Show simple item record

dc.contributor.authorGraham, H
dc.contributor.authorGross, A
dc.contributor.authorCarlesso, L
dc.contributor.authorSantaguida, L
dc.contributor.authorMacDermid, J
dc.contributor.authorWalton, D
dc.contributor.authorHo, E
dc.contributor.authorReid, Duncan Arthur
dc.date.accessioned2013-12-01T19:39:44Z
dc.date.available2013-12-01T19:39:44Z
dc.date.copyright2013
dc.date.issued2013-12-02
dc.identifier.citationOpen Orthopaedics, vol.7(Suppl 4: M2), pp.440 - 460 (20)
dc.identifier.urihttp://hdl.handle.net/10292/6044
dc.description.abstractIntroduction: Neck pain is common, can be disabling and is costly to society. Physical modalities are often included in neck rehabilitation programs. Interventions may include thermal, electrotherapy, ultrasound, mechanical traction, laser and acupuncture. Definitive knowledge regarding optimal modalities and dosage for neck pain management is limited. Purpose: To systematically review existing literature to establish the evidence-base for recommendations on physical modalities for acute to chronic neck pain. Methods: A comprehensive computerized and manual search strategy from January 2000 to July 2012, systematic review methodological quality assessment using AMSTAR, qualitative assessment using a GRADE approach and recommendation presentation was included. Systematic or meta-analyses of studies evaluating physical modalities were eligible. Independent assessment by at least two review team members was conducted. Data extraction was performed by one reviewer and checked by a second. Disagreements were resolved by consensus. Results: Of 103 reviews eligible, 20 were included and 83 were excluded. Short term pain relief - Moderate evidence of benefit: acupuncture, intermittent traction and laser were shown to be better than placebo for chronic neck pain. Moderate evidence of no benefit: pulsed ultrasound, infrared light or continuous traction was no better than placebo for acute whiplash associated disorder, chronic myofascial neck pain or subacute to chronic neck pain. There was no added benefit when hot packs were combined with mobilization, manipulation or electrical muscle stimulation for chronic neck pain, function or patient satisfaction at six month follow-up. Conclusions: The current state of the evidence favours acupuncture, laser and intermittent traction for chronic neck pain. Some electrotherapies show little benefit for chronic neck pain. Consistent dosage, improved design and long term follow-up continue to be the recommendations for future research.
dc.publisherBentham Open
dc.rightsFor authors of Bentham Open there is no restriction to authors for self-archiving of pre-refereeing preprints nor refereed postprints. The same applies for all authors who opt to publish their articles as open access for Bentham Science Publishers journals, in which case the publisher's version/PDF of the published article can be used for self-archiving.
dc.subjectNeck pain
dc.subjectReview of reviews
dc.subjectModalities
dc.subjectKnowledge synthesis
dc.titleAn ICON overview on physical modalities for neck pain and associated disorders
dc.typeJournal Article
dc.rights.accessrightsOpenAccess
dc.identifier.doi10.2174/1874325001307010440
aut.relation.endpage460
aut.relation.issueSuppl 4: M2
aut.relation.pages20
aut.relation.startpage440
aut.relation.volume7
pubs.elements-id157621


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record