Neck Pain Tool-kit: Step 2
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]
- 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; 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 |
|---|---|---|---|---|---|---|---|---|
| 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; 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
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.
- ↑ 1.0 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.
- ↑ 2.0 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.
