Neck Pain Tool-kit: Step 4: Difference between revisions
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*Click to return to Step 3: Inform your technique for [[Neck Pain Tool-kit: Step 3#Subacute.2Fchronic_neck_pain|subacute/chronic neck pain]] | *Click to return to Step 3: Inform your technique for [[Neck Pain Tool-kit: Step 3#Subacute.2Fchronic_neck_pain|subacute/chronic neck pain]] | ||
==== Allison 2002<ref name=" | ==== Allison 2002<ref name="Allison 2002">Allison GT, Nagy BM, Hall T. A randomized clinical trial of manual therapy for cervico-brachial pain syndrome e a pilot study. Man Ther 2002;7 (2):95-102.</ref> ==== | ||
{| width="700" border="1" cellpadding="1" cellspacing="1" | {| width="700" border="1" cellpadding="1" cellspacing="1" | ||
|- | |- | ||
! scope="row" | Disorder Type | ! scope="row" | Disorder Type | ||
| | | Neck pain with mechanically sensitive neural tissue | ||
|- | |- | ||
! scope="row" | Treatment (T) | ! scope="row" | | ||
| T | Treatment (T) | ||
*(a) | |||
*(b) | Comparison (C) | ||
| T: <br> | |||
*(a) Neural treatment including cervical lateral glide, shoulder girdle oscillation, contract/relax techniques, and active movements at home | |||
*(b) Articular treatment including glenohumeral mobilization, thoracic mobilization, home exercises | |||
C: Wait-list control | |||
|- | |- | ||
! scope="row" | Frequency | ! scope="row" | Frequency | ||
| | | Not reported | ||
|- | |- | ||
! scope="row" | Dose | ! scope="row" | Dose | ||
| | | Active movements at home performed 10 repetitions, 1-3 times/day | ||
|- | |- | ||
! scope="row" | Duration | ! scope="row" | Duration | ||
| | | 8 weeks | ||
|- | |- | ||
! scope="row" | Follow-up | ! scope="row" | Follow-up | ||
| | | 0 | ||
|} | |} | ||
Revision as of 10:35, 11 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[1][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[2][edit | edit source]
Disorder Type | Acute neck pain |
---|---|
Treatment (T) Comparison (C) |
T: Seated thoracic distraction manipulation + adjunct treatment C: Adjunct treatment - ETT (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 | 4 weeks |
ETT: Electrothermal therapy; TENS: Transelectrical nerve stimulation.
- 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[3][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[4][edit | edit source]
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[5]
[edit | edit source]
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
Skargren 1998[6][edit | edit source]
Disorder Type | Chronic neck pain |
---|---|
Treatment (T) Comparison (C) |
T : Physiotherapy (PT): technique: 1% manipulation, 25% mobilization, 15% traction, 25% soft tissue treatment, 33% McKenzie treatment, 21% individual training, 15% transcutaneous electrical nerve stimulation/ ultrasound/ cold, 15% individual program, 6% relaxation training, 4% acupuncture, 1% instruction on individual training;
C: Chiropractic (chiro): technique: 97% manipulation, 11% mobilization, 2% traction, 2% soft tissue treatment, 1% individual training, frequency: mean 5.6 sessions over mean 4.9 weeks; dose: NR; route: cervical spine |
Frequency | Mean 7.5 sessions over 6.4 weeks |
Dose | Not reported |
Duration | 5-6 weeks, 6-8 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
Ylinen 2003 [3][edit | edit source]
Disorder Type | Chronic neck pain |
---|---|
Treatment (T) Comparison (C) |
T:
C: Control (aerobics and stretching) |
Frequency |
|
Dose | 45 minute exercise sessions
|
Duration | 2 weeks, 10 sessions |
Follow-up | 12 months |
- Click to continue to Step 5: Individualize treatment
- Click to return to Step 3: Inform your technique for subacute/chronic neck pain
Allison 2002[7][edit | edit source]
Disorder Type | Neck pain with mechanically sensitive neural tissue |
---|---|
Treatment (T) Comparison (C) |
T:
C: Wait-list control
|
Frequency | Not reported |
Dose | Active movements at home performed 10 repetitions, 1-3 times/day |
Duration | 8 weeks |
Follow-up | 0 |
- Click to continue to Step 5: Individualize treatment
- Click to return to Step 3: Inform your technique for subacute/chronic neck pain
Brodin 1982[3][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
Karlberg 1996[3][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
Palmgren 2006[3][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
- 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.
- ↑ Cite error: Invalid
<ref>
tag; no text was provided for refs namedCleland 2007
- ↑ Gonzalez-Iglesias J, Fernandez-De-Las-Penas C, Cleland JA, Del Rosario Gutierrez-Vega M. Thoracic spine manipulation for the management of paitents with neck pain: a randomized clinical trial. J Orthop Sports Phys Ther 2009;39(1):20–7.
- ↑ 3.0 3.1 3.2 3.3 3.4 Bronfort G, Evan R, Nelson B, Aker PD, Goldsmith CH, Vernon H. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 2001;26(7):788-99.
- ↑ Hoving JL, Koes BW, de Vet HCW, van der Windt DAWM, Assendelft WJJ, van Mameren H, et al. Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized controlled trial. Ann Int Med 2002;136:713-22.
- ↑ Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine 2002;27(17):1835-43.
- ↑ Skargren EI, Carlsson PG, Oberg BE. One-year follow-up comparison of the cost and effectiveness of chiropractic and physiotherapy as primary management for back pain. Spine 1998;23(17):1875-84.
- ↑ Allison GT, Nagy BM, Hall T. A randomized clinical trial of manual therapy for cervico-brachial pain syndrome e a pilot study. Man Ther 2002;7 (2):95-102.