Neck Pain Tool-kit: Step 3: Difference between revisions
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*upper thoracic spine thrust manipulation targeting T1-T4 (a) | *upper thoracic spine thrust manipulation targeting T1-T4 (a) | ||
**patient laces hands behind his/her neck | **patient laces hands behind his/her neck | ||
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*Advice to maintain current medications | *Advice to maintain current medications | ||
*Adjunct exercise | *Adjunct exercise | ||
*place fingers over manubrium and place chin on the fingers | **place fingers over manubrium and place chin on the fingers | ||
*rotate the head and neck as far as possible to alternating sides | **rotate the head and neck as far as possible to alternating sides | ||
*start using 5 fingers and progress to 4, 3, 2, and 1 finger as mobility improves | **start using 5 fingers and progress to 4, 3, 2, and 1 finger as mobility improves | ||
*10 repetitions to each side, 3-4 times/day | **10 repetitions to each side, 3-4 times/day | ||
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'''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 There 2009;39(1):20–7.</ref>''' | '''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 There 2009;39(1):20–7.</ref>''' | ||
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*seated distraction manipulation (c) | *seated distraction manipulation (c) | ||
**patient seated with arms crossed over the chest and one hand over opposite shoulder and one hand over rib cage | **patient seated with arms crossed over the chest and one hand over opposite shoulder and one hand over rib cage | ||
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**if no pop was heard, a second attempt was made | **if no pop was heard, a second attempt was made | ||
[[Image:NeckPainToolkit Step3 Gonzalez.jpg|thumb|right|(c) Seated thoracic distraction manipulation]] | | [[Image:NeckPainToolkit Step3 Gonzalez.jpg|thumb|right|(c) Seated thoracic distraction manipulation]] | ||
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*adjunct electrothermal therapy | |||
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== Unspecified/mixed duration neck pain == | == Unspecified/mixed duration neck pain == |
Revision as of 11:30, 27 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 3 below to inform your technique.
The techniques utilized in the positive trials investigating the use of manual therapy and exercise for the treatment of neck pain are presented below, organized by patient characteristics
- 3.1 Neck pain alone
- 3.2 Neck pain with cervicogenic headache
- 3.3 Whiplash associated disorder
- 3.4 Neck pain with radiculopathy
Once you have found the techniques most applicable to your patient, click on Step 4-inform your technique to see the techniques utilized in the positive studies for that patient population
3.1 Neck pain alone (non-specific)[edit | edit source]
Acute/subacute neck pain[edit | edit source]
- Click to go back to Step 1: Identify your patient
Thoracic manipulation[edit | edit source]
- Click to continue to Step 4: Consider dosage
Cleland 2007[1]
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Gonzalez-Iglesias 2009[2]
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Unspecified/mixed duration neck pain[edit | edit source]
Exercise
Manual therapy
3.2 Neck pain with cervicogenic headache[edit | edit source]
Acute/subacute neck pain with cervicogenic headache[edit | edit source]
Manual therapy and exercise
Exercise
Manual therapy
Chronic neck pain with cervicogenic headache[edit | edit source]
Manual therapy and exercise
Exercise
Manual therapy
3.3 Whiplash associated disorder[edit | edit source]
Acute/subacute whiplash associated disorder[edit | edit source]
Manual therapy and exercise
Exercise
Manual therapy
Chronic whiplash associated disorder[edit | edit source]
Manual therapy and exercise
3.4 Neck pain with radiculopathy[edit | edit source]
Acute neck pain with radiculopathy
[edit | edit source]
Exercise
Manual therapy
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 There 2009;39(1):20–7.