neck pain CPG Flashcards
week 6 -
What are the 4 classifications of neck pain?
- mobility deficits
- movement coordination impairments
- with headaches
with radiating pains - bullet point 2 and 4 may require further imaging
subcategorized as acute, subacute, chronic
what is the prevalence of neck pain?
what are risk factors?
- highest among hig income northam american women
risk factors: - over 40 yrs of age
- females around age 50
- prior history of neck pain
- prior history of unspecified LBP
- high demanding jobs
- history of smoking
one or mor level I systematicreviews support the recommendation, providing evidence for a strong magnitude of effect
this is seen as what grade level?
A - strong strength of evidence
one or more level II systematic reviews or a preponderance of level III systematicreviews or studies uspport the recommendation, providing evidence for a mild to moderate magnitude of effect
this is seen as what grade level?
B - moderate strength of evidence
one or more level III systematic review or prepoidnerance of level IV evidence supports the recommendation, providing minimal evidence of effect
C - weak strength of evidence
neck pain with mobility deficits:
acute phase:
what areas is the PT focused on?
- strength (B) : scapulo-thoracic and UE
- flexibility/mobility (B)
B = level of evidence
neck pain with mobility deficits:
subacute phase:
what areas should the PT focus on?
- endurance (B): neck and shoulder girdle
neck pain with mobility deficits:
neck pain with mobility deficits:
chronic phase:
what areas should the PT focus on?
- aerobic (B)
- strength (B)
- endurance (B)
- flexibility (B)
- neuromuscular (B): coordination, proprioception, posture
neck pain w/ movement coordination impairment - interventions
acute phase:
what areas should the PT focus on?
- aerobic (B)
- strength (B)
- endurance (C)
- flexibility/mobility (B)
- functional (B)
- neuromuscular (B): coordination, proprioception, posture
neck pain w/ movement coordination impairment - interventions
chronic phase:
what areas shoul the PT focus on?
- strength (C) : cerivoc-thoracic
- endurance (C): cervico-thoracic
- flexibility (C): cervico-thoracic
- neuromuscular (C): coordination
neck pain with headaches - interventions
acute phase:
what should PT focus on?
- flexibility/mobility (B): active
neck pain with headaches - interventions
chronic phase:
what should PT focus on?
- strength (B): shoulder girdle
- endurance (B): shoulder girdle
- flexibility/mobility (B): shoulder girdle
neck pain with radiating pain - interventions
acute phase:
what should the PT focus on?
- flexibility (C)
- neuromuscular (C): stability
neck pain with radiating pain - interventions
Chronic phase:
what should the PT focus on?
- strength (B)
- flexibility/mobility (B)
