Objective: Specific neck exercises are recommended in the rehabilitation of chronic nonspecific neck pain (CNNP). They are unfortunately often accompanied by acute pain flare-ups. Global exercises might be a beneficial addition, as they activate endogenous analgesia without overloading painful structures.
View Article and Find Full Text PDFObjectives: Adaptations in somatosensory function characterize several chronic pain conditions, including nonspecific neck pain (NNP). Early signs of central sensitization (CS) contribute to pain chronification and poor treatment responses after conditions such as whiplash injury and low back pain. Despite this well-established association, the prevalence of CS in patients with acute NNP, and accordingly, the potential impact of this association, is still unclear.
View Article and Find Full Text PDFThe number of systematic reviews (SR) summarizing the literature regarding the clinical effects of Dry Needling (DN) has increased rapidly. Yet, rigorous evidence about the clinical effectiveness of this technique is still lacking. The aim of this umbrella review is to summarize the evidence about the clinical effects of trigger point DN on musculoskeletal disorders across all body regions.
View Article and Find Full Text PDFBackground: Dry needling is frequently used for the treatment of neck pain but knowledge about its neurophysiological central effects is scarce.
Objectives: To compare the immediate effects of a single session of dry needling (DN) and sham needling (SN) on local and distant pressure pain thresholds and conditioned pain modulation in patients with chronic idiopathic neck pain.
Method: Participants with chronic idiopathic neck pain were randomly allocated to a DN or SN group.
Psychologically based interventions aim to improve pain-related functioning by targeting pain-related fears, cognitions and behaviors. Mediation and moderation analyses permit further examination of the effect of treatment on an outcome. This systematic review and meta-analysis aims to synthetize the evidence of specific mediators and moderators (i.
View Article and Find Full Text PDFBackground: Though a large amount of research on the management of headache has been conducted, the clinical effectiveness of these treatments remains unclear.
Objectives: To reach consensus among international musculoskeletal experts on what the most appropriate management is in patients that suffer from headache.
Design: Expert group and Delphi-study.