Monticone Marco, Iovine Roberto, de Sena Giampaolo, Rovere Giancarlo, Uliano Domenico, Arioli Giovanni, Bonaiuti Donatella, Brugnoni Guido, Ceravolo Gabriella, Cerri Cesare, Dalla Toffola Elena, Fiore Pietro, Foti Calogero
Operative Unit of Physical and Rehabilitation Medicine, Scientific Institute of Lissone, Salvatore Maugeri Foundation, IRCCS and SIMFER Scientific Section of Outpatient Rehabilitation.
G Ital Med Lav Ergon. 2013 Jan-Mar;35(1):36-50.
The paper represents the Italian Society of Physical " and Rehabilitation Medicine (SIMFER) recommendations to Neck Pain. We searched the principal scientific databases for papers concerning the main approaches to NP, including international guidelines, clinical trials of high methodological value and systematic reviews without any temporal limits. The recommendations were graded on the basis of the National Plan for Guidelines of the Italian Istituto Superiore di Sanità, which includes the level of evidence and strength of the recommendation. The principal sections of the recommendations deal with the Evaluation and Therapy for Neck Pain. The first describes the main evidence concerning the evaluation of patients with NP with or without limb involvement and/or headache: medical history, physical examination, neurological examination, laboratory tests, electrodiagnostics, diagnostic imaging and self-administered questionnaires. The second describes the best evidence synthesis concernig the therapy for Neck Pain: education, exercise, medical therapy, manual therapy, traction, physical therapy, acupuncture, orthoses, multimodal treatment, behavioural treatment.
本文代表了意大利物理与康复医学学会（SIMFER）对颈部疼痛的建议。我们在主要科学数据库中搜索了有关颈部疼痛主要治疗方法的论文，包括国际指南、具有高方法学价值的临床试验以及无时间限制的系统评价。这些建议是根据意大利高等卫生研究院指南国家计划进行分级的，该计划包括证据水平和推荐强度。建议的主要部分涉及颈部疼痛的评估和治疗。第一部分描述了有关评估有或无肢体受累和/或头痛的颈部疼痛患者的主要证据：病史、体格检查、神经学检查、实验室检查、电诊断、诊断性影像学检查和自我管理问卷。第二部分描述了有关颈部疼痛治疗的最佳证据综合：教育、运动、药物治疗、手法治疗、牵引、物理治疗、针灸、矫形器、多模式治疗、行为治疗。
