National clinical guidelines for non-surgical treatment of patients with recent onset neck pain or cervical radiculopathy

被引：146

作者：

Kjaer, Per ^{[1
,2
]}

Kongsted, Alice ^{[1
,2
,3
]}

Hartvigsen, Jan ^{[1
,3
]}

Isenberg-Jorgensen, Alexander ^{[4
]}

Schiottz-Christensen, Berit ^{[5
,6
]}

Soborg, Bolette ^{[2
]}

Krog, Charlotte ^{[7
]}

Moller, Christian Martin ^{[8
]}

Halling, Christine Marie Baeko ^{[2
,9
]}

Lauridsen, Henrik Hein ^{[1
]}

Hansen, Inge Ris ^{[1
]}

Norregaard, Jesper ^{[10
]}

Jorgensen, Karsten Juhl ^{[2
,11
]}

Hansen, Lars Valentin ^{[12
]}

Jakobsen, Marie ^{[2
,9
]}

Jensen, Martin Bach ^{[13
]}

Melbye, Martin ^{[14
]}

Duel, Peter ^{[15
]}

Christensen, Steffan W. ^{[16
,17
]}

Povlsen, Tina Myung ^{[2
,18
]}

机构：

[1] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Campusvej 55, DK-5230 Odense M, Denmark

[2] Danish Hlth Author, Evidence Educ & Emergency Serv, Islands Brygge 67, DK-2300 Copenhagen S, Denmark

[3] Univ Southern Denmark, Nord Inst Chiropract & Clin Biomech, Campusvej 55, DK-5230 Odense M, Denmark

[4] Hosp Lillebaelt, Spine Ctr Southern Denmark, Ctr Spine Surg & Res, Ostre Houghvej 55, DK-5500 Middelfart, Denmark

[5] Hosp Lillebaelt, Spine Ctr Southern Denmark, Ostre Houghvej 55, DK-5500 Middelfart, Denmark

[6] Univ Southern Denmark, Inst Reg Hlth Res, Campusvej 55, Odense M, Denmark

[7] Kobenhavns Fysioterapi I S, JE Ohlsens Gade 2,1th, DK-2100 Copenhagen O, Denmark

[8] CFR Hosp, Hans Bekkevolds Allee 2B, DK-2900 Hellerup, Denmark

[9] Danish Inst Local & Reg Govt Res, KORA, Kobmagergade 22, DK-1150 Copenhagen K, Denmark

[10] Ctr Rheumatol & Spine Dis, Dyrehavevej 29, DK-3400 Hillerod, Denmark

[11] Rigshosp, Nord Cochrane Ctr, 7811,Blegdamsvej 9, DK-2100 Copenhagen O, Denmark

[12] Rigshosp, Dept Ortopaed Surg, Spine Unit, Copenhagen, Denmark

[13] Aalborg Univ, Dept Clin Med, Res Unit Gen Practice Aalborg, Fyrkildevej 7,1, DK-9220 Aalborg O, Denmark

[14] Aalborg Rygklin, Aalborg Spine Clin, Vingaardsgade 9, DK-9000 Aalborg, Denmark

[15] Aarhus Univ Hosp, Neurosurg Dept, DK-8000 Aarhus C, Denmark

[16] Aalborg Univ, SMI, Dept Hlth Sci & Technol, Aalborg, Denmark

[17] Univ Coll Northern Denmark UCN, Dept Physiotherapy, Aalborg, Denmark

[18] Rigshosp, Res & Test Ctr Hlth Technol, Nordre Ringvej 57 Opgang 8,5 Sal, DK-2600 Glostrup, Denmark

来源：

EUROPEAN SPINE JOURNAL | 2017年 / 26卷 / 09期

关键词：

Clinical guideline; Neck pain; Cervical radiculopathy; Non-surgical intervention; Recommendations; Conservative treatment; STABILIZATION EXERCISES; SPINAL MANIPULATION; PHYSICAL-THERAPY; MANUAL THERAPY; PRIMARY-CARE; ACUPUNCTURE; EPIDEMIOLOGY; TRIAL; MANAGEMENT; DIAGNOSIS;

D O I：

10.1007/s00586-017-5121-8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

To summarise recommendations about 21 selected non-surgical interventions for recent onset (< 12 weeks) non-specific neck pain (NP) and cervical radiculopathy (CR) based on two guidelines from the Danish Health Authority. Two multidisciplinary working groups formulated recommendations based on the GRADE approach. Twelve recommendations were based on evidence and nine on consensus. Management should include information about prognosis, warning signs, and advise to remain active. For treatment, guidelines suggest different types of supervised exercise and manual therapy; combinations of exercise and manual therapy before medicine for NP; acupuncture for NP but not CR; traction for CR; and oral NSAID (oral or topical) and Tramadol after careful consideration for NP and CR. Recommendations are based on low-quality evidence or on consensus, but are well aligned with recommendations from guidelines from North America. The working groups recommend intensifying research relating to all aspects of management of NP and CR.

引用

页码：2242 / 2257

页数：16

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