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

被引:3
作者
de Zoete, Rutger M. J. [1 ]
机构
[1] Univ Adelaide, Sch Allied Hlth Sci & Practice, Adelaide, SA 5005, Australia
关键词
neck pain; chronic pain; physical exercise; exercise therapy; WHIPLASH-ASSOCIATED DISORDERS; LOW-BACK-PAIN; PHYSICAL-ACTIVITY; DOSE-RESPONSE; BLOOD-FLOW; DISABILITY; MUSCLES; PEOPLE; HEALTH; CLASSIFICATION;
D O I
10.3390/jcm12227108
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页数:14
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