Neck Pain: Clinical Practice Guidelines

This page is currently under construction as part of a project at the Medical College of Georgia. Please do not edit, but please come back in the near future to check out new information!!

Original Editors - Chad Adams, Jacob Melnick, & User:Tyler_Shultz Tyler Shultz

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.






Discussion & Background
[edit | edit source]

The purpose of this clinical guideline is to describe the evidence based physical therapy practice including diagnosis, prognosis, intervention and assessment ofoutcome for musculoskeletal disorders related to neck pain that are commonly managed with orthopaedic physical therapy techniques. 

More specifically, in the paragraphs that follow, there will be a review of the levels and grades of evidence associated with different treatments in the management of neck pain, diagnosis based on impairments and functional limitations, and recommendations for treatment based on levels of current evidence.

All information is based on: Childs J, Cleland J, Elliott J, Deydre T, Wainner R, Whitman J, et al. Neck Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(9):A1-A34.[1]

Grades & Levels of Evidence
[edit | edit source]

Neck Pain Diagnosis, Examination, and Intervention
[edit | edit source]

The following recommendations are based on expert opinion

Neck Pain Impairment/Function-baesed Diagnosis, Examination and Intervetion Recommended Classification Criteria[2]
Impairment Based Category Symptoms Impairments of Body Function Interventions

Neck Pain with mobility deficit:

  • Cervicalgia
  • Pain in thoracic spine
  • Unilateral neck pain
  • Neck motion limitiation
  • Referred UE pain may be present
  • Symptom onset linked to awkward movement or position
  • Limited cervical ROM
  • Pain reproduced at end range of AROM and PROM
  • Restricted segmental mobility
  • Neck and neck-related UE pain reproduced with provocation of involved segments
  • Cervical mobilization or manipulation
  • Thoracic mobilization or manipulation
  • Stretching exercise
  • Coordination, strengthening, and endurance exercise

Recommendations[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References
[edit | edit source]

  1. ↑ Childs J, Cleland J, Elliott J, Deydre T, Wainner R, Whitman J, et al. Neck Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(9):A1-A34.
  2. ↑ Childs J, Cleland J, Elliott J, Deydre T, Wainner R, Whitman J, et al. Neck Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(9):A1-A34.
Retrieved from "https://www.physio-pedia.com/index.php?title=Neck_Pain:_Clinical_Practice_Guidelines&oldid=6182"