• Home

  • OMTA Congress 2020 ONLINE

  • Primephysio Congress

  • Education

  • Membership

  • About us

  • More...

    1. OMT
    2. The spine
    3. Clinical Practice Guidelines Neck Pain: Revision 2017
    Search
    Jun 25, 2018
      ·  Edited: Jun 25, 2018

    Clinical Practice Guidelines Neck Pain: Revision 2017

    Summery of neck examination

    1.Excluding red flags and differential diagnosis: Clinicians should perform assessments and identify clinical findings in patients with neck pain to determine the potential for the presence of serious pathology (e.g., infection, cancer, cardiac involvement, arterial insufficiency, upper cervical ligamentous insufficiency, unexplained cranial nerve dysfunction or fracture), and refer for consultation as indicated. 2. IMAGING : Clinicians should utilize existing guidelines and appropriateness criteria in clinical decision making regarding referral or consultation for imaging studies for traumatic and non-traumatic neck pain in the acute and chronic stages. 3. OUTCOME MEASURES: Clinicians should use validated self-report questionnaires for patients with neck pain, to identify a patient’s baseline status and to monitor changes relative to pain, function, disability, and psychosocial functioning. 4. ACTIVITY LIMITATIONS AND PARTICIPATION MEASURES: Clinicians should utilize easily reproducible activity limitation and participation restriction measures associated with the patient’s neck pain to assess the changes in the patient’s level of function over the episode of care. 5. PHYSICAL IMPAIRMENT MEASURES: When evaluating a patient with neck pain over an episode of care, clinicians should include assessments of impairments of body function that can establish baselines, monitor changes over time, and be helpful in clinical decision making to rule in or rule out (1) neck pain with mobility deficits, including cervical active range of motion (ROM), the cervical flexion-rotation test, and cervical and thoracic segmental mobility tests; (2) neck pain with headache, including cervical active ROM, the cervical flexion-rotation test, and upper cervical segmental mobility testing; (3) neck pain with radiating pain, including neurodynamic testing, Spurling’s test, the distraction test, and the Valsalva test; and (4) neck pain with movement coordination impairments, including cranial cervical flexion and neck flexor muscle endurance tests. Clinicians should include algometric assessment of pressure pain threshold for classifying pain.

    6. DIAGNOSIS/CLASSIFICATION : Clinicians should use motion limitations in the cervical and upper thoracic regions, presence of cervicogenic headache, history of trauma, and referred or radiating pain into an upper extremity as useful clinical findings for classifying a patient with neck pain into the following categories: • Neck pain with mobility deficits • Neck pain with movement coordination impairments (including whiplash-associated disorder [WAD]) • Neck pain with headaches (cervicogenic headache) • Neck pain with radiating pain (radicular)

    Read details of the guidelines: https://www. jospt.org/doi/full/10.2519/jospt.2017.0302




    0
    samuel_birkbeck
    Aug 15, 2020

    Day before yesterday I went for swimming and had the neck pain problem due to long gap. My neck pain was hurting me, I consult my assignment services reviews and they told me guidelines about neck pain.

    0
    dfgh
    Dec 28, 2020

    It’s very informative and you are obviously very knowledgeable in this area. You have opened my eyes to varying views on this topic with interesting and solid content. Chimney cleaning near me

    0
    dfgh
    Dec 28, 2020

    I read a article under the same title some time ago, but this articles quality is much, much better. How you do this.. Gourmet cookies near me

    0
    ghfhg
    Jan 1

    A good blog always comes-up with new and exciting information and while reading I have feel that this blog is really have all those quality that qualify a blog to be a one. Elias Landsmanas Corporativo Kosmos

    0
    fhgjhgk
    Jan 4

    It is extremely nice to see the greatest details presented in an easy and understanding manner. Hitachi Pump

    0
    fghkjhg
    Jan 8

    Thank you so much for ding the impressive job here, everyone will surely like your post. garage door repair La Jolla

    0
    fghkjhg
    Jan 8

    very interesting post.this is my first time visit here.i found so many interesting stuff in your blog especially its discussion..thanks for the post! West Jordan locksmith

    0
    fghkjhg
    Jan 8

    It’s very informative and you are obviously very knowledgeable in this area. You have opened my eyes to varying views on this topic with interesting and solid content. locksmith Henderson Nevada

    0
    fghkjhg
    Jan 8

    Nice knowledge gaining article. This post is really the best on this valuable topic. garage doors Sammamish

    0
    fghkjhg
    Jan 8

    A good blog always comes-up with new and exciting information and while reading I have feel that this blog is really have all those quality that qualify a blog to be a one. DUI attorney Tacoma

    0
    fghkjhg
    Jan 8

    This is very useful post for me. This will absolutely going to help me in my project. garage door repair Park City

    0
    fghkjhg
    Jan 9

    I think this is an informative post and it is very useful and knowledgeable. therefore, I would like to thank you for the efforts you have made in writing this article. sauer danfoss motors

    0
    hkhklf
    5d ago

    I recently found many useful information in your website especially this blog page. Among the lots of comments on your articles. Thanks for sharing. garage doors Las Vegas NV

    0
    hkhklf
    5d ago

    I found Hubwit as a transparent s ite, a social hub which is a conglomerate of Buyers and Sellers who are ready to offer online digital consultancy at decent cost. garage door repair Burien WA

    0
    hkhklf
    5d ago

    You actually make it look so easy with your performance but I find this matter to be actually something which I think I would never comprehend. It seems too complicated and extremely broad for me. I'm looking forward for your next post, I’ll try to get the hang of it! gate repair Phoenix AZ

    0
    hkhklf
    5d ago

    I recently came across your article and have been reading along. I want to express my admiration of your writing skill and ability to make readers read from the beginning to the end. I would like to read newer posts and to share my thoughts with you. American Fork garage door

    0
    hkhklf
    5d ago

    so happy to find good place to many here in the post, the writing is just great, thanks for the post. garage door service San Diego

    0

    Orthopaedic Manual Therapy Academy (OMTA)

    info@omtae.org

    About 

    Terms & Conditions

    Privacy policy

    Training

    OMT Blog