Neck Pain Tool-kit: Step 4

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)

Acute/subacute neck pain

Thoracic manipulation

Study Year/Disorder Type	Treatment (T) / Comparison (C)	Frequency	Dose	Duration	Follow-up
Cleland 2007 Acute/subacute neck pain	T: Thoracic distraction manipulation + adjunct exercise C: Prone thoracic mobilization + adjunct exercise	1 session	1-2 manipulations	1 session	0
Gonzalez-Iglesias 2009 Acute neck pain	T: Seated thoracic distraction manipulation + adjunct treatment C: Adjunct treatment - electrothermal therapy (infrared therapy + TENS)	1 session/week of manipulation, 5 sessions over 3 weeks of ETT	1-2 manipulations	3 weeks, 5 sessions	4 weeks

ETT: Electrothermal therapy.

References

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