Evaluation and Treatment of Posterior Neck Pain in Family Practice

Douglass, Alan B.; Bope, Edward T.

doi:10.3122/jabfm.17.suppl_1.s13

Cited by 55 publications

(62 citation statements)

References 39 publications

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“…21,22 It is, however, worthwhile to note that a strengthening component was used in fewer than half of all patients treated in this study. Passive treatments, such as soft-tissue massage, still tended to be popular despite warnings of clinical dependence and ineffectiveness for WAD sufferers.…”

Section: Discussionmentioning

confidence: 99%

“…There is also strong evidence for providing education on injuries, and advice to stay active 6,21 or 'act as usual'. 26 Although these have been associated with a positive effect on clinical outcomes, 18 data from this study show that these suggestions are used in fewer than half of patients.…”

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%

“…6,16,21,22 Moore et al suggested that the goal of treatment should be to improve function, empower the WAD sufferer, return the patient to normal activity and, lastly, relieve symptoms. 6 The management focus for WAD, especially when chronic, should be to resume or maintain a normal lifestyle, with decreasing attention on pain and symptoms.…”

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confidence: 99%

“…18,19,28 Therapy that includes an exercise component is generally perceived as being superior to therapies that do not include exercise. 6,10,17,[19][20][21] Gross et al noted strong evidence for pain reduction, improved function and positive, global perceived effect for therapy that combined exercise with manipulation/mobilisation.…”

mentioning

confidence: 99%

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

Watson

Coopoo²

2010

S. Afr. j. sports med.

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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’.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%