Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain

Whalen, Wayne M.; Farabaugh, Ronald J.; Hawk, Cheryl; Minkalis, Amy L.; Lauretti, William J.; Crivelli, Louis S.; Wyatt, Larry D.; Sheppard, Michael; Walters, Sheryl

doi:10.1016/j.jmpt.2019.08.001

Cited by 26 publications

(27 citation statements)

References 72 publications

(127 reference statements)

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“…The development of recommendations followed steps developed and tested in previous projects 15,17,19 :…”

Section: Methodsmentioning

confidence: 99%

“…Table 6 lists these CPGs; all were considered high quality, either by our rating with AGREE or a published systematic review of the quality of CPGs on MSK pain using AGREE. 28 All the guidelines were single-condition focused: 5 on neck pain, [16][17][18]29,30 4 on LBP, 3,14,15,31 and 1 on headaches associated with neck pain. 32 There were none on other types of chronic MSK pain.…”

Section: Literature Search and Evaluationmentioning

confidence: 99%

“…Table 7 summarizes the articles identified after searching for each specific modality from a pool of 348 articles. There were a total of 21 articles: 5 CPGs, 14,17,29,32,33 4 RCTS, [34][35][36][37] and 12 SRs, [38][39][40][41][42][43][44][45][46][47][48][49] as shown by condition and therapy in Table 7.…”

Section: Literature Search and Evaluationmentioning

confidence: 99%

“…4 Some Patient-Reported Outcome Measures appropriate for chronic pain chiropractic patients are shown in Table 11. 4,17,74 Care pathway…”

Section: General Treatment Considerationsmentioning

confidence: 99%

“…13 Thus it is important that DCs become familiar with these approaches within the context of the biopsychosocial model. Currently, although there are CPGs addressing a chiropractic approach to LBP, 14,15 neck pain, 16,17 and headaches 18 separately, there is not a single CPG addressing nonpharmacological approaches to more than one type of MSK pain as a primary complaint. The purpose of this project was therefore to develop such a guideline.…”

mentioning

confidence: 99%

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Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

Hawk

Whalen

Farabaugh³

et al. 2020

The Journal of Alternative and Complementary Medicine

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Objective: To develop an evidence-based clinical practice guideline (CPG) through a broad-based consensus process on best practices for chiropractic management of patients with chronic musculoskeletal (MSK) pain. Design: CPG based on evidence-based recommendations of a panel of experts in chronic MSK pain management. Methods: Using systematic reviews identified in an initial literature search, a steering committee of experts in research and management of patients with chronic MSK pain drafted a set of recommendations. Additional supportive literature was identified to supplement gaps in the evidence base. A multidisciplinary panel of experienced practitioners and educators rated the recommendations through a formal Delphi consensus process using the

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“…The development of recommendations followed steps developed and tested in previous projects 15,17,19 :…”

Section: Methodsmentioning

confidence: 99%

Section: Literature Search and Evaluationmentioning

confidence: 99%

Section: Literature Search and Evaluationmentioning

confidence: 99%

“…4 Some Patient-Reported Outcome Measures appropriate for chronic pain chiropractic patients are shown in Table 11. 4,17,74 Care pathway…”

Section: General Treatment Considerationsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

Hawk

Whalen

Farabaugh³

et al. 2020

The Journal of Alternative and Complementary Medicine

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From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic

Gevers‐Montoro

Deldar

Furlan

et al. 2022

European Journal of Pain

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Background: In March 2020, state-wide lockdowns were declared in many countries, including Spain. Citizens were confined to their homes and remotely supported activities were prioritized as an alternative to in-person interactions. Previous data suggest that remote and self-management interventions may be successful at reducing pain and related psychological variables. However, individual factors influencing the effectiveness of these interventions remain to be identified. We aimed to investigate the psychological and motivational factors moderating changes in pain observed in chiropractic patients undertaking a novel telehealth self-management programme.Methods: A cohort of 208 patients from a chiropractic teaching clinic was recruited to participate in the study. Patients received telehealth consultations and individualized self-management strategies tailored for their current complaint.They were encouraged to make use of these strategies daily for 2-4 weeks, whilst rating their pain intensity, motivation and adherence. Validated questionnaires were completed online to assess catastrophizing, kinesiophobia and anxiety.Results: A total of 168 patients completed the first 2 weeks of the programme, experiencing significant reductions in all variables. Kinesiophobia emerged as a key factor influencing pain reduction and moderating the association between motivation and pain relief. In turn, adherence to the programme was associated with lower pain intensity, although moderated by the degree of motivation. Conclusions:In the context of COVID-19, when introducing remote and selfmanagement strategies, pain cognitions and motivational factors should be taken into consideration to foster adherence and yield better pain outcomes.

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The effects of osteopathic manipulative treatment on pain and disability in patients with chronic neck pain: A single‐blinded randomized controlled trial

Cholewicki

Popovich

Reeves

et al. 2022

PM&R

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Background Neck pain (NP) affects up to 70% of individuals at some point in their lives. Systematic reviews indicate that manual treatments can be moderately effective in the management of chronic, nonspecific NP. However, there is a paucity of studies specifically evaluating the efficacy of osteopathic manipulative treatment (OMT). Objective To evaluate the efficacy of OMT in reducing pain and disability in patients with chronic NP. Design Single‐blinded, cross‐over, randomized‐controlled trial. Setting University‐based, osteopathic manipulative medicine outpatient clinic. Participants Ninety‐seven participants, 21 to 65 years of age, with chronic, nonspecific NP. Interventions Participants were randomized to two trial arms: immediate OMT intervention or waiting period first. The intervention consisted of three to four OMT sessions over 4 to 6 weeks, after which the participants switched groups. Main Outcome Measures Primary outcome measures were pain intensity (average and current) on the numerical rating scale and Neck Disability Index. Secondary outcomes included Patient‐Reported Outcomes Measurement Information System‐29 (PROMIS‐29) health domains and Fear Avoidance Beliefs Questionnaire. Outcomes obtained prior to the cross‐over allocation were evaluated using general linear models and after adjusting for baseline values. Results A total of 38 and 37 participants were available for the analysis in the OMT and waiting period groups, respectively. The results showed significantly better primary outcomes in the immediate OMT group for reductions in average pain (−1.02, 95% confidence interval [CI] −1.72, −0.32; p = .005), current pain (−1.02, 95% CI −1.75, −0.30; p = .006), disability (−5.30%, 95% CI −9.2%, −1.3%; p = .010) and improved secondary outcomes (PROMIS) related to sleep (−3.25, 95% CI −6.95, −1.54; p = .003), fatigue (−3.26, 95% CI −6.04, −0.48; p = .022), and depression (−2.59, 95% CI −4.73, −0.45; p = .018). The effect sizes were in the clinically meaningful range between 0.5 and 1 standard deviation. No study‐related serious adverse events were reported. Conclusions OMT is relatively safe and effective in reducing pain and disability along with improving sleep, fatigue, and depression in patients with chronic NP immediately following treatment delivered over approximately 4 to 6 weeks.

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Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain

Cited by 26 publications

References 72 publications

Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic

The effects of osteopathic manipulative treatment on pain and disability in patients with chronic neck pain: A single‐blinded randomized controlled trial

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