Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain

@article{Bronfort2012SpinalMM,
  title={Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain},
  author={Gert Bronfort and Roni Evans and Alfred V. Anderson and Kenneth H. Svendsen and Yiscah Bracha and Richard H. Grimm},
  journal={Annals of Internal Medicine},
  year={2012},
  volume={156},
  pages={1 - 10}
}
BACKGROUND Mechanical neck pain is a common condition that affects an estimated 70% of persons at some point in their lives. Little research exists to guide the choice of therapy for acute and subacute neck pain. OBJECTIVE To determine the relative efficacy of spinal manipulation therapy (SMT), medication, and home exercise with advice (HEA) for acute and subacute neck pain in both the short and long term. DESIGN Randomized, controlled trial. (ClinicalTrials.gov registration number… 
Spinal manipulative therapy and exercise for seniors with chronic neck pain.
What to Do for Neck Pain: Spinal Manipulation, Medication, or Home-based Exercise?: New Study Weighs In
TLDR
It was reported that spinal manipulation was more effective in resolving acute or subacute neck pain than medication, but the home exercise program was equally effective after six months, while the frequency of side effects was similar among the three therapeutic approaches.
Spinal Manipulation and Home Exercise With Advice for Subacute and Chronic Back-Related Leg Pain
TLDR
This randomized trial, involving 192 adults with subacute or chronic back-related leg pain, compared 12 weeks of home exercise and advice with spinal manipulative therapy plus HEA alone, which improved self-reported pain and function outcomes more than exercise and Advice alone at 12 weeks.
The Effectiveness of Manual Therapy and Exercise Therapy in Treating Non-specific Neck Pain Patients
TLDR
This systematic review found strong evidence supporting the following interventions: strengthening exercises in the long term, and both HVLA thoracic manipulation and cervical mobilisation in the short term and a combination of upper cervical and upper thorACic manipulation again in theshort term.
The effect of manual therapy with augmentative exercises for neck pain: a randomised clinical trial
TLDR
Patients with chronic neck pain benefitted from MT plus exercise whether the exercise was general or specific, and patients in both groups showed improvements in pain, disability and trapezius pressure-pain threshold (PPT).
Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment.
TLDR
Randomised controlled trials undertaken to assess whether manipulation or mobilisation improves clinical outcomes for adults with acute/subacute/chronic neck pain suggest multiple sessions of cervical manipulation may be favoured over transcutaneous electrical nerve stimulation for pain reduction at short-term follow-up.
Advances in the diagnosis and management of neck pain
TLDR
Among complementary and alternative treatments, the strongest evidence is for exercise, with weaker evidence supporting massage, acupuncture, yoga, and spinal manipulation in different contexts.
Systematic review of manual therapies for nonspecific neck pain.
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TLDR
For chronic neck pain, the use of strengthening exercise, whether in combination with spinal manipulation or in the form of a high-technology MedX program, appears to be more beneficial to patients with chronic neckPain than the useof spinal manipulation alone.
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TLDR
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TLDR
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