Conservative Management of Mechanical Neck Disorders: A Systematic Review

Gross A, Goldsmith C, Hoving J, Haines T, Peloso P, Aker P, Santaguida P, Myers C, and the Cervical Overview Group

The purpose of this study was to determine if conservative treatments (manual therapies, physical medicine methods, medication, and patient education) relieved pain or improved function/disability, patient satisfaction, and global perceived effect in adults with acute, subacute, and chronic mechanical neck disorders (MND) by updating 11 systematic reviews of randomized controlled trials (RCT).  The authors concluded that exercise combined with mobilization/manipulation, exercise alone, and intramuscular lidocaine for chronic MND; intravenous glucocorticoid for acute whiplash associated disorders; and low-level laser therapy demonstrated either intermediate or longterm benefits. Optimal dosage of effective techniques and prognostic indicators for responders to care should be explored in future research.

Journal of Rheumatology 2007;34:1083-102

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