Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain
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de Zoete, Rutger MJ
Coppieters, Iris
Farrell, Scott F
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Abstract
Neck pain, whether from a traumatic event such as a motor vehicle crash or of a non-traumatic nature, is a leading cause of worldwide disability. This narrative review evaluated the evidence from systematic reviews, recent randomised controlled trials, clinical practice guidelines, and other relevant studies for the effects of rehabilitation approaches for chronic neck pain. Rehabilitation was defined as the aim to restore a person to health or normal life through training and therapy and as such, passive interventions applied in isolation were not considered. The results of this review found that the strongest treatment effects to date are those associated with exercise. Strengthening exercises of the neck and upper quadrant have a moderate effect on neck pain in the short-term. The evidence was of moderate quality at best, indicating that future research will likely change these conclusions. Lower quality evidence and smaller effects were found for other exercise approaches. Other treatments, including education/advice and psychological treatment, showed only very small to small effects, based on low to moderate quality evidence. The review also provided suggestions for promising future directions for clinical practice and research.
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Journal of Clinical Medicine
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8
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8
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© 2019 by the Authors. Licensee MDPI, Basel, Switzerland. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Clinical sciences
exercise
neck pain
psychology review
rehabilitation
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Sterling, M; de Zoete, RMJ; Coppieters, I; Farrell, SF, Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain., Journal of Clinical Medicine, 2019, 8 (8), pp. 1219:1-1219:20