Neck Pain Tool-kit: Step 2: Difference between revisions

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AP: Anterior-posterior; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.  
AP: Anterior-posterior; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.  


'''Now go back to '''[[Neck Pain Tool-kit: Step 1|'''Step 1: Identify your patient''']]''', or continue to '''[[Neck Pain Tool-kit: Step 3#Acute.2Fsubacute_neck_pain|'''Step 3: Inform your technique''']]'''.'''
'''Now go back to '''[[Neck Pain Tool-kit: Step 1|'''Step 1: Identify your patient''']]''', or continue to '''[[Neck Pain Tool-kit: Step 3#Acute.2Fsubacute_neck_pain|'''Step 3: Inform your technique''']]'''.'''  


==== '''Subacute/chronic neck pain'''''<br>''  ====
==== '''Subacute/chronic neck pain'''''<br>''  ====
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'''Manual therapy'''  
'''Manual therapy'''  
{| width="700" border="1" cellpadding="1" cellspacing="1"
|-
! scope="col" | Author, year of original studies
! scope="col" | Participant characteristics
! scope="col" | Intervention
! scope="col" | Comparison
! scope="col" | Pain
! scope="col" | Function/ Disability
! scope="col" | GPE
! scope="col" | Patient Satisfaction
! scope="col" | QoL
|-
| Cleland 2007
| Acute/subacute neck pain
| Thoracic manipulation + adjunct treatment
| Thoracic mobilization + adjunct exercise
| ▲▲
| ▲▲
| ▲▲
|
|
|-
| Gonzalez-Iglesias 2009<ref name="Gonzalez-Iglesias 2009">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.</ref><br>
| Acute neck pain
| Thoracic manipulation + adjunct treatment
| Adjunct electrothermal therapy
| ▲,▲▲
| ▲,▲▲
|
|
|
|-
| Egwu 2008<ref name="Eqwu 2008">Eqwu MO. Relative therapeutic efficacy of some vertebral mobolization techniques in the management of unilateral cervical spondylosis: a comparitive study. J Phys Ther Sci 2008;20:103-8.</ref>
| Acute/subacute neck pain
| Ipsilateral PA or AP mobilization
| Rotation or transverse mobilization
| ∆
|
|
|
|
|}
AP: Anterior-posterior; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.
'''Now go back to '''[[Neck Pain Tool-kit: Step 1|'''Step 1: Identify your patient''']]''', or continue to '''[[Neck Pain Tool-kit: Step 3#Acute.2Fsubacute_neck_pain|'''Step 3: Inform your technique''']]'''.'''
==== '''Subacute/chronic neck pain'''''<br>''  ====
'''Manual Therapy and Exercise'''
{| width="700" border="1" cellpadding="1" cellspacing="1"
|-
! scope="col" | Author, year of original studies
! scope="col" | Participant characteristics
! scope="col" | Intervention
! scope="col" | Comparison<br>
! scope="col" | Pain
! scope="col" | Function/ Disability
! scope="col" | GPE
! scope="col" | Patient Satisfaction
! scope="col" | QoL
|-
| Bronfort 2001, Hoving 2002, Jull 2002
| Subacute/chronic neck pain with or without CGH
| Manipulation or mobilization and exercise
| Primarily exercise alone
| ♦♦, ◊◊◊◊<br>
| ◊◊, ◊◊◊◊<br>
| ◊◊,◊◊◊◊<br>
|
| ◊◊, ◊◊◊◊
|-
| Bronfort 2001, Skargren 1998
| Chronic neck pain
| Manipulation or mobilization and exercise
| Primarily manipulation or mobilization alone
| ●●●●<br>
| <br>
|
|
| ●●●●
|-
| Ylinen 2003
| Chronic neck pain
| Manipulation, mobilization, and exercise
| Adjunct advice including general exercise
| ●●●●
| ●●●●
|
|
|
|-
| Allison 2002, Brodin 1985, Jull 2002, Karlberg 1996
| Subacute/chronic neck pain with or without CGH or Radiculopathy
| Manipulation or mobilization and exercise
| No treatment
| ▲, ▲▲, ▲▲▲▲
|
|
|
|
|-
| Palmgren 2006
| Chronic neck pain
| Manipulation or mobilization and exercise
| Advice
| ▲
|
|
|
|
|-
| Hoving 2002, Walker 2008
| Chronic or mixed duration neck pain
| Manipulation or mobilization and exercise
| Traditional care
| ○○○○
|
|
|
|
|-
| Persson 2001
| Chronic neck pain with radicular symptoms
| Manipulation or mobilization and exercise
| Collar therapy or surgery
| ∆
|
|
|
|
|-
| Vasseljen 1995
| Chronic neck pain
| Manipulation or mobilization and exercise
| Exercise
| ∆∆∆
|
|
|
|
|}
AP: Anterior-posterior; CGH: Cervicogenic headache; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.
'''Now go back to '''[[Neck Pain Tool-kit: Step 1|'''Step 1: Identify your patient''']]''', or continue to '''[[Neck Pain Tool-kit: Step 3#Acute.2Fsubacute_neck_pain|'''Step 3: Inform your technique''']]'''.'''


'''Exercise'''
'''Exercise'''  


==== Unspecified/mixed duration neck pain  ====
==== Unspecified/mixed duration neck pain  ====
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===== Exercise  =====
===== Exercise  =====


===== Manual therapy<br> =====
===== Manual therapy<br> =====


== References  ==
== References  ==

Revision as of 13:51, 26 March 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 2 below to determine the evidence.

Step 2: Determine the evidence[edit | edit source]

NeckPainToolkit Step2 Logo.png

  • The evidence regarding the use of manual therapy and exercise for the treatment of neck pain is presented below, organized by patient characteristics
  • Once you have found the evidence most applicable to your patient, click on ‘Step 3-inform your technique’ to see the techniques utilized in the positive studies for that patient population

2.1 Neck pain alone (non-specific)[edit | edit source]

Acute/subacute neck pain
[edit | edit source]

Manual therapy

Author, year of original studies Participant characteristics Intervention Comparison Pain Function/ Disability GPE Patient Satisfaction QoL
Cleland 2007 Acute/subacute neck pain Thoracic manipulation + adjunct treatment Thoracic mobilization + adjunct exercise ▲▲ ▲▲ ▲▲
Gonzalez-Iglesias 2009[1]
 Acute neck pain Thoracic manipulation + adjunct treatment Adjunct electrothermal therapy ▲,▲▲ ▲,▲▲
Egwu 2008[2] Acute/subacute neck pain Ipsilateral PA or AP mobilization Rotation or transverse mobilization ∆

AP: Anterior-posterior; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.

Now go back to Step 1: Identify your patient, or continue to Step 3: Inform your technique.

Subacute/chronic neck pain
[edit | edit source]

Manual Therapy and Exercise

Author, year of original studies Participant characteristics Intervention Comparison
 Pain Function/ Disability GPE Patient Satisfaction QoL
Bronfort 2001, Hoving 2002, Jull 2002 Subacute/chronic neck pain with or without CGH Manipulation or mobilization and exercise Primarily exercise alone ♦♦, ◊◊◊◊
 ◊◊, ◊◊◊◊
 ◊◊,◊◊◊◊
 ◊◊, ◊◊◊◊
Bronfort 2001, Skargren 1998 Chronic neck pain Manipulation or mobilization and exercise Primarily manipulation or mobilization alone ●●●●
●●●●
Ylinen 2003 Chronic neck pain Manipulation, mobilization, and exercise Adjunct advice including general exercise ●●●● ●●●●
Allison 2002, Brodin 1985, Jull 2002, Karlberg 1996 Subacute/chronic neck pain with or without CGH or Radiculopathy Manipulation or mobilization and exercise No treatment ▲, ▲▲, ▲▲▲▲
Palmgren 2006 Chronic neck pain Manipulation or mobilization and exercise Advice ▲
Hoving 2002, Walker 2008 Chronic or mixed duration neck pain Manipulation or mobilization and exercise Traditional care ○○○○
Persson 2001 Chronic neck pain with radicular symptoms Manipulation or mobilization and exercise Collar therapy or surgery ∆
Vasseljen 1995 Chronic neck pain Manipulation or mobilization and exercise Exercise ∆∆∆

AP: Anterior-posterior; CGH: Cervicogenic headache; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.

Now go back to Step 1: Identify your patient, or continue to Step 3: Inform your technique.

Manual therapy

Author, year of original studies Participant characteristics Intervention Comparison Pain Function/ Disability GPE Patient Satisfaction QoL
Cleland 2007 Acute/subacute neck pain Thoracic manipulation + adjunct treatment Thoracic mobilization + adjunct exercise ▲▲ ▲▲ ▲▲
Gonzalez-Iglesias 2009[1]
 Acute neck pain Thoracic manipulation + adjunct treatment Adjunct electrothermal therapy ▲,▲▲ ▲,▲▲
Egwu 2008[2] Acute/subacute neck pain Ipsilateral PA or AP mobilization Rotation or transverse mobilization ∆

AP: Anterior-posterior; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.

Now go back to Step 1: Identify your patient, or continue to Step 3: Inform your technique.

Subacute/chronic neck pain
[edit | edit source]

Manual Therapy and Exercise

Author, year of original studies Participant characteristics Intervention Comparison
 Pain Function/ Disability GPE Patient Satisfaction QoL
Bronfort 2001, Hoving 2002, Jull 2002 Subacute/chronic neck pain with or without CGH Manipulation or mobilization and exercise Primarily exercise alone ♦♦, ◊◊◊◊
 ◊◊, ◊◊◊◊
 ◊◊,◊◊◊◊
 ◊◊, ◊◊◊◊
Bronfort 2001, Skargren 1998 Chronic neck pain Manipulation or mobilization and exercise Primarily manipulation or mobilization alone ●●●●
●●●●
Ylinen 2003 Chronic neck pain Manipulation, mobilization, and exercise Adjunct advice including general exercise ●●●● ●●●●
Allison 2002, Brodin 1985, Jull 2002, Karlberg 1996 Subacute/chronic neck pain with or without CGH or Radiculopathy Manipulation or mobilization and exercise No treatment ▲, ▲▲, ▲▲▲▲
Palmgren 2006 Chronic neck pain Manipulation or mobilization and exercise Advice ▲
Hoving 2002, Walker 2008 Chronic or mixed duration neck pain Manipulation or mobilization and exercise Traditional care ○○○○
Persson 2001 Chronic neck pain with radicular symptoms Manipulation or mobilization and exercise Collar therapy or surgery ∆
Vasseljen 1995 Chronic neck pain Manipulation or mobilization and exercise Exercise ∆∆∆

AP: Anterior-posterior; CGH: Cervicogenic headache; GPE: Global perceived effect; QoL: Quality of life; PA: Posterior-anterior.

Now go back to Step 1: Identify your patient, or continue to Step 3: Inform your technique.

Exercise

Unspecified/mixed duration neck pain[edit | edit source]

Exercise

Manual therapy

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.

  1. ↑ 1.0 1.1 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.
  2. ↑ 2.0 2.1 Eqwu MO. Relative therapeutic efficacy of some vertebral mobolization techniques in the management of unilateral cervical spondylosis: a comparitive study. J Phys Ther Sci 2008;20:103-8.
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