Non-specific neck pain: diagnosis and treatment - KCE
Non-specific neck pain: diagnosis and treatment - KCE
Non-specific neck pain: diagnosis and treatment - KCE
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<strong>KCE</strong> Reports 119 <strong>Non</strong>-Specific Neck Pain: <strong>diagnosis</strong> <strong>and</strong> <strong>treatment</strong> 7<br />
2.1.2 Intervention<br />
“Diagnostic evaluation”, “management <strong>and</strong> <strong>treatment</strong>” <strong>and</strong> “prognosis” are considered<br />
as an intervention of non-<strong>specific</strong> <strong>neck</strong> complaints <strong>and</strong> <strong>pain</strong>.<br />
2.1.2.1 Inclusion criteria<br />
Diagnostic <strong>and</strong>/or prognostic evaluation<br />
• Medical history taking<br />
• Symptoms <strong>and</strong> signs<br />
• Physical examination <strong>and</strong> assessment<br />
• Diagnostic reasoning<br />
• Psychological assessment<br />
• Imaging<br />
• Diagnostic injections<br />
• Other tests<br />
Management <strong>and</strong> <strong>treatment</strong><br />
2.1.2.2 Exclusion criteria<br />
• Information or education programs<br />
• Ergonomic interventions both in private <strong>and</strong> work situation<br />
• <strong>Non</strong>-medicinal <strong>treatment</strong>: psychotherapy, manipulations, mobilisation,<br />
orthosis (pillows, collar, oral splint) exercise, laser, acupuncture, …<br />
• Medicinal <strong>treatment</strong>s: various (invasive <strong>and</strong> non-invasive) forms of<br />
administration<br />
• Complex interventions (e.g. psychological <strong>treatment</strong> <strong>and</strong> exercise<br />
program, multidisciplinary approaches)<br />
• Surgery<br />
No exclusion criteria for intervention were applied.<br />
2.1.3 Comparison<br />
Comparators are either the natural progress of symptoms or alternative diagnostic<br />
tests, management <strong>and</strong> <strong>treatment</strong> procedures. Inclusion criteria were the followings:<br />
• Diagnostic evaluation versus other diagnostic evaluation<br />
• Management <strong>and</strong> <strong>treatment</strong> versus other management <strong>and</strong> <strong>treatment</strong><br />
• Diagnostic evaluation <strong>and</strong>/or management <strong>and</strong> <strong>treatment</strong> versus no<br />
intervention, no <strong>treatment</strong><br />
2.1.4 Outcome<br />
2.1.4.1 Inclusion criteria<br />
This study should give up to date information about:<br />
• Diagnostic accuracy of procedures (i.e. false positive, rate, sensitivity,<br />
<strong>specific</strong>ity, ROC); history taking, clinical examination, diagnostic tests <strong>and</strong><br />
procedures<br />
This study should also give up to date information on outcomes of <strong>treatment</strong>s, namely<br />
about:<br />
• Side effects, adverse events of <strong>treatment</strong>s<br />
• Evolution (improvement or not) in: the degree of <strong>pain</strong>, functional capacity,<br />
quality of life (only if st<strong>and</strong>ardized <strong>and</strong> validated outcome measures have<br />
been used), activity, return to work, work disability, disability measures,<br />
global perceived effect.