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

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...

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Main Author: Rutger M. J. de Zoete
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/22/7108
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author Rutger M. J. de Zoete
author_facet Rutger M. J. de Zoete
author_sort Rutger M. J. de Zoete
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description 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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spelling doaj.art-972b9c91ca8847e6ba782bef90788d182023-11-24T14:49:30ZengMDPI AGJournal of Clinical Medicine2077-03832023-11-011222710810.3390/jcm12227108Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary ManagementRutger M. J. de Zoete0School of Allied Health Science and Practice, The University of Adelaide, Adelaide, SA 5005, AustraliaExercise 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.https://www.mdpi.com/2077-0383/12/22/7108neck painchronic painphysical exerciseexercise therapy
spellingShingle Rutger M. J. de Zoete
Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management
Journal of Clinical Medicine
neck pain
chronic pain
physical exercise
exercise therapy
title Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management
title_full Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management
title_fullStr Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management
title_full_unstemmed Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management
title_short Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management
title_sort exercise therapy for chronic neck pain tailoring person centred approaches within contemporary management
topic neck pain
chronic pain
physical exercise
exercise therapy
url https://www.mdpi.com/2077-0383/12/22/7108
work_keys_str_mv AT rutgermjdezoete exercisetherapyforchronicneckpaintailoringpersoncentredapproacheswithincontemporarymanagement