Clinical practice guideline on the use of manipulation or mobilization in the treatment of adults with mechanical neck disorders

Physical Therapy Treatment Dose for Nontraumatic Neck Pain: A Comparison Between 2 Patient Groups

“…Consequently, this study promoted a multimodal approach to treatment consistent with recent clinical practice guidelines and trends in physical therapy clinical trials. 11,22,24,33 The treatment generally consisted of combinations of electrotherapy, spinal mobilization, soft tissue massage, muscle stretches, and mobility and strengthening exercises. Patients were also given relevant advice in relation to pain management, neck care, and home-based exercise.…”

Proposal of a Classification System for Patients With Neck Pain

“…14,41 Evidence also suggests that manual therapy is more effective when used in combination with exercise. 3,27,36 Based on this evidence, patients initially assigned to a mobility classification tend to be younger individuals with a more recent onset of symptoms and a primary impairment of decreased range of motion (Table 3). In our experience, active range of motion testing will often reveal a side-to-side discrepancy in lateral flexion or rotation range of motion.…”

Effectiveness of manual therapy or pulsed shortwave diathermy in addition to advice and exercise for neck disorders: A pragmatic randomized controlled trial in physical therapy clinics

“…There is limited evidence for the short-term effectiveness of manual therapy for cervical spine pain compared with other treatments (2,9), particularly in combination with exercise (10). Clinical practice guidelines recommend the use of manual therapy along with exercise therapy for managing mechanical neck disorders (11). Electrotherapy has a long history of use in physical therapy treatment programs (12)(13)(14) and 2 high-quality trials reported that pulsed shortwave diathermy (PSWD) significantly reduced pain in patients with mechanical neck pain (15,16).…”