Neck pain mobility deficits

Question 1

interventions for acute

Answer 1

Thoracic manipulation
Cervical mobilization or manipulation

Cervical range of motion, stretching, and isometric strengthening exercise

Stay active and HEP

Supervised exercise, including cervicoscapulothoracic, and upper extremity stretching, strengthening and endurance training

General fitness

Question 2

interventions for subacute

Answer 2

cervical mobilization or manipulation

Thoracic manipulation

Cervicalscapularthoracic endurance exercise

Question 3

interventions for chronic

Answer 3

Thoracic manipulation
Cervical mobilization

Combine cervical scapular thoracic exercise plus mobilization or manipulation

Mixed exercise for cervical scapular thoracic regions -
Neuromuscular, coordination, proprioception, postural training, stretching, strengthening, endurance training, aerobic conditioning

Stay active

Dry, needling, laser, ultrasound traction tens

Question 4

Cervical thrust manipulation, clinical prediction rule

Answer 4

symptoms less than 38 days
Positive expectation manipulation will help
Cervical rotation ROM side to side of 10° or greater
Pain with PA testing mid cervical spine