Neck Injuries

Publication Title: 
Spine

STUDY DESIGN: Best evidence synthesis. OBJECTIVE: To provide evidence-based guidance to primary care clinicians about how to best assess and treat patients with neck pain. SUMMARY OF BACKGROUND DATA: There is a need to translate the results of clinical and epidemiologic studies into meaningful and practical information for clinicians.

Author(s): 
Guzman, Jaime
Haldeman, Scott
Carroll, Linda J.
Carragee, Eugene J.
Hurwitz, Eric L.
Peloso, Paul
Nordin, Margareta
Cassidy, J. David
Holm, Lena W.
Côté, Pierre
van der Velde, Gabrielle
Hogg-Johnson, Sheilah
Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders
Publication Title: 
Spine

STUDY DESIGN: Best evidence synthesis. OBJECTIVE: To provide evidence-based guidance to primary care clinicians about how to best assess and treat patients with neck pain. SUMMARY OF BACKGROUND DATA: There is a need to translate the results of clinical and epidemiologic studies into meaningful and practical information for clinicians.

Author(s): 
Guzman, Jaime
Haldeman, Scott
Carroll, Linda J.
Carragee, Eugene J.
Hurwitz, Eric L.
Peloso, Paul
Nordin, Margareta
Cassidy, J. David
Holm, Lena W.
Côté, Pierre
van der Velde, Gabrielle
Hogg-Johnson, Sheilah
Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders
Publication Title: 
The Journal of Emergency Medicine

Vertebral artery dissection has been previously reported following minor head and neck trauma. Such activities as rapid head turning, tennis, yoga, and vigorous exercise have been implicated. We report a case of vertebral artery dissection following minor neck trauma suffered in a volleyball game. The anatomy of the vertebral artery, pathophysiology of dissection, and emergency department recognition and treatment of this disorder are discussed.

Author(s): 
DeBehnke, D. J.
Brady, W.
Publication Title: 
Journal of Rehabilitation Medicine

OBJECTIVE: To assess whether mechanical traction, either alone or in combination with other treatments, improves pain, function/disability, patient satisfaction and global perceived effect in adults with mechanical neck disorders. METHODS: We conducted a systematic review up to September 2004 of randomized controlled trials and used pre-defined levels of evidence for qualitative analysis. Two independent reviewers conducted study selection, data abstraction and methodological quality assessment. Using a random effects model, relative risk and standardized mean differences were calculated.

Author(s): 
Graham, Nadine
Gross, Anita R.
Goldsmith, Charlie
Cervical Overview Group
Publication Title: 
Manual Therapy

Neck disorders are common, disabling and costly. Randomized trials were reviewed using a Cochrane format, to determine if manual therapy improves pain, function and patient satisfaction in adults suffering from neck disorders with and without radicular findings or headache. Sequenced computerized searches ended in December 1997. Two independent reviewers extracted data while three assessed trial quality. Standard mean difference and relative risks were translated to number needed to treat (NNT) and the percent treatment advantage.

Author(s): 
Gross, A. R.
Kay, T.
Hondras, M.
Goldsmith, C.
Haines, T.
Peloso, P.
Kennedy, C.
Hoving, J.
Publication Title: 
Journal of Burn Care & Research: Official Publication of the American Burn Association

The postoperative management of full-thickness burns of the neck can be a challenge for burn therapists despite the availability of many treatment modalities to minimize scar hypertrophy and contracture. Interventions include pressure appliances, massage, exercise, and positioning devices. The objective of this study was to identify factors associated with the development of neck contractures and optimal treatment strategies for their prevention.

Author(s): 
Sharp, Patricia A.
Dougherty, Mary E.
Kagan, Richard J.
Publication Title: 
Journal of Forensic Sciences

Medical and surgical complications of chiropractic manipulation occur infrequently in relation to the number of procedures performed. These complications include intracranial hemorrhage, spinal cord injuries, trauma to the carotid and vertebral arteries, and vertebral-basilar distribution infarction. This is a report of a case of vertebrobasilar infarction following chiropractic manipulation leading to a comatose state within 1 h following the manipulative procedure.

Author(s): 
Jentzen, J. M.
Amatuzio, J.
Peterson, G. F.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This article reviews current knowledge concerning post-traumatic syndrome of the cervical spine. A model of the syndrome entity is drawn based upon the structure/function relationship altered as a result of the injury to the cervical spine. Treatment is discussed as it pertains to this model. A need for further research into the question of the syndrome entity and treatment is concluded.

Author(s): 
Lenhart, L. J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The cost of care and the number of days lost because of work injury were analyzed from information gathered in a postal card survey sent to all Iowa back or neck injury claimants (sprain/strain) on record for 1984. Descriptive findings for the flow of care of the respondents were evaluated and a comparison made of the benefits and costs of care received by patients treated by chiropractic doctors (DCs), medical doctors (MDs) or osteopathic doctors (DOs).

Author(s): 
Johnson, M. R.
Schultz, M. K.
Ferguson, A. C.
Publication Title: 
The Online Journal of Current Clinical Trials

OBJECTIVE: This overview reports the efficacy of conservative treatments (drug therapy, manual therapy, patient education, physical medicine modalities) in reducing pain in adults with mechanical neck disorders. METHODS: Computerized bibliographic database searches from 1985 to December 1993, information requests from authors, and bibliography screenings were used to identify published and unpublished research. Applying strict criteria, two investigators independently reviewed the blinded articles. Each selected trial was evaluated independently for methodologic quality.

Author(s): 
Gross, A. R.
Aker, P. D.
Goldsmith, C. H.
Peloso, P.

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