Non-specific neck pain: diagnosis and treatment - KCE

KCE Reports 119 Non-Specific Neck Pain: diagnosis and treatment 1
Scientific summary
Table of contents
1 INTRODUCTION .............................................................................................................3
1.1 PURPOSE OF THE STUDY .................................................................................................................................. 3
1.2 NON-SPECIFIC NECK PAIN: DEFINITION AND EPIDEMIOLOGY ...................................................................... 3
1.2.1 Definition ........................................................................................................................................ 3
1.2.2 Importance of neck pain .............................................................................................................. 5
2 METHODOLOGY .............................................................................................................6
2.1 SELECTION CRITERIA ........................................................................................................................................ 6
2.1.1 Participant ....................................................................................................................................... 6
2.1.2 Intervention .................................................................................................................................... 7
2.1.3 Comparison .................................................................................................................................... 7
2.1.4 Outcome ......................................................................................................................................... 7
2.2 LOCATING STUDIES .......................................................................................................................................... 8
2.2.1 Searches in databases ................................................................................................................... 9
2.2.2 Screening of titles and abstracts ................................................................................................ 9
2.2.3 Screening full text and quality appraisal .................................................................................... 9
2.2.4 New search for diagnosis and prognosis .............................................................................. 10
2.3 DATA EXTRACTION ...................................................................................................................................... 11
3 RESULTS ........................................................................................................................ 12
3.1 NUMBER OF PUBLICATIONS INCLUDED ....................................................................................................... 12
3.2 DIAGNOSIS ..................................................................................................................................................... 12
3.3 ASSESSMENT OF PAIN AND DISABILITY ......................................................................................................... 14
3.4 PROGNOSIS .................................................................................................................................................... 15
3.5 TREATMENT ................................................................................................................................................... 15
3.5.1 Manual therapy ........................................................................................................................... 15
3.5.2 Electrotherapy and other physical medicine modalities..................................................... 19
3.5.3 Multimodal interventions .......................................................................................................... 20
3.5.4 Multidisciplinary treatments ..................................................................................................... 21
3.5.5 Medication ................................................................................................................................... 22
3.5.6 Other methods ........................................................................................................................... 23
3.6 CLINICAL QUESTIONS ON NON-SPECIFIC NECK PAIN: SUMMARY OF THE LITERATURE FINDINGS .......... 25
3.6.1 Management of non-specific neck pain .................................................................................. 26
4 DISCUSSION ................................................................................................................. 28
5 SUMMARY ...................................................................................................................... 30
6 APPENDICES ................................................................................................................. 32
APPENDIX 1: SEARCH STRATEGY ..................................................................................... 32
SEARCH STRATEGY MEDLINE CLINICAL QUERIES AND SYSTEMATIC REVIEWS ...................................................... 32
SEARCH STRATEGY MEDLINE OTHERS ..................................................................................................................... 33
SEARCH STRATEGY COCHRANE ............................................................................................................................... 34
SEARCH STRATEGY PEDRO ........................................................................................................................................ 34
SEARCH STRATEGY GUIDELINES ................................................................................................................................ 34
SEARCH STRATEGY EMBASE ....................................................................................................................................... 35
SEARCH STRATEGY PUBMED SECOND SEARCH ........................................................................................................ 36
SEARCH STRATEGY EMBASE ....................................................................................................................................... 36
APPENDIX 2: CRITERIA USED TO ASSESS THE METHODOLOGICAL QUALITY OF
THE STUDIES: RESULTS OF THE QUALITY APPRAISAL .............................................. 37
QUALITY APPRAISAL: PAPERS ON DIAGNOSIS .......................................................................................................... 37