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G Ital Med Lav Ergon. 2013 Jan-Mar;35(1):36-50.

The Italian Society of Physical and Rehabilitation Medicine (SIMFER) recommendations for neck pain.

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Operative Unit of Physical and Rehabilitation Medicine, Scientific Institute of Lissone, Salvatore Maugeri Foundation, IRCCS and SIMFER Scientific Section of Outpatient Rehabilitation.


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.

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