TABLE 13.
● All interventions discussed in Tables 11, 12 Education ● Functional training, as described in Tables 11, 12, plus: Occupation related functional training, i.e., prolonged desk work, phone, heavier household chores, gardening, etc. Sports specific training with precautions such as avoiding contact sports such as football or modification to sports such as no “heading” the ball Manual therapy: ● Additional muscle energy techniques in the cervical spine Motor control and strength training ● Proprioception and motor control using larger cervical ranges. Cervical axial loading may decrease symptoms during proprioceptive training ● Trunk-head coordination, eye-head coordination, eye-balance exercises ● Resistance training for the cervical spine ● Return to function/sport exercises, if appropriate, which may include more aggressive exercise, if tolerated. These may include perturbation, unpredictable challenges, and more endurance exercise for the neck Aerobic exercise: ● E.g., Walking, recumbent or upright bike. Some patients may tolerate running, swimming, aerobics with or without precautions |