Management of Neck Pain Disorders: a research informed approach, 1e

Description:

Current issues and debates in the field of neck pain disorders

Research informing best practice assessment and management 

Biological, psychological and social features which need to be considered when assessing and developing a management program with the patient

A multimodal conservative management approach, which addresses the presenting episode of pain as well as rehabilitation strategies towards prevention of recurrent episodes

Table of Contents:

Introduction

1 Neck Pain Disorders

Basic tenets of neck pain

Contemporary issues

Conclusion

References

Section 2 Clinical Sciences

Introduction

2 Nociception and Pain Perception

Introduction

The nociceptive pathway: from noxious stimuli to pain perception

Nociceptive pain

Neuropathic pain

Inflammatory pain

Peripheral and central sensitization

The influence of psychological factors

Conclusion

References

3 Movement and Posture in Neck Pain Disorders

Cervical posture

Movement of the cervical spine

Relationships to adjacent regions

Cervical posture and neck pain disorders

Conclusion

References

4 Neural Tissue in Neck Pain Disorders

Nerve injury and neck pain disorders

Pathophysiological mechanisms of nerve injury—the basis for clinical presentation and examination procedures

Cervical spine-related nerve conditions

Conclusion

References

5 Neuromuscular Disturbances in Neck Pain Disorders

Anatomical considerations

Changes in motor output in people with neck pain

Changes in the coordination between muscles

Subtle variations in the distribution of activity within muscles

Changes in the temporal characteristics of neck muscle activity

Individual variability in motor adaptations to pain

Changes in peripheral properties of neck muscles

Time course for development of neuromuscular dysfunction

Implications for management

Conclusion

References

6 Sensorimotor Control Disturbances in Neck Pain Disorders

Cervical mechanoreceptors

Mechanisms underlying disturbances in sensorimotor control

Symptoms of altered cervical sensorimotor control

Signs of altered cervical sensorimotor control

Onset of disturbances in sensorimotor control

Relationships between sensorimotor measures

Conclusion

References

7 Psychological and Social Considerations in Neck Pain Disorders

Psychological features

Social features–the work environment

Conclusion

References

Section 3 Clinical Assessment

Introduction

8 Clinical Assessment

Elements of the patient interview

Outcomes of the patient interview

Treatment goals and outcome measures

Conclusion

References

9 Clinical Assessment

Analysis of provocative movement or posture

Analysis of posture

Analysis of cervical motion

Assessment of cardinal planes of motion

Sensory testing and pain mechanisms

Examination of the nervous system

Manual examination

Assessment of the neuromuscular system

Assessment of disturbances in sensorimotor control

Conclusion

References

10 The Differential Diagnosis of Symptoms and Signs of Sensorimotor Control Disturbances

Differential diagnosis of dizziness

Differential diagnosis of other symptoms

Clinical examination

Conclusion

References

11 Headache

Neck pain and headache

What defines cervical musculoskeletal dysfunction?

Cervical musculoskeletal dysfunction in headache: clinical decisions

Conclusion

References

Section 4 Clinical Management

Introduction

12 Principles of Management

Selection of management strategies

Selection of interventions

Conclusion

References

13 Communication, Education and Self-Management

Communication

References

14 Management of Joint and Movement Dysfunction

Manipulative therapy

Active exercise

Self-management

Conclusion

References

15 Management of Neuromuscular Dysfunction

Exercise adherence

The home program

Neuromuscular training

Posture training

Training the activation and endurance of the deep cervical and axioscapular muscles

Training muscle control and coordination in movement and postural tasks

Training muscle endurance and strength

Dosage and intervention timelines

Maintenance program

Conclusion

References

16 Management of Sensorimotor Control Disturbances

Approaches to management

Principles for tailored sensorimotor control exercises

Exercises to train sensorimotor control

Self-management

Conclusion

References

17 Management of Nerve Tissue

Neurophysiological mechanisms underpinning nerve tissue management

Matching management to the nature of the nerve-related condition

Conclusion

References

18 Case Presentations

Case 1: Directionally biased persistent neck pain (Fig. 18.1)

Case 2: Headache—differentiating the role of the neck (Fig. 18.2)

CASE 3: (1) Learning from past treatment response; (2) Importance of differential diagnosis to guide management of complex patients after a whiplash injury (Fig. 18.3)

Case 4: Clinical reasoning in the physical examination guides treatment decisions (Fig. 18.4)

Case 5: Neck pain associated with neuropathy (Fig. 18.5)

Conclusion

19 Concluding Remarks

Prevention

Conclusion

References

Index