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De behandeling van aspecifieke nekklachten

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Plat E, Scherer M, Van Weel C. De behandeling van aspecifieke nekklachten. Huisarts Wet 2007;50(13):660-5.

Inleiding Aspecifieke nekklachten zijn, na lage rugpijn en schouderklachten, de meest voorkomende klachten van het bewegingsapparaat. In Nederland is geen richtlijn beschikbaar voor de behandeling van aspecifieke nekklachten. Doel van dit literatuuronderzoek is in kaart te brengen welke onderzochte eerstelijnsbehandelingsmogelijkheden effectief zijn.

Methode Wij verrichtten een systematisch literatuuronderzoek naar de behandeling van aspecifieke nekpijn in de databanken Cinahl, EMBASE, MEDLINE en Cochrane. Twee onderzoekers includeerden onderzoeken onafhankelijk van elkaar en beoordeelden de artikelen onafhankelijk van elkaar op wetenschappelijke bewijskracht.

Resultaten Na selectie van 157 artikelen, bleven er 41 over die aan de inclusiecriteria voldeden. Over medicamenteuze behandeling bij nekpijn is slechts zeer weinig gepubliceerd. Paramedische behandelingen zijn uitgebreid bestudeerd, maar de kwaliteit van de onderzoeken laat te wensen over.

Beschouwing Acute nekpijn benadert men bij voorkeur expectatief of met analgetica. Voor subacute en chronische nekpijn is manuele therapie in combinatie met oefentherapie veruit de beste behandelingsoptie. Andere behandelingen worden besproken. Er is behoefte aan kwalitatief goed onderzoek naar de effecten van paramedische behandelingen.

Abstract

Plat E, Scherer M, Van Weel C. The treatment of neck pain. A systematic review. Huisarts Wet 2007;50(13):660-5.

Introduction Neck pain is, besides low back pain and shoulder complaints, the most common complaint of the musculoskeletal apparatus. In The Netherlands there is no guideline available for the treatment of neck pain. The aim of this review is to present the available evidence for the effective treatment of neck pain in primary care.

Methods We systematically reviewed the literature to the treatment of neck pain using the databases Cinahl, EMBASE, MEDLINE and Cochrane. Two researchers independently judged the available papers for inclusion and on scientific level of evidence.

Results After selection of 157 publications 41 met the criteria for inclusion. There are few scientific papers available about the medicinal treatment of neck pain. Therapies supplied by paramedics are in relative large amounts available, but are often of poor methodological quality.

Discussion Acute neck pain can be treated conservative or with analgesics. For subacute and chronic neck pain manual therapy, especially in combination with excercise therapy, is the best option to treat patients. Other paramedic treatments are discussed. There is a need for further research of good quality in the field of paramedic treatments.

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Correspondence to E Plat.

Additional information

Georg-August Universiteit Göttingen, Afdeling Huisartsgeneeskunde, Humboldtallee 38

37073 Göttingen

Duitsland: E. Plat

huisarts-in-opleiding/gezondheidswetenschapper

thans (waarnemend) huisarts te Groesbeek

dr. M. Scherer

huisarts/onderzoeker; Universitair Medisch Centrum St. Radboud

Afdeling Huisartsgeneeskunde: prof.dr. C. van Weel

hoogleraar Huisartsgeneeskunde.

Mogelijke belangenverstrengeling: niets aangegeven.

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Plat, E., Scherer, M. & van Weel, C. De behandeling van aspecifieke nekklachten. HUWE 50, 954–962 (2007). https://doi.org/10.1007/BF03085402

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