INTRODUCTION: Non-specific neck pain has a postural or mechanical basis and affects about two thirds of people at some stage, especially in middle age. Acute neck pain resolves within days or weeks, but may become chronic in about 10% of people. Whiplash injuries follow sudden acceleration-deceleration of the neck, such as in road traffic or sporting accidents. Up to 40% of people continue to report symptoms 15 years after the accident, although this varies between countries. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for people with non-specific neck pain without severe neurological deficit? What are the effects of treatments for acute whiplash injury? What are the effects of treatments for chronic whiplash injury? What are the effects of treatments for neck pain with radiculopathy? We searched: Medline, Embase, The Cochrane Library, and other important databases up to May 2007 (BMJ Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). RESULTS: We found 91 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of the evidence for interventions. CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: acupuncture, biofeedback, drug treatments (analgesics, antidepressants, epidural steroid injections, muscle relaxants, non-steroidal anti-inflammatory drugs [NSAIDs]), early mobilisation, early return to normal activity, exercise, heat or cold, manipulation (alone or plus exercise), mobilisation, multimodal treatment, patient education, percutaneous radiofrequency neurotomy, physical treatments, postural techniques (yoga, pilates, Alexander technique), pulsed electromagnetic field (PEMF) treatment, soft collars and special pillows, spray and stretch, surgery, traction, and transcutaneous electrical nerve stimulation (TENS).
INTRODUCTION: Non-specific neck pain has a postural or mechanical basis and affects about two thirds of people at some stage, especially in middle age. Acute neck pain resolves within days or weeks, but may become chronic in about 10% of people. Whiplash injuries follow sudden acceleration-deceleration of the neck, such as in road traffic or sporting accidents. Up to 40% of people continue to report symptoms 15 years after the accident, although this varies between countries. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for people with non-specific neck pain without severe neurological deficit? What are the effects of treatments for acute whiplash injury? What are the effects of treatments for chronic whiplash injury? What are the effects of treatments for neck pain with radiculopathy? We searched: Medline, Embase, The Cochrane Library, and other important databases up to May 2007 (BMJ Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). RESULTS: We found 91 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of the evidence for interventions. CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: acupuncture, biofeedback, drug treatments (analgesics, antidepressants, epidural steroid injections, muscle relaxants, non-steroidal anti-inflammatory drugs [NSAIDs]), early mobilisation, early return to normal activity, exercise, heat or cold, manipulation (alone or plus exercise), mobilisation, multimodal treatment, patient education, percutaneous radiofrequency neurotomy, physical treatments, postural techniques (yoga, pilates, Alexander technique), pulsed electromagnetic field (PEMF) treatment, soft collars and special pillows, spray and stretch, surgery, traction, and transcutaneous electrical nerve stimulation (TENS).
Authors: Salahadin Abdi; Sukdeb Datta; Andrea M Trescot; David M Schultz; Rajive Adlaka; Sairam L Atluri; Howard S Smith; Laxmaiah Manchikanti Journal: Pain Physician Date: 2007-01 Impact factor: 4.965
Authors: G I Hackett; M F Hudson; J B Wylie; A D Jackson; K M Small; P Harrison; J O'Brien; P Harrison Journal: Br Med J (Clin Res Ed) Date: 1987-01-03
Authors: Amir Bahrami-Ahmadi; Seyed Alireza Mortazavi; Roghayeh Soleimani; Mohammad Hasan Nassiri-Kashani Journal: Med J Islam Repub Iran Date: 2016-12-28
Authors: Zoe A Michaleff; Christopher Harrison; Helena Britt; Chung-Wei Christine Lin; Chris G Maher Journal: Eur Spine J Date: 2012-01-08 Impact factor: 3.134
Authors: Simone Aparecida Penimpedo Calamita; Daniela Aparecida Biasotto-Gonzalez; Nivea Cristina De Melo; Douglas Meira dos Santos; Roberta de Lassa; Fabiana Sarilho de Mendonça; Claudia Santos Oliveira; César Ferreira Amorim; Tabajara Oliveira Gonzalez; Marco Antônio Fumagalli; Cid André Fidelis Paula de Gomes; Fabiano Politti Journal: Trials Date: 2015-03-19 Impact factor: 2.279
Authors: Hans-Georg Predel; Bruno Giannetti; Helmut Pabst; Axel Schaefer; Agnes M Hug; Ian Burnett Journal: BMC Musculoskelet Disord Date: 2013-08-21 Impact factor: 2.362