From Where We've Come to Where We Need to Go: Physiotherapy Management of Chronic Whiplash-Associated Disorder

Dickson, Cameron; Zoete, Rutger M J de; Stanton, Tasha R.

doi:10.3389/fpain.2021.795369

Cited by 1 publication

(1 citation statement)

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“…This leaves it up to the clinician prescribing the exercise therapy to use their own judgement, for example, having to choose out of numerous different types of physical exercise and having to determine patient-appropriate exercise parameters. This judgement will likely vary considerably between clinicians depending on their level of experience, expertise, and training [17]. Combined, the challenges associated with the prescription of exercise therapy for individuals experiencing chronic neck pain potentially limit the delivery of high-value care, leading to suboptimal clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management

de Zoete

2023

JCM

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Exercise therapy is considered the best evidence-based approach for managing chronic neck pain. However, the implementation of exercise therapy presents several challenges. Systematic reviews indicate that it has modest effectiveness, while clinical practice guidelines offer limited guidance on the exercise parameters required to optimise clinical outcomes. Moreover, recommendations often fail to differentiate between different types of neck pain. This article addresses the challenges associated with the prescription of exercise for chronic neck pain and provides recommendations for exercise therapy specific to chronic nociceptive, neuropathic, and nociplastic neck pain. The goal of this article is to facilitate the implementation of high-value evidence-based exercise therapy for these distinct types of chronic neck pain with the aim to improve its outcomes and to reduce the related individual and societal burdens.

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Section: Introductionmentioning

confidence: 99%