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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Kroeling P, Gross<br />
AR, Goldsmith<br />
CH: A Cochrane<br />
review of<br />
electrotherapy for<br />
mechanical <strong>neck</strong><br />
disorders. Spine<br />
2005,<br />
30(21):E641-648.<br />
Macaulay, J., M.<br />
Cameron, et al.<br />
(2007). "The<br />
effectiveness of<br />
manual therapy<br />
for <strong>neck</strong> <strong>pain</strong>: a<br />
systematic<br />
review of the<br />
literature."<br />
Physical Therapy<br />
Reviews 12(3):<br />
261‐267.<br />
<strong>KCE</strong> Reports 119 <strong>Non</strong>-Specific Neck Pain: <strong>diagnosis</strong> <strong>and</strong> <strong>treatment</strong> 47<br />
high (8) 2005 To assess whether<br />
electrotherapy<br />
relieves <strong>pain</strong> or<br />
imrpoves<br />
function/disability in<br />
aults with mechanical<br />
<strong>neck</strong> disorders<br />
high (7) 2007 To determine the<br />
effectiveness of<br />
manual therapy for<br />
mechanical disorders<br />
in reducing <strong>pain</strong> <strong>and</strong><br />
disability in adult<br />
populations.<br />
1. Ammer, 1990<br />
2. Chee, 1986<br />
3. Foley‐Nolan, 1990<br />
4. Foley‐Nolan, 1992<br />
5. hong, 1982<br />
6. Hsueh, 1997<br />
7. Norderman, 1981<br />
8. Persson, 2001<br />
9. Philipson, 1983<br />
10. Provinciali, 1996<br />
11. Trock, 1994<br />
1. Dziedzic, 2005<br />
2. Evans, 2002<br />
3. Jull, 2002<br />
4. Hoving, 2006<br />
5. martinez‐Segura, 2006<br />
march<br />
2003<br />
adults >18years<br />
or older, who<br />
suffered from<br />
acute (less than<br />
30 days),<br />
subacute (30 to<br />
90 days) or<br />
chronic (longer<br />
than 90 days)<br />
<strong>neck</strong> disorders.<br />
MND:<br />
mechanical <strong>neck</strong><br />
disorders,<br />
including WAD I‐<br />
II, myofascial<br />
<strong>neck</strong> <strong>pain</strong>, <strong>and</strong><br />
degenerative<br />
changes<br />
NDH: Neck<br />
disorders with<br />
headache<br />
NDR: Neck<br />
disorders with<br />
radicular<br />
findings<br />
2006 adults with<br />
mechanical <strong>neck</strong><br />
<strong>pain</strong><br />
all studies used<br />
at least one<br />
type of<br />
electrotherapy:<br />
‐ Galvanic<br />
current<br />
modulated DC<br />
or fradic<br />
stimulation<br />
‐ EMS<br />
(electrical<br />
muscle<br />
stimulation<br />
‐ TENS<br />
(transcutaneou<br />
s electrical<br />
nerve<br />
stimulation)<br />
‐ interferential<br />
or diadynamic<br />
current<br />
‐ PEMF: pulsed<br />
electromagneti<br />
c fields<br />
‐ static<br />
magnetic fields<br />
manual therapy<br />
(combination<br />
of therapies<br />
e.g. SM,<br />
mobilisation,<br />
massage <strong>and</strong><br />
muscle energy<br />
technique<br />
applied either<br />
alone or with<br />
another<br />
intervention)<br />
placebo or wait<br />
list or an active<br />
comparison<br />
group<br />
other therapy <strong>pain</strong> relief<br />
(combination of<br />
therapies e.g.<br />
SM,<br />
mobilisation,<br />
massage <strong>and</strong><br />
muscle energy<br />
technique<br />
applied either<br />
alone or with<br />
another<br />
intervention) or<br />
no therapy<br />
<strong>pain</strong> relief, there was no possibility to perform any calculation because<br />
disability/function, the data were incompatible.<br />
patient satisfaction<br />
<strong>and</strong> global perceived<br />
effect.<br />
disability/function,<br />
patient satisfaction,<br />
global perceived<br />
effect, overall<br />
improvement <strong>and</strong><br />
adverse effects.<br />
For <strong>pain</strong> the scores were not significant between groups<br />
(p=0,84).<br />
Kroeling et al dididn't find convincing<br />
evidence of a clinically important benefit<br />
of electrotherapy for MND. The current<br />
evidence is lacking, limited, or<br />
conflicting.<br />
Although there is strong evidence<br />
suggesting that there are no statistically<br />
significant differences in the<br />
effectiveness of manual therapy<br />
compared with other interventions,<br />
patients receiving manual therapy<br />
interventions were significantly more<br />
satisfied with their care.<br />
Despite the absence of statistically<br />
significant results when compared to<br />
other interventions, patients receiving<br />
manual therapy demonstrated<br />
improvements in both the short <strong>and</strong> long<br />
term on a variety of outcomes.<br />
These results suggest that multimodal<br />
approach including manual therapy <strong>and</strong><br />
exercises, is a potentially useful<br />
intervention in the management of<br />
mechanical <strong>neck</strong> disorders, however<br />
further research is necessary to<br />
determine the cost‐effectiveness of this<br />
approach in comparison to other<br />
interventions.