Psychological care, patient education, orthotics, ergonomics and prevention for neck pain: a systematic overview update as part of the ICON Project

Gross, Anita R., Kaplan, Faith, Huang, Stace, Khan, Mahweesh, Santaguida, P. Lina, Carlesso, Lisa C., MacDermid, Joy C., Walton, David M., Kenardy, Justin, Söderlund, Anne, Verhagen, Arianne and Hartvigsen, Jan (2013) Psychological care, patient education, orthotics, ergonomics and prevention for neck pain: a systematic overview update as part of the ICON Project. The Open Orthopaedics Journal, 7 Supp. 4: 530-561. doi:10.2174/1874325001307010530


Author Gross, Anita R.
Kaplan, Faith
Huang, Stace
Khan, Mahweesh
Santaguida, P. Lina
Carlesso, Lisa C.
MacDermid, Joy C.
Walton, David M.
Kenardy, Justin
Söderlund, Anne
Verhagen, Arianne
Hartvigsen, Jan
Title Psychological care, patient education, orthotics, ergonomics and prevention for neck pain: a systematic overview update as part of the ICON Project
Journal name The Open Orthopaedics Journal   Check publisher's open access policy
ISSN 1874-3250
Publication date 2013-09-20
Sub-type Article (original research)
DOI 10.2174/1874325001307010530
Open Access Status DOI
Volume 7
Issue Supp. 4
Start page 530
End page 561
Total pages 32
Place of publication Bussum, Netherlands
Publisher Bentham Open
Language eng
Formatted abstract
Objectives: To conduct an overview on psychological interventions, orthoses, patient education, ergonomics, and 1°/2° neck pain prevention for adults with acute-chronic neck pain. Search Strategy: Computerized databases and grey literature were searched (2006-2012).

Selection Criteria: Systematic reviews of randomized controlled trials (RCTs) on pain, function/disability, global perceived effect, quality-of-life and patient satisfaction were retrieved.

Data Collection & Analysis:
Two independent authors selected articles, assessed risk of bias using AMSTAR tool and extracted data. The GRADE tool was used to evaluate the body of evidence and an external panel to provide critical review.

Main Results: We retrieved 30 reviews (5-9 AMSTAR score) reporting on 75 RCTs with the following moderate GRADE evidence. For acute whiplash associated disorder (WAD), an education video in emergency rooms (1RCT, 405participants] favoured pain reduction at long-term follow-up thus helping 1 in 23 people [Standard Mean Difference: - 0.44(95%CI: -0.66 to -0.23)). Use of a soft collar (2RCTs, 1278participants) was not beneficial in the long-term. For chronic neck pain, a mind-body intervention (2RCTs, 1 meta-analysis, 191participants) improved short-term pain/function in 1 of 4 or 6 participants. In workers, 2-minutes of daily scapula-thoracic endurance training (1RCT, 127participants) over 10 weeks was beneficial in 1 of 4 participants. A number of psychosocial interventions, workplace interventions, collar use and self-management educational strategies were not beneficial.

Reviewers' Conclusions: Moderate evidence exists for quantifying beneficial and non-beneficial effects of a limited number of interventions for acute WAD and chronic neck pain. Larger trials with more rigorous controls need to target promising interventions.
 
Keyword Overview
Psychological
Education
Orthotics
Ergonomics
Prevention
Neck pain
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 25 Aug 2014, 22:12:13 EST by Adina Trutwin on behalf of Medicine - Royal Brisbane and Women's Hospital