Clinical Practice Guideline for Physical Therapy Assessment and Treatment in Patients With Nonspecific Neck Pain

被引:260
作者
Bier, Jasper D. [1 ]
Scholten-Peeters, Wendy G. M. [2 ]
Staal, J. Bart [3 ,4 ]
Pool, Jan [5 ]
van Tulder, Maurits W. [6 ]
Beekman, Emmylou [7 ]
Knoop, Jesper [7 ]
Meerhoff, Guus [7 ]
Verhagen, Arianne P. [1 ]
机构
[1] Erasmus Univ, Dept Gen Practice, POB 2040, NL-3000 CA Rotterdam, Netherlands
[2] Vrije Univ Amsterdam, Fac Behav & Movement Sci, Amsterdam Movement Sci, Amsterdam, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, IQ Healthcare, Nijmegen, Netherlands
[4] HAN Univ Appl Sci, Res Grp Musculoskeletal Rehabil, Nijmegen, Netherlands
[5] HU Univ Appl Sci, Inst Human Movement Studies, Dept Lifestyle & Hlth, Utrecht, Netherlands
[6] Vrije Univ Amsterdam, Inst Hlth Sci, Fac Earth & Life Sci, Amsterdam, Netherlands
[7] Zuyd Univ Appl Sci, Res Ctr Auton & Participat Persons Chron Illness, Heerlen, Netherlands
来源
PHYSICAL THERAPY | 2018年 / 98卷 / 03期
关键词
2000-2010; TASK-FORCE; WHIPLASH-ASSOCIATED DISORDERS; MYOFASCIAL TRIGGER POINTS; PROGNOSTIC-FACTORS; PSYCHOMETRIC PROPERTIES; GENERAL-POPULATION; DISABILITY INDEX; RATING-SCALE; BONE; DETERMINANTS;
D O I
10.1093/ptj/pzx118
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The Royal Dutch Society for Physical Therapy (KNGF) issued a clinical practice guideline for physical therapists that addresses the assessment and treatment of patients with nonspecific neck pain, including cervical radiculopathy, in Dutch primary care. Recommendations were based on a review of published systematic reviews. During the intake, the patient is screened for serious pathologies and corresponding patterns. Patients with cervical radiculopathy can be included or excluded through corresponding signs and symptoms and possibly diagnostic tests (Spurling test, traction/distraction test, and Upper Limb Tension Test). History taking is done to gather information about patients' limitations, course of pain, and prognostic factors (eg, coping style) and answers to health-related questions. In case of a normal recovery (treatment profile A), management should be hands-off, and patients should receive advice from the physical therapist and possibly some simple exercises to supplement "acting as usual." In case of a delayed/deviant recovery (treatment profile B), the physical therapist is advised to use, in addition to the recommendations for treatment profile A, forms of mobilization and/or manipulation in combination with exercise therapy. Other interventions may also be considered. The physical therapist is advised not to use dry needling, low-level laser, electrotherapy, ultrasound, traction, and/or a cervical collar. In case of a delayed/deviant recovery with clear and/or dominant psychosocial prognostic factors (treatment profile C), these factors should first be addressed by the physical therapist, when possible, or the patient should be referred to a specialist, when necessary. In case of neck pain grade III (treatment profile D), the therapy resembles that for profile B, but the use of a cervical collar for pain reduction may be considered. The advice is to use it sparingly: only for a short period per day and only for a few weeks.
引用
收藏
页码:162 / 171
页数:10
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