Neck pain clinical prediction rule to prescribe combined aerobic and neck-specific exercises: secondary analysis of a randomized controlled trial

Review written by Dr Sarah Haag info

Key Points

  1. Clinical prediction rules aim to predict who will respond to a particular treatment based on certain variables.
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BACKGROUND & OBJECTIVE

Neck pain is a very common musculoskeletal issue worldwide, resulting in a substantial financial burden on society. Physical therapy is often prescribed for neck pain, but there is not yet a gold standard for physical therapy interventions for neck pain. Clinical prediction rules (CPR) may assist physical therapists in categorizing patients to improve outcomes.

The objective of this analysis was to develop CPR to identify the subgroup of patients who had neck pain that improved with aerobic exercise (AE) and neck specific exercises (NSE).

Physical therapy is often prescribed for neck pain, but there is not yet a gold standard for physical therapy interventions for neck pain.
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Active interventions, alone or combined with passive modalities, are often found to be more effective in the treatment of neck pain.

METHODS

This study was a secondary analysis of data from a randomized control trial (RCT) performed by the same authors. The RCT compared a 6-week intervention of NSE (n= 70) to NSE plus AE (n= 69). Participants underwent a clinical examination

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