Neck pain: modern approaches in non-pharmacological treatments. Part IІ
Keywords:neck pain, physical therapy, physical exercises, kinesiotaping, neck collars, non-pharmacological methods
AbstractNeck pain remains a common though underestimated problem of the modern medicine. The disease affects from one third to over half of the adult population of the planet, and it is associated with the impaired workability and quality of life. Neck pain treatment involves medical and non-medical approaches, but the evidence base for their efficacy and safety is currently being contested. The purpose of the second part of our article is to summarize the data on the effectiveness and safety of some physical therapy methods (physical exercises, kinesiotaping, neck collar braces) and combined methods of physical therapy, discuss the authors' own experience of the complex treatment of patients, as well as to analyze the modern recommendations for the physical therapy methods used in the neck pain treatment. To achieve this goal, we’ve performed the analysis of reference sources published in the the MedLine, EMBASE, the Cochrane Library, Scopus, Web of Science, CyberLeninka and Russian Science Citation Index (RSCI) databases during the recent decade; those sources containing the results of different trials, meta-analyses and recent Cochrane reviews on the efficacy and safety of various non- pharmacological treatment methods reserved for the neck pain. The article presents the data of the efficacy and safety of physical exercises, kinesiotherapy, and neck collar braces in the neck pain treatment. Additionally, we have developed and tested our physical exercise complexes for the neck pain treatment at various stages (acute, subacute, chronic), which we recommend for use in clinical practice. There are also modern recommendations provided by medical societies and other organizations for the management of neck pain. The obtained results indicate the need for a customized and comprehensive approach to the management of neck pain, taking into account the stage of the disease, the patient's age, concomitant risk factors, and the results of evidence-based medicine.
Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006;15(6):834-848. https://doi.org/10.1007/s00586-004-0864-4 .
Parikh P, Santaguida P, Macdermid J, Gross A, Eshtiaghi A. Comparison of CPG's for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2019;20(1):81. https://doi.org/10.1186/s12891-019-2441-3 .
Nazari G, Bobos P, Billis E, MacDermid JC. Cervical flexor muscle training reduces pain, anxiety, and depression levels in patients with chronic neck pain by a clinically important amount: A prospective cohort study. Physiother Res Int. 2018;23(3):e1712. https://doi.org/10.1002/pri.1712 .
Celenay ST, Kaya DO, Akbayrak T. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Man Ther. 2016;21:144-150. https://doi.org/10.1016/j.math.2015.07.003 .
Deryabina GI, Lerner VL, Novikova IV. Physical rehabilitation for osteochondrosis of the cervical spine in the subacute period. Available from: https://cyberleninka.ru/article/n/fizicheskaya-reabilitatsiya-pri-osteohondroze-sheynogo-otdela-pozvonochnika-v-podostrom-periode . (in Russian).
Grygoryeva NV, Povoroznyuk BB, Bannikova RA, Yunusova SV, Palamarchuk AA. Gymnastics Ba Duan Jing in the complex treatment of patients of older age groups with pathology of the musculoskeletal system. Bolʹ, sustavy, pozvonočnik. 2011;3:96-105. (in Russian).
Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017;30(6):1149-1169. https://doi.org/10.3233/bmr-169615 .
Doğan N, Şengül İ, Akçay-Yalbuzdağ Ş, Kaya T. Kinesio taping versus dry needling in the treatment of myofascial pain of the upper trapezius muscle: A randomized, single blind (evaluator), prospective study. J Back Musculoskelet Rehabil. 2019;32(5):819-827. https://doi.org/10.3233/bmr-181162 .
Luz Júnior MAD, Almeida MO, Santos RS, Civile VT, Costa LOP. Effectiveness of Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain: A Systematic Review With Meta-analysis. Spine (Phila Pa 1976). 2019;44(1):68-78. https://doi.org/10.1097/brs.0000000000002756 .
Neck Pain Guidelines: Revision 2017: Using the Evidence to Guide Physical Therapist Practice. J Orthop Sports Phys Ther. 2017;47(7):511-512. https://doi.org/10.2519/jospt.2017.0507.
Neck Pain: Clinical Practice Guidelines Help Ensure Quality Care. J Orthop Sports Phys Ther. 2017;47(7):513. https://doi.org/10.2519/jospt.2017.0508.
Bier JD, Scholten-Peeters WGM, Staal JB, et al. Clinical Practice Guideline for Physical Therapy Assessment and Treatment in Patients With Nonspecific Neck Pain. Phys Ther. 2018;98(3):162-171. https://doi.org/10.1093/ptj/pzx118 .
Wong JJ, Shearer HM, Mior S, et al. Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the OPTIMa collaboration. Spine J. 2016;16(12):1598-1630. https://doi.org/10.1016/j.spinee.2015.08.024 .
Copyright (c) 2020 PAIN, JOINTS, SPINE
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our edition uses the copyright terms of Creative Commons for open access journals.
Authors, who are published in this journal, agree with the following terms:
- The authors retain rights for authorship of their article and grant to the edition the right of first publication of the article on a Creative Commons Attribution 4.0 International License, which allows others to freely distribute the published article, with the obligatory reference to the authors of original works and original publication in this journal.
- Directing the article for the publication to the editorial board (publisher), the author agrees with transmitting of rights for the protection and using the article, including parts of the article, which are protected by the copyrights, such as the author’s photo, pictures, charts, tables, etc., including the reproduction in the media and the Internet; for distributing; for the translation of the manuscript in all languages; for export and import of the publications copies of the writers’ article to spread, bringing to the general information.
- The rights mentioned above authors transfer to the edition (publisher) for the unlimited period of validity and on the territory of all countries of the world.
- The authors guarantee that they have exclusive rights for using of the article, which they have sent to the edition (publisher). The edition (the publisher) is not responsible for the violation of given guarantees by the authors to the third parties.
- The authors have the right to conclude separate supplement agreements that relate to non-exclusive distribution of their article in the form in which it had been published in the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
- The policy of the journal permits and encourages the publication of the article in the Internet (in institutional repository or on a personal website) by the authors, because it contributes to productive scientific discussion and a positive effect on efficiency and dynamics of the citation of the article.