Neck Pain Tool-kit: Step 4: Difference between revisions
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! scope="row" | Treatment (T) / Comparison (C) | ! scope="row" | Treatment (T) / Comparison (C) | ||
| T: Seated thoracic distraction manipulation + adjunct treatment<br>C: Adjunct treatment - electrothermal therapy (infrared therapy + TENS) | | T: Seated thoracic distraction manipulation + adjunct treatment <br>C: Adjunct treatment - electrothermal therapy (infrared therapy + TENS) <br> | ||
|- | |- | ||
! scope="row" | Frequency | ! scope="row" | Frequency | ||
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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#Gonzalez-Iglesias_2009|Gonzalez-Iglesias 2009]] | |||
== Subacute/chronic neck pain == | == Subacute/chronic neck pain == | ||
=== Manual therapy and exercise === | === Manual therapy and exercise === | ||
==== Bronfort 2001<ref name="Bronfort 2001" /> ==== | |||
{| width="700" border="1" cellpadding="1" cellspacing="1" | {| width="700" border="1" cellpadding="1" cellspacing="1" | ||
|- | |- | ||
! scope=" | ! scope="row" | Disorder Type | ||
| Chronic neck pain | |||
|- | |- | ||
! scope="row" | Treatment (T) / Comparison (C) | |||
| T: Spinal manipulation and massage to the cervical and thoracic spine and exercise therapy | | T: Spinal manipulation and massage to the cervical and thoracic spine and exercise therapy <br>C: <br> | ||
C: | |||
*(a) Exercise therapy using MedX equipment | *(a) Exercise therapy using MedX equipment | ||
*(b) Spinal manipulation and massage + detuned microcurrent | *(b) Spinal manipulation and massage + detuned microcurrent | ||
| 20 sessions over 11 weeks | |- | ||
| 15 minutes of manipulation and massage<br>45 minutes of exercise therapy<br>Dumbbell shoulder exercises: 2 x 15-30 repetitions with 2-10lbs<br>Pulley exercises: 1.25-10 lbs resistance | ! scope="row" | Frequency | ||
| 11 weeks, <br>20 sessions | | 20 sessions over 11 weeks | ||
|- | |||
! scope="row" | Dose | |||
| 15 minutes of manipulation and massage<br>45 minutes of exercise therapy<br>Dumbbell shoulder exercises: 2 x 15-30 repetitions with 2-10lbs<br>Pulley exercises: 1.25-10 lbs resistance | |||
|- | |||
! scope="row" | Duration | |||
| 11 weeks, <br>20 sessions | |||
|- | |||
! scope="row" | Follow-up | |||
| 52 and 104 weeks | | 52 and 104 weeks | ||
|} | |||
*Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3#Bronfort_2001|Bronfort 2001]] | |||
==== Hoving 2002<ref name="Bronfort 2001" /> ==== | |||
1 session/week | |||
{| width="700" border="1" cellpadding="1" cellspacing="1" | |||
|- | |- | ||
! scope="row" | Disorder Type | |||
| T: Muscular and articular mobilization techniques to the cervical spine, coordination and stabilization techniques | | Neck pain of mixed duration with or without cervicogenic headache or radiculopathy | ||
C: | |- | ||
! scope="row" | Treatment (T) / Comparison (C) | |||
| T: Muscular and articular mobilization techniques to the cervical spine, coordination and stabilization techniques<br>C: | |||
*(a) Active exercise therapies: strengthening, stretching (ROM), postural/ relaxation/ functional exercise; optional modalities: manual traction, massage, interferential current, heat | *(a) Active exercise therapies: strengthening, stretching (ROM), postural/ relaxation/ functional exercise; optional modalities: manual traction, massage, interferential current, heat | ||
*(b) Continued care by a general practitioner including advice on prognosis, psychosocial issues, self-care, ergonomics and awaiting further recovery; an educational booklet on ergonomics and exercise; medication including paracetamol or nonsteroidal anti-inflammatory if necessary | *(b) Continued care by a general practitioner including advice on prognosis, psychosocial issues, self-care, ergonomics and awaiting further recovery; an educational booklet on ergonomics and exercise; medication including paracetamol or nonsteroidal anti-inflammatory if necessary | ||
|- | |- | ||
! scope="row" | Frequency | |||
| | | 1 session/week | ||
|- | |||
! scope="row" | Dose | |||
| 45 minute treatment sessions, exercise and manual therapy dosage not reported | |||
|- | |||
! scope="row" | Duration | |||
| Max. 6 weeks, <br>3-6 session | |||
| | |||
| | |||
| 6 weeks, <br> | |||
|- | |- | ||
! scope="row" | Follow-up | |||
| | |||
| 52 weeks | | 52 weeks | ||
| | |} | ||
* | *Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3#Hoving_2002|Hoving 2002]] | ||
==== Jull 2002<ref name="Jull 2002" /> ==== | |||
1 session/week | |||
| | {| width="700" border="1" cellpadding="1" cellspacing="1" | ||
*(a) | |- | ||
*(b) | ! scope="row" | Disorder Type | ||
| Chronic neck pain with cervicogenic headache | |||
|- | |||
! scope="row" | Treatment (T) / Comparison (C) | |||
| T: Manipulation or mobilization and low load endurance exercise for cervicoscapular region<br>C: | |||
*(a) Exercise alone | |||
*(b) Manual therapy alone | |||
*(c) No treatment | |||
|- | |- | ||
! scope="row" | Frequency | |||
| 1-2 sessions/week | |||
| | |||
| | |||
|- | |- | ||
! scope="row" | Dose | |||
| | | Treatment sessions: up to 30 minutes long<br>Deep neck flexor exercises: twice/day<br>Postural correction exercises: regularly throughout the day | ||
|- | |- | ||
! scope="row" | Duration | |||
| | | 6 weeks, <br>8-12 sessions | ||
|- | |- | ||
! scope="row" | Follow-up | |||
| | | 52 weeks<br> | ||
| | |||
|} | |} | ||
*Click to return to Step 3: Inform your technique [[Neck Pain Tool-kit: Step 3#Jull_2002|Jull 2002]] | |||
<br> | <br> | ||
== | *<span class="Apple-style-span" style="font-size: 18px; font-weight: bold; ">Manual therapy</span> | ||
=== Exercise === | === Exercise === |
Revision as of 18:00, 3 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
2.1 Neck pain alone (non-specific)[edit | edit source]
Acute/subacute neck pain[edit | edit source]
Thoracic manipulation[edit | edit source]
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 return to Step 3: Inform your technique Cleland 2007
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 return to Step 3: Inform your technique Gonzalez-Iglesias 2009
Subacute/chronic neck pain[edit | edit source]
Manual therapy and exercise[edit | edit source]
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 return to Step 3: Inform your technique Bronfort 2001
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 return to Step 3: Inform your technique Hoving 2002
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 return to Step 3: Inform your technique Jull 2002
- Manual therapy
Exercise[edit | edit source]
Unspecified/mixed duration neck pain[edit | edit source]
Exercise[edit | edit source]
Manual therapy[edit | edit source]
2.2 Neck pain with cervicogenic headache[edit | edit source]
Acute/subacute neck pain with cervicogenic headache[edit | edit source]
Manual therapy and exercise[edit | edit source]
Exercise[edit | edit source]
Manual therapy[edit | edit source]
Chronic neck pain with cervicogenic headache[edit | edit source]
Manual therapy and exercise[edit | edit source]
Exercise[edit | edit source]
Manual therapy[edit | edit source]
2.3 Whiplash associated disorder[edit | edit source]
Acute/subacute whiplash associated disorder[edit | edit source]
Manual therapy and exercise[edit | edit source]
Exercise[edit | edit source]
Manual therapy[edit | edit source]
Chronic whiplash associated disorder[edit | edit source]
Manual therapy and exercise
[edit | edit source]
2.4 Neck pain with radiculopathy[edit | edit source]
Acute neck pain with radiculopathy
[edit | edit source]
Exercise[edit | edit source]
Manual therapy
[edit | edit source]
References[edit | edit source]
References will automatically be added here, see adding references tutorial.