A Systematic Review of Conservative Treatments for Acute Neck Pain Not Due To Whiplash

Vernon, Howard; Humphreys, B. Kim; Hagino, Carol

doi:10.1016/j.jmpt.2005.06.011

Cited by 55 publications

(33 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The literature supports the notions that distinctions between patients with acute symptoms and patients with chronic symptoms 63,64 and between patients with and patients without signs and symptoms associated with nerve root compression 65 are important for treatment decision making. Patients with acute, traumatic onset (eg, whiplash injury) 66 and those with headache as a predominant symptom 41 also may represent distinct categories of patients. Further research is needed to determine whether additional subgroups should be added to the system.…”

Section: Discussionmentioning

confidence: 99%

Preliminary Examination of a Proposed Treatment-Based Classification System for Patients Receiving Physical Therapy Interventions for Neck Pain

2007

View full text Add to dashboard Cite

Background and PurposeNeck pain frequently is managed by physical therapists. The development of classification methods for matching interventions to subgroups of patients may improve clinical outcomes. The purpose of this study was to describe a proposed classification system for patients with neck pain by examining data for consecutive patients receiving physical therapy interventions.Subjects and MethodsStandardized methods for collecting baseline and intervention data were used for all patients receiving physical therapy interventions for neck pain over 1 year. Outcome variables were the Neck Disability Index (NDI), numeric pain rating, and number of visits. Treatment was provided at the discretion of the physical therapist. After the completion of treatment, each patient was classified by use of baseline variables. The interventions received by the patient were categorized as being matched or not matched to the classification. Outcomes for patients who received matched interventions were compared with those for patients who received nonmatched interventions. The interrater reliability of the classification algorithm was examined with a subset of 50 patients.ResultsA total of 274 patients were included in this study (74% women; age [X̄±SD]=44.4±16.0 years). The most common classification was centralization (34.7%); next were exercise and conditioning (32.8%) and mobility (17.5%). The interrater reliability for classification decisions was high (kappa=.95, 95% confidence interval [CI]=0.87–1.0). A total of 113 patients (41.2%) received interventions matched to the classification. Receiving matched interventions was associated with greater improvements in the NDI (mean difference=5.6 points, 95% CI=2.6–8.6) and in pain ratings (mean difference=0.74 point, 95% CI=0.21–1.3) than receiving nonmatched interventions.Discussion and ConclusionThe development of classification methods for patients with neck pain may improve the outcomes of physical therapy intervention. This study was done to examine a previously proposed classification system for patients receiving physical therapy interventions for neck pain. Receiving interventions matched to the classification system was associated with better outcomes than receiving nonmatched interventions. Although the design of this study prohibited drawing conclusions about the effectiveness of the system, the results suggest that further research on the system may be warranted.

show abstract

Section: Discussionmentioning

confidence: 99%

Preliminary Examination of a Proposed Treatment-Based Classification System for Patients Receiving Physical Therapy Interventions for Neck Pain

2007

View full text Add to dashboard Cite

show abstract

“…Literature reports vary concerning the terms 'acute', 'sub-acute' and 'chronic'. 27 Vernon et al 27 and Schellingerhout et al 35 define acute as clinical symptoms lasting no longer than 4 weeks. [36][37][38] This definition was used for the purpose of the study.…”

Section: Discussionmentioning

confidence: 99%

“…There is good evidence to support the recommendation of an early return to usual activity 6,21,26,27 or to 'act as usual'. 20 Providing information, advice and education are also strongly suggested in the literature.…”

mentioning

confidence: 99%

Popular physical therapy modalities in the management of whiplash-associated disorders

Watson

Coopoo²

2010

S. Afr. j. sports med.

View full text Add to dashboard Cite

Objectives. The aim of this study was to determine current physiotherapy practice in private clinics across the UK in the management of whiplash-associated disorder (WAD) injuries. Design. All treatment reports provided to a private health care company between January 2008 and July 2010 (N=365) were included and analysed to determine the following: the treatments favoured in the management of whiplash; the number of sessions used on average; and the main reasons for discharge. Results. Joint mobilisations, stretches and mobility exercises were favoured in the management of acute whiplash treatment and were used in 74%, 68% and 61% of cases, respectively. The most popular treatments in chronic whiplash, in order of preference, were: stretches (73%), joint mobilisations (69%) and soft-tissue massage (63%). On average, physiotherapists used 4.46 sessions and 7.21 modalities per patient. Although the outcome measures were limited to reason for discharge, the majority of patients were discharged because of ‘treatment complete/self management sufficient’, which may be assumed to be a favourable recovery for 79% of patients. Conclusion. This study found that physical therapists across the UK generally use evidence-based modalities in the treatment of whiplash. However, there remains a need to emphasise and embrace a more educational and active approach to the management of these injuries. The study recommends a protocol for treating WAD that includes supplementing therapeutic modalities with an exercise component, and routinely providing information and advice to ‘act as usual’.

show abstract

“…16 In addition, it is estimated that approximately 30% of patients with neck pain will develop chronic symptoms. 13 It is highly recommended that more research be done in the area of chiropractic care of posttraumatic acute neck pain and headaches for pediatric patients as well as resolution of nonmusculoskeletal symptoms in this special population with the Activator Method.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic care of a 6-year–old girl with neck pain; headaches; hand, leg, and foot pain; and other nonmusculoskeletal symptoms

Roberts

Wolfe

2009

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this case report is to describe the response to chiropractic care of a pediatric patient with complaints of neck pain; headaches; and hand, leg, and foot pain after head trauma and the reports of changes in the patient's history of chronic fatigue, vomiting, and coughing. Clinical Features: A 6-year-old girl was pushed into a playground slide, hitting her head and resulting in acute complaints of her "neck and brain hurting" and hand, foot, and occasional leg pain. In addition, the patient had a several-year history of unexplained fatigue, vomiting, and coughing spells. She had a neck pain disability index of 17.8%; left lateral and rotational head tilt; cervical antalgic lean; loss of cervical range of motion; anterior cervical translation; and spasm, tenderness, trigger points, and edema along the cervical and thoracic spine. Intervention and Outcome: The patient was cared for using Activator Methods protocol. After the fifth treatment, all the patient's symptoms dissipated, with a complete return to normal activity and spinal stability after 9 treatments. At 19 weeks, her spine continued to be asymptomatic; and her neck disability index was 0%. Conclusion: This case demonstrated that the Activator Method of chiropractic care had a beneficial effect for this pediatric patient.

show abstract

A Systematic Review of Conservative Treatments for Acute Neck Pain Not Due To Whiplash

Cited by 55 publications

References 31 publications

Preliminary Examination of a Proposed Treatment-Based Classification System for Patients Receiving Physical Therapy Interventions for Neck Pain

Preliminary Examination of a Proposed Treatment-Based Classification System for Patients Receiving Physical Therapy Interventions for Neck Pain

Popular physical therapy modalities in the management of whiplash-associated disorders

Chiropractic care of a 6-year–old girl with neck pain; headaches; hand, leg, and foot pain; and other nonmusculoskeletal symptoms

Contact Info

Product

Resources

About