Neck pain: modern approaches in non-pharmacological treatments. Part IІ

Abstract

Neck pain remains a common though underestima­ted problem of the modern medicine. The disease affects from one third to over half of the adult population of the planet, and it is associated with the impaired workability and quality of life. Neck pain treatment involves medical and non-medical approaches, but the evidence base for their efficacy and safety is currently being contested. The purpose of the second part of our article is to summarize the data on the effectiveness and safety of some phy­sical therapy methods (physical exercises, kinesiotaping, neck collar braces) and combined methods of physical therapy, discuss the authors' own experience of the complex treatment of patients, as well as to analyze the modern recommendations for the physical therapy methods used in the neck pain treatment. To achieve this goal, we’ve performed the analysis of reference sources published in the the MedLine, EMBASE, the Cochrane Library, Scopus, Web of Science, CyberLeninka and Russian Science Citation Index (RSCI) databases during the recent decade; those sour­ces containing the results of different trials, meta-analyses and recent Cochrane reviews on the efficacy and safety of various non- pharmacological treatment methods reserved for the neck pain. The article presents the data of the efficacy and safety of physical exer­cises, kinesiotherapy, and neck collar braces in the neck pain treatment. Additionally, we have developed and tested our physical exercise complexes for the neck pain treatment at various sta­ges (acute, subacute, chronic), which we recommend for use in clinical practice. There are also modern recommendations provided by medical societies and other organizations for the ma­nagement of neck pain. The obtained results indicate the need for a customized and comprehensive approach to the management of neck pain, taking into account the stage of the disease, the patient's age, concomitant risk factors, and the results of evidence-based medicine.

Keywords

• neck pain
• physical therapy
• physical exercises
• kinesiotaping
• neck collars
• non-pharmacological methods