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Table 2 Treatment modalities used to manage non-specific neck pain

From: Managing patients with acute and chronic non-specific neck pain: are Danish chiropractors compliant with guidelines?

Manipulation (technique)

Yes 335 (97.4%)

No 9 (2.6%)

Refer

OSPa

 Diversified

269 (80.3%)

65 (19.4%)

1 (0.3%)

0 (0%)

 Gonstead

119 (36.3%)

209 (63.7%)

0 (0%)

0 (0%)

 Drop-techniques

58 (19.1%)

238 (78.3%)

1 (0.3%)

7 (2.3%)

 Toggle-recoil

39 (12.4%)

263 (83.5%)

2 (0.6%)

11 (3.5%)

 Activator

33 (10.5%)

270 (86.3%)

2 (0.6%)

8 (2.6%)

 Other manipulation techniques

31 (10.9%)

245 (86.3%)

2 (0.7%)

6 (2.1%)

Manipulation (region)

Yes

No

Refer

OSP a

 Segment of pain

311 (94%)

19 (5.7%)

1 (0.3%)

0 (0%)

 Upper cervical

257 (79.8%)

64 (19.9%)

1 (0.3%)

0 (0%)

 Thoracic

267 (83.2%)

54 (16.8%)

0 (0%)

0 (0%)

 Lumbar

64 (20.8%)

243 (79.2%)

0 (0%)

0 (0%)

 Pelvis

70 (22.5%)

241 (77.5%)

0 (0%)

0 (0%)

 Extremity

56 (18.4%)

248 (81.3%)

1 (0.3%)

0 (0%)

Other manual therapies

Yes 299 (87.9%)

No 41 (12.1%)

Refer

OSP a

 Triggerpoint (TrP)

268 (79.8%)

66 (19.6%)

2 (0.6%)

0 (0%)

 Instrument Assisted Mobilization (IAM)

8 (2.5%)

289 (91.7%)

4 (1.3%)

14 (4.4%)

 Massage

93 (28.5%)

188 (57.7%)

45 (13.8%)

0 (0%)

 Massage device

46 (14.1%)

263 (80.4%)

1 (0.3%)

17 (5.2%)

 Mechanical Diagnosis Therapy (MDT)

45 (13.9%)

265 (82%)

12 (3.7%)

1 (0.3%)

 Mulligan Concept

8 (2.5%)

286 (89.9%)

16 (5%)

8 (2.5%)

 Stretch/Muscle energy technique (MET)

81 (24.8%)

242 (74.2%)

3 (0.9%)

0 (0%)

 Traction

71 (22%)

246 (76.4%)

2 (0.6%)

3 (0.9%)

 Sacro Occipital Technique (SOT)

8 (2.5%)

294 (92.5%)

9 (2.8%)

7 (2.2%)

 Craniosacral technique

9 (2.8%)

260 (80.5%)

44 (13.6%)

10 (3.1%)

Other treatment modalities

Yes 208 (62.5%)

No 125 (37.5%)

Refer

OSP a

 Transcutan Electric Nerve Stimulation (TENS)

2 (0.6%)

224 (70.7%)

7 (2.2%)

84 (26.5%)

 Electromyography (EMG)

0 (0%)

202 (64.1%)

19 (6%)

94 (29.8%)

 Short wave

0 (0%)

217 (68.7%)

4 (1.3%)

95 (30.1%)

 Laser

23 (7.1%)

235 (72.5%)

13 (4%)

53 (16.4%)

 Sonic

0 (0%)

218 (69%)

8 (2.5%)

90 (28.5%)

 Ultrasound

1 (0.3%)

208 (66.2%)

26 (8.3%)

79 (25.2%)

 Extracorporeal Shockwave Therapy (ESWT)

6 (1.9%)

198 (62.3%)

39 (12.3%)

75 (23.6%)

 Heat

26 (8.2%)

272 (86.1%)

1 (0.3%)

17 (5.4%)

 Cold

161 (49.4%)

161 (49.4%)

1 (0.3%)

3 (0.9%)

 Acupuncture

25 (7.8%)

195 (61.1%)

77 (24.1%)

22 (6.9%)

 Dry Needling (DN)

78 (24.3%)

186 (57.9%)

43 (13.4%)

14 (4.4%)

Exercise

Yes 291 (88.2%)

No 39 (11.8%)

Refer

OSP a

 Stretch/MET cervical region

170 (52.6%)

146 (45.2%)

7 (2.2%)

0 (0%)

 Stretch/MET other body part

82 (26.5%)

221 (71.3%)

7 (2.3%)

0 (0%)

 Strength cervical region

154 (48%)

148 (46.1%)

19 (5.9%)

0 (0%)

 Strength other body part

86 (27.2%)

211 (66.8%)

19 (6%)

0 (0%)

 Motor control

76 (24.1%)

206 (65.2%)

32 (10.1%)

2 (0.6%)

 Stability

125 (38.8%)

165 (51.2%)

32 (9.9%)

0 (0%)

 Cardio-vascular

40 (12.8%)

241 (77%)

29 (9.3%)

3 (1%)

 MDT/McKenzie

89 (27.9%)

214 (67.1%)

16 (5%)

0 (0%)

 General physical activity

247 (77.2%)

62 (19.4%)

11 (3.4%)

0 (0%)

Orthoses

Yes 60 (18.2%)

No 269 (81.8%)

Refer

OSP a

 Collar

4 (1.2%)

309 (95.4%)

2 (0.6%)

9 (2.8%)

 Pillow

36 (11.1%)

280 (86.4%)

3 (0.9%)

5 (1.5%)

 Tape

11 (3.4%)

277 (86.3%)

28 (8.7%)

5 (1.6%)

 Inserts

8 (2.5%)

279 (87.2%)

27 (8.4%)

6 (1.9%)

 Other assistive devices

13 (4.2%)

261 (85%)

23 (7.5%)

10 (3.3%)

Information/patient education

Yes 332 (99.7%)

No 1 (0.3%)

Refer

OSP a

 Diagnosis

326 (98.2%)

6 (1.8%)

0 (0%)

0 (0%)

 Sideeffects

261 (79.1%)

69 (20.9%)

0 (0%)

0 (0%)

 Monitor symptoms

321 (97.3%)

9 (2.7%)

0 (0%)

0 (0%)

 Rest/offload

275 (83.3%)

55 (16.7%)

0 (0%)

0 (0%)

 Active lifestyle

280 (84.6%)

51 (15.4%)

0 (0%)

0 (0%)

 Diet and smoking

68 (21.1%)

254 (78.6%)

1 (0.3%)

0 (0%)

 Supplements

27 (8.4%)

293 (91%)

2 (0.6%)

0 (0%)

 Ergonomics

200 (60.6%)

128 (38.8%)

2 (0.6%)

0 (0%)

 Work/job function

229 (69%)

103 (31%)

0 (0%)

0 (0%)

 Free time

233 (70.4%)

98 (29.6%)

0 (0%)

0 (0%)

 Employer communication

12 (3.7%)

311 (96%)

1 (0.3%)

0 (0%)

 GP communication

88 (26.8%)

240 (73.2%)

0 (0%)

0 (0%)

Other

Yes

No

Refer

OSP a

 Modalities not included in questionnaire

41 (12.4%)

289 (87.6%)

0 (0%)

0 (0%)

  1. aOSP = Outside Scope of Practice