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. 2023 Jan 18;9:1072764. doi: 10.3389/fmed.2022.1072764

TABLE 13.

Interventions for patients with low irritability.

● 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