Patient education for neck pain with or without radiculopathy

摘要: Background Neck disorders are common, disabling, and costly. The effectiveness of patient education strategies is unclear. Objectives To assess whether strategies, either alone or in combination with other treatments, benefit for pain, function, global perceived effect, quality life, satisfaction, adults neck pain without radiculopathy. Search methods Computerized bibliographic databases were searched from their start up to May 31, 2008. Selection criteria Eligible studies quasi randomized trials (RCT) investigating the disorder. Data collection analysis Paired independent review authors carried out study selection, data abstraction, methodological assessment. Relative risk standardized mean differences (SMD) calculated. appropriateness combining was assessed on clinical statistical grounds. Because intervention type disorder, no considered appropriate pool. Main results Of 10 selected trials, two (20%) rated high quality. Advice as follows: Eight advice focusing activation compared treatment various active including therapeutic exercise, manual therapy cognitive behavioural therapy, showed inferiority difference spanning a full range follow-up periods disorder types. When rest, that acute whiplash-associated (WAD) moderate evidence forms activation. Two studying & stress coping skills found chronic mechanical (MND) at intermediate/long-term follow-up. One trial effects ' traditional school treatment, yielding limited intermediate-term mixed acute/subacute/chronic pain. Authors' conclusions This has not shown educational interventions types periods, activate, skills, 'neck school'. In future research, further attention necessary. Studies multimodal should consider designs, such factorial permit discrimination specific components.