Neck pain: modern approaches to the non-pharmacological treatment. Part I

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N.V. Grygorieva
V.V. Povoroznyuk
S.V. Nemerska


Across the world, neck pain affects from 26 to 70 % of the adult population during their lifetime. Its treatment involves the use of medical and non-medical methods; however, the evi­dence base for their effectiveness and safety is currently consi­dered contradictory. The purpose of this article is to summarize the data about the types and principles of various non-pharmacological treatments of the neck pain, their effectiveness and safety, as well as analysis of the latest recommendations for the use of physical methods of the neck pain treatment and discuss the authors' own experience concerning the effectiveness and safety of some non-pharmacological methods (traction, physical exercises) in the complex treatment of these patients. To achieve this goal, we’ve performed the analysis of reference sources published in the MedLine, EMBASE, Cochrane Library, Scopus, Web of Science, CyberLeninka and Russian Science Citation Index (RSCI) databases during the recent decade; those sources containing the results of modern randomized controlled trials, meta-analyses and recent Cochrane reviews about the efficacy and safety of various non-pharmacological treatments of neck pain. The first part of the article presents our analysis of effectiveness and safety of some methods of physical therapy (ergo-, reflexo-, electro-, mechano-, ultrasound therapies, traction and chiropractic, massage) for the patients with neck pain. Comparisons were made both among the individual methods of neck pain non-pharmacological treatment and between sham and absent treatment. The second part of the article presents data on the efficacy and safety of other methods of physical therapy, modern recommendations for the management of patients with neck pain, and presents the programs of therapeutic physical training developed by the authors especially for the patients belonging to various disease stages. In the first part of the article, our analysis showed that despite the sufficient number of performed studies (for instance, the randomized ones), the extant evidence of its effectiveness and safety is contradictory, due to the low quality of most studies, lack of patient blinding etc. The results of studies differ significantly in terms of their performers, disease stages, patient categories etc. It confirms the need for high-qua­lity large prospective double-blind randomized trials of the efficacy and safety of various physical therapy methods in the treatment of patients with neck pain intended to develop the recommendations for their use.

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How to Cite
Grygorieva, N., V. Povoroznyuk, and S. Nemerska. “Neck Pain: Modern Approaches to the Non-Pharmacological Treatment. Part I”. PAIN, JOINTS, SPINE, vol. 10, no. 2, Mar. 2020, pp. 90-100, doi:10.22141/2224-1507.10.2.2020.206945.


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