Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the OPTIMa collaboration

Wong, Jessica J.; Shearer, Heather M.; Mior, Silvano; Jacobs, Craig; Côté, Pierre; Randhawa, Kristi; Yu, Hainan; Southerst, Danielle; Varatharajan, Sharanya; Sutton, Deborah; Velde, Gabrielle van der; Carroll, Linda; Ameis, Arthur; Ammendolia, Carlo; Brison, Robert J.; Nordin, Margareta; Stupar, Maja; Taylor‐Vaisey, Anne

doi:10.1016/j.spinee.2015.08.024

Cited by 88 publications

(56 citation statements)

References 69 publications

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“…Dry needling without BoNT‐A injection has the benefit of not causing motor weakness. Another treatment is low‐level laser therapy (LLLT), which has been shown to be effective in the treatment of acute and chronic neck pain . LLLT consists of nonthermal and noninvasive laser transcutaneous irradiation to the affected area.…”

Section: Discussionmentioning

confidence: 99%

“…Another treatment is low-level laser therapy (LLLT), which has been shown to be effective in the treatment of acute and chronic neck pain. 25,26 LLLT consists of nonthermal and noninvasive laser transcutaneous irradiation to the affected area. One of our patients who was not part of this study found immediate pain relief from LLLT.…”

Section: Direct Treatment Of Painmentioning

confidence: 99%

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Primary odynophonia: When pain is out of proportion to dysphonia

et al. 2019

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Objectives/Hypothesis Odynophonia is generally regarded as a symptom of a voice disorder. However, a subset of patients with odynophonia have debilitating pain out of proportion to the relatively mild degree of dysphonia and are not responsive to voice therapy. The goals of this study were to 1) describe the symptomatology of this subset of patients and differentiate it from typical odynophonia, 2) propose alternate models to explain this phenomenon of primary odynophonia, and 3) present a new treatment paradigm based on the proposed models. Study Design Case series. Methods Inclusion criteria were complaint of persistent pain associated with voicing, normal vocal fold mobility, complete glottic closure, and limited or lack of response of pain to voice therapy. Presenting symptoms, voice evaluation, and treatment outcomes were reviewed. Results Eleven patients fit the inclusion criteria. The degree of pain did not follow the trajectory of vocal improvement with therapy. The pain was stagnant or worsened with voice exercises. The most dramatic improvement came about in one patient who received false vocal fold Botox injections, and another who received thyrohyoid lidocaine/triamcinolone injection. We propose that these patients had developed primary odynophonia, in which the pain had become self‐sustaining and no longer responded to correction of hyperfunctional vocal behavior. The mechanism of pain persistence may involve superior laryngeal neuralgia, cartilaginous or ligamentous inflammation, and/or central sensitization. Conclusions A minority of patients have primary odynophonia distinct from typical odynophonia. Direct treatment of pain may be advisable prior to or in conjunction with voice therapy. Level of Evidence 4 Laryngoscope, 130:E183–E189, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Direct Treatment Of Painmentioning

confidence: 99%

Primary odynophonia: When pain is out of proportion to dysphonia

et al. 2019

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“…The common causes of CNNP include neck strain, physical or emotional stress, prolonged inappropriate postures, minor injuries or falls, over-use, and herniated intervertebral discs [27]. CNNP relieves pain with nonsurgery treatments such as medicines, exercise plus joint mobilization, cervical manipulation, acupuncture, or acupotomy and becomes immedicable in only about 5%–10% of patients [28, 29]. And a systematic review showed that the efficacy of surgery over other conservative treatments is not clearly confirmed [30].…”

Section: Discussionmentioning

confidence: 99%

Acupotomy Therapy for Chronic Nonspecific Neck Pain: A Systematic Review and Meta‐Analysis

Liu

Zhou

Zhao

et al. 2017

Evidence-Based Complementary and Alternative Medicine

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Objective This review is to assess the efficacy and safety of acupotomy therapy in chronic nonspecific neck pain. MethodsWe searched six computerised databases. Randomized controlled trials incorporating acupotomy therapy alone or combined with other conventional treatments for chronic nonspecific neck pain were included. Two reviewers screened each literature and extracted data independently according to Cochrane Reviews' Handbook (5.1). The Cochrane Collaboration's RevMan 5.3 software was applied for meta-analysis. Results A total of ten trials involving 433 patients were enrolled. The pooled analysis indicated that acupotomy therapy showed a significant improving short-term and long-term effect on effective rate and cure rate. Meta-analysis demonstrated that acupotomy therapy group was superior to control group in restoring cervical lordosis and debasing VAS score. The result of continuous data did not support statistical significance of acupotomy therapy in adjusting clinical symptom score. For adverse events, acupotomy group did not reveal obvious superiority compared to control group. Conclusions Acupotomy therapy may be beneficial to chronic nonspecific neck pain patients. To strengthen supportive evidence, future, more rigorously designed clinical trials, adequate adverse events, and follow-up project are recommended.

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“…MT modalities as physical treatment and spinal manipulation are likely to be cost-effective options (Andronis et al, 2017;Licciardoni, 2014). Evidence suggests that types of manual therapy as mobilization, manipulation, and clinical massage are effective interventions for the management of neck pain and reductions in intensity and frequency of chronic cervicogenic dizziness (Wong et al, 2016;Reid al., 2014).…”

Section: Introductionmentioning

confidence: 99%

The use of surface electromyography in assessing the effectiveness of manual therapy: a systematic review

Santiago

Baptista

Magalhães

et al. 2020

IJOOES

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Research on the use of surface electromyography (sEMG) for analyzing the effects of Manual Therapy (MT) seems to have very dispersed intentions. The development of data collection protocols using sEMG might not be stable for conducting clinical studies. This study aimed to evaluate the current literature using surface sEMG in the context of MT and verify if it is a useful tool to verify its effectiveness. Also, to assess the methodologic quality and reporting standards and make a reflective analysis of how this technique has been used for this treatment modality. A computerized search was performed in May 2017 and repeated in June 2018, the search was performed in 8 electronic databases following PRISMA protocol. Thirty-one papers were included. More and better-designed studies are needed to create improved protocols. Further exploration and validation of these protocols may help to conduct more reliable clinically driven trials and it may inform policymakers of the role of MT in health care. The detection of clinically meaningful electrical alterations in muscles seems to be the main objective of most authors. Several sEMG items were not reported, and overall methodology quality was low.

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Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the OPTIMa collaboration

Cited by 88 publications

References 69 publications

Primary odynophonia: When pain is out of proportion to dysphonia

Primary odynophonia: When pain is out of proportion to dysphonia

Acupotomy Therapy for Chronic Nonspecific Neck Pain: A Systematic Review and Meta‐Analysis

The use of surface electromyography in assessing the effectiveness of manual therapy: a systematic review

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