Summary of Recommendations
PATHOANATOMICAL FEATURES/DIFFERENTIAL DIAGNOSIS
EXAMINATION – OUTCOME MEASURES
EXAMINATION – ACTIVITY LIMITATIONS AND PARTICIPATION MEASURES
EXAMINATION – PHYSICAL IMPAIRMENT MEASURES
- neck pain with mobility deficits, including cervical active range of motion (ROM), the cervical flexion-rotation test, and cervical and thoracic segmental mobility tests
- neck pain with headache, including cervical active ROM, the cervical flexion-rotation test, and upper cervical segmental mobility testing
- neck pain with radiating pain, including neurodynamic testing, Spurling’s test, the distraction test, and the Valsalva test and
- neck pain with movement coordination impairments, including cranial cervical flexion and neck flexor muscle endurance tests.
- Neck pain with mobility deficits
- Neck pain with movement coordination impairments (including whiplash-associated disorder [WAD])
- Neck pain with headaches (cervicogenic headache)
- Neck pain with radiating pain (radicular).
INTERVENTIONS: NECK PAIN WITH MOBILITY DEFICITS
- Thoracic manipulation and cervical manipulation or mobilization
- Mixed exercise for cervical/scapulothoracic regions: neuromuscular exercise (eg, coordination, proprioception, and postural training), stretching, strengthening, endurance training, aerobic conditioning, and cognitive affective elements
- Dry needling, laser, or intermittent mechanical/manual traction.
INTERVENTIONS: NECK PAIN WITH MOVEMENT COORDINATION IMPAIRMENTS
- Education of the patient to
- Return to normal, nonprovocative preaccident activities as soon as possible
- Minimize use of a cervical collar
- Perform postural and mobility exercises to decrease pain and increase ROM
- Reassurance to the patient that recovery is expected to occur within the first 2 to 3 months.
- A single session consisting of early advice, exercise instruction, and education
- A comprehensive exercise program (including strength and/or endurance with/without coordination exercises)
- Transcutaneous electrical nerve stimulation (TENS).
- Patient education and advice focusing on assurance, encouragement, prognosis, and pain management
- Mobilization combined with an individualized, progressive submaximal exercise program including cervicothoracic strengthening, endurance, flexibility, and coordination, using principles of cognitive behavioral therapy
INTERVENTIONS: NECK PAIN WITH HEADACHES
INTERVENTIONS: NECK PAIN WITH RADIATING PAIN
June 30, 2017
External Publication Status
Country of Publication
Review recent peer-reviewed literature and make recommendations related to neck pain.
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Emergency care, Hospital, Operating and recovery room, Radiology services
Radiology technologist, physical therapist, occupational therapist, nurse, nurse practitioner, physician, physician assistant
Assessment and screening, Diagnosis, Rehabilitation, Management, Treatment
D019838 - Neck Injuries, D009334 - Neck Muscles, D019547 - Neck Pain
neck, neck pain, neck stiffness