Psychological care, patient education, orthotics, ergonomics and prevention strategies for neck pain: a systematic overview update as part of the ICON project

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aut.relation.endpage561
aut.relation.issueSuppl 4: M2
aut.relation.pages31
aut.relation.startpage530
aut.relation.volume7
aut.researcherReid, Duncan Arthur
dc.contributor.authorGross, A
dc.contributor.authorKaplani, F
dc.contributor.authorHuang, S
dc.contributor.authorKhani, J
dc.contributor.authorSantaguida, L
dc.contributor.authorCarlesso, L
dc.contributor.authorMacdermid, J
dc.contributor.authorWalton, D
dc.contributor.authorKennardy, J
dc.contributor.authorReid, DA
dc.date.accessioned2013-12-01T19:47:34Z
dc.date.available2013-12-01T19:47:34Z
dc.date.copyright2013
dc.date.issued2013
dc.description.abstractObjectives: To conduct an overview on psychological interventions, orthoses, patient education, ergonomics, and 1°/2° neck pain prevention for adults with acute-chronic neck pain. Search Strategy: Computerized databases and grey literature were searched (2006-2012). Selection Criteria: Systematic reviews of randomized controlled trials (RCTs) on pain, function/disability, global perceived effect, quality-of-life and patient satisfaction were retrieved. Data Collection & Analysis: Two independent authors selected articles, assessed risk of bias using AMSTAR tool and extracted data. The GRADE tool was used to evaluate the body of evidence and an external panel to provide critical review. Main Results: We retrieved 30 reviews (5-9 AMSTAR score) reporting on 75 RCTs with the following moderate GRADE evidence. For acute whiplash associated disorder (WAD), an education video in emergency rooms (1RCT, 405participants] favoured pain reduction at long-term follow-up thus helping 1 in 23 people [Standard Mean Difference: - 0.44(95%CI: -0.66 to -0.23)). Use of a soft collar (2RCTs, 1278participants) was not beneficial in the long-term. For chronic neck pain, a mind-body intervention (2RCTs, 1 meta-analysis, 191participants) improved short-term pain/function in 1 of 4 or 6 participants. In workers, 2-minutes of daily scapula-thoracic endurance training (1RCT, 127participants) over 10 weeks was beneficial in 1 of 4 participants. A number of psychosocial interventions, workplace interventions, collar use and self-management educational strategies were not beneficial. Reviewers' Conclusions: Moderate evidence exists for quantifying beneficial and non-beneficial effects of a limited number of interventions for acute WAD and chronic neck pain. Larger trials with more rigorous controls need to target promising interventions.
dc.identifier.citationOpen Orthopaedics, vol.7(Suppl 4: M2), pp.530 - 561 (31)
dc.identifier.doi10.2174/1874325001307010530
dc.identifier.urihttps://hdl.handle.net/10292/6046
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.rights.accessrightsOpenAccess
dc.subjectOverview
dc.subjectPsychological
dc.subjectEducation
dc.subjectOrthotics
dc.subjectErgonomics
dc.subjectPrevention
dc.subjectNeck pain
dc.titlePsychological care, patient education, orthotics, ergonomics and prevention strategies for neck pain: a systematic overview update as part of the ICON project
dc.typeJournal Article
pubs.elements-id157624
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
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