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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52 <strong>Non</strong>-Specific Neck Pain: <strong>diagnosis</strong> <strong>and</strong> <strong>treatment</strong> <strong>KCE</strong> Reports 119<br />
4 Clel<strong>and</strong>, J.A., et al., Shortterm<br />
effects of thrust versus<br />
nonthrust<br />
mobilization/manipulation<br />
directed at the thoracic spine<br />
in patients with <strong>neck</strong> <strong>pain</strong>: a<br />
r<strong>and</strong>omized clinical trial.<br />
Phys Ther, 2007. 87(4): p.<br />
431-40.<br />
5 Hakkinen, A., et al., Strength<br />
training <strong>and</strong> stretching<br />
versus stretching only in the<br />
<strong>treatment</strong> of patients with<br />
chronic <strong>neck</strong> <strong>pain</strong>: a<br />
r<strong>and</strong>omized one-year followup<br />
study. Clin Rehabil, 2008.<br />
22(7): p. 592-600.<br />
6 Hakkinen, A., et al., Effect of<br />
manual therapy <strong>and</strong><br />
stretching on <strong>neck</strong> muscle<br />
strength <strong>and</strong> mobility in<br />
chronic <strong>neck</strong> <strong>pain</strong>. J Rehabil<br />
Med, 2007. 39(7): p. 575-9.<br />
7 Itoh, K., et al., R<strong>and</strong>omised<br />
trial of trigger point<br />
acupuncture compared with<br />
other acupuncture for<br />
<strong>treatment</strong> of chronic <strong>neck</strong><br />
<strong>pain</strong>. Complement Ther<br />
Med, 2007. 15(3): p. 172-9.<br />
high (7) 2007 The main purpose of this<br />
study was to compare the<br />
short-term effectiveness of<br />
thrust<br />
mobilization/manipulation<br />
directed at the thoracic<br />
spine in patients with<br />
mechanical <strong>neck</strong> <strong>pain</strong>.<br />
high (7) 2008 To compare the<br />
effectiveness of a 12month<br />
home based<br />
combined strength training<br />
<strong>and</strong> stretching programme<br />
against stretching alone in<br />
the <strong>treatment</strong> of chronic<br />
<strong>neck</strong> <strong>pain</strong>.<br />
high (7) 2007 To study the effect of n=125 age 25-53<br />
manual therapy <strong>and</strong> permantely employed<br />
stretching on <strong>neck</strong> function <strong>and</strong> <strong>neck</strong> <strong>pain</strong> lasting<br />
in women with chronic<br />
<strong>neck</strong> <strong>pain</strong>.<br />
more than 6 months<br />
high (8) 2007 The main aim in this study<br />
was to determine if<br />
acupuncture at trigger<br />
points is an effective<br />
<strong>treatment</strong> for chronic <strong>neck</strong><br />
<strong>pain</strong>, when compared to<br />
existing, widely used<br />
acupuncture at st<strong>and</strong>ard<br />
acupuncture points.<br />
n=60 patients nonthrust mobilization/manipulation<br />
between 18-60 years thrust mobilization/manipulation<br />
of age <strong>and</strong> had a<br />
primary complaint of<br />
<strong>neck</strong> <strong>pain</strong><br />
n=101 age 25-53 <strong>and</strong> stretching<br />
a duration of non- strength training <strong>and</strong> stretching<br />
<strong>specific</strong> <strong>neck</strong> <strong>pain</strong> for<br />
more than 6 months<br />
n=40 patients above<br />
45 years of age with<br />
a history of non<strong>specific</strong><br />
<strong>neck</strong> <strong>pain</strong> of<br />
6 months or longer.<br />
manual therapy<br />
stretching<br />
St<strong>and</strong>ard acupuncture<br />
Trigger point acupuncture<br />
<strong>Non</strong>-trigger point acupuncture<br />
Sham acupuncture<br />
thrust mobilization/manipulation<br />
nonthrust mobilization/manipulation<br />
strength training <strong>and</strong> stretching<br />
stretching<br />
stretching<br />
manual therapy(mobilization <strong>and</strong> massage<br />
<strong>and</strong> passive stretching)<br />
St<strong>and</strong>ard acupuncture<br />
Trigger point acupuncture<br />
<strong>Non</strong>-trigger point acupuncture<br />
Sham acupuncture<br />
Level of disability NDI<br />
secondary outcomes: <strong>pain</strong> <strong>and</strong><br />
global rating og change<br />
<strong>pain</strong>, disability, <strong>neck</strong> muscle<br />
strength <strong>and</strong> mobility of<br />
cervical spine<br />
Subjects receiving thrust<br />
mobilization/manipulatio<br />
n experienced greater<br />
reduction in disability,<br />
with a between-group<br />
difference of 10% (95%<br />
CI=5,3-14,7), <strong>and</strong> <strong>pain</strong>,<br />
with a between-group<br />
difference of 2% (95%<br />
CI=1,4-2,7).<br />
Subjects in the thrust<br />
mobilization/manipulatio<br />
n group exhibited<br />
significantly (p
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