathy<br> === | ||
==== Exercise ==== | ==== Exercise ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
==== Manual therapy<br> ==== | ==== Manual therapy<br> ==== | ||
*Click to continue to [[Neck Pain Tool-kit: Step 5|Step 5: Individualize treatment]] | |||
== References == | == References == |
Revision as of 19:06, 10 April 2012
This page is part of the 'Manual Therapy & Exercise for Neck Pain: Clinical Treatment Tool-kit' resource for clinical decision making, which provides evidence, techniques, and dosages for the use of manual therapy and exercise in the treatment of neck pain. Please see the main project page for further information, or to return to Step 1 to identify your patient. Otherwise, proceed to Step 4 below to consider dosage.
- The dosage corresponding to the techniques selected in step 3 is presented below, organized by patient characteristics
4.1 Neck pain alone
4.2 Neck pain with cervicogenic headache
4.3 Whiplash associated disorder
4.4 Neck pain with radiculopathy
- Once you have found the evidence most applicable to your patient, click on ‘Step 5- Individualize your treatment’ for other considerations in applying the evidence to your patient
4.1 Neck pain alone (non-specific)[edit | edit source]
Acute/subacute neck pain[edit | edit source]
Thoracic manipulation[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Cleland 2007[edit | edit source]
Disorder Type | Acute/subacute neck pain |
---|---|
Treatment (T) / Comparison (C) | T: Thoracic distraction manipulation + adjunct exercise C: Prone thoracic mobilization + adjunct exercise |
Frequency | 1 session |
Dose | 1-2 manipulations |
Duration | 1 session |
Follow-up | 0 |
- Click to continue to Step 5: Individualize treatment
- Click to return to Step 3: Inform your technique for acute/subacute neck pain
Gonzalez-Iglesias 2009
[edit | edit source]
Disorder Type | Acute neck pain |
---|---|
Treatment (T) / Comparison (C) | T: Seated thoracic distraction manipulation + adjunct treatment C: Adjunct treatment - electrothermal therapy (infrared therapy + TENS) |
Frequency | 1 session/week of manipulation, 5 sessions over 3 weeks of ETT |
Dose | 1-2 manipulations |
Duration | 3 weeks, 5 sessions |
Follow-up | 04 weeks |
ETT: Electrothermal therapy.
- Click to continue to Step 5: Individualize treatment
- Click to return to Step 3: Inform your technique for acute/subacute neck pain
Subacute/chronic neck pain[edit | edit source]
Manual therapy and exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Bronfort 2001[1][edit | edit source]
Disorder Type | Chronic neck pain |
---|---|
Treatment (T) / Comparison (C) | T: Spinal manipulation and massage to the cervical and thoracic spine and exercise therapy C:
|
Frequency | 20 sessions over 11 weeks |
Dose | 15 minutes of manipulation and massage 45 minutes of exercise therapy Dumbbell shoulder exercises: 2 x 15-30 repetitions with 2-10lbs Pulley exercises: 1.25-10 lbs resistance |
Duration | 11 weeks, 20 sessions |
Follow-up | 52 and 104 weeks |
- Click to continue to Step 5: Individualize treatment
- Click to return to Step 3: Inform your technique for subacute/chronic neck pain
Hoving 2002[1][edit | edit source]
1 session/week
Disorder Type | Neck pain of mixed duration with or without cervicogenic headache or radiculopathy |
---|---|
Treatment (T) / Comparison (C) | T: Muscular and articular mobilization techniques to the cervical spine, coordination and stabilization techniques C:
|
Frequency | 1 session/week |
Dose | 45 minute treatment sessions, exercise and manual therapy dosage not reported |
Duration | Max. 6 weeks, 3-6 session |
Follow-up | 52 weeks |
- Click to continue to Step 5: Individualize treatment
- Click to return to Step 3: Inform your technique for subacute/chronic neck pain
Jull 2002[2][edit | edit source]
1 session/week
Disorder Type | Chronic neck pain with cervicogenic headache |
---|---|
Treatment (T) / Comparison (C) | T: Manipulation or mobilization and low load endurance exercise for cervicoscapular region C:
|
Frequency | 1-2 sessions/week |
Dose | Treatment sessions: up to 30 minutes long Deep neck flexor exercises: twice/day Postural correction exercises: regularly throughout the day |
Duration | 6 weeks, 8-12 sessions |
Follow-up | 52 weeks |
- Click to continue to Step 5: Individualize treatment
- Click to return to Step 3: Inform your technique for subacute/chronic neck pain
- Manual therapy
Exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Unspecified/mixed duration neck pain[edit | edit source]
Exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Manual therapy[edit | edit source]
- Click to continue to Step 5: Individualize treatment
4.2 Neck pain with cervicogenic headache[edit | edit source]
Acute/subacute neck pain with cervicogenic headache[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Manual therapy and exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Manual therapy[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Chronic neck pain with cervicogenic headache[edit | edit source]
Manual therapy and exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Manual therapy[edit | edit source]
- Click to continue to Step 5: Individualize treatment
4.3 Whiplash associated disorder[edit | edit source]
Acute/subacute whiplash associated disorder[edit | edit source]
- Click to continue to Step 5: Individualize treatment
==== Manual therapy and exercise ====*Click to continue to Step 5: Individualize treatment
Exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Manual therapy[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Chronic whiplash associated disorder[edit | edit source]
Manual therapy and exercise
[edit | edit source]
- Click to continue to Step 5: Individualize treatment
4.4 Neck pain with radiculopathy[edit | edit source]
Acute neck pain with radiculopathy
[edit | edit source]
Exercise[edit | edit source]
- Click to continue to Step 5: Individualize treatment
Manual therapy
[edit | edit source]
- Click to continue to Step 5: Individualize treatment
References[edit | edit source]
References will automatically be added here, see adding references tutorial.