• Wayne Whalen, Ronald J Farabaugh, Cheryl Hawk, Amy L Minkalis, William Lauretti, Louis S Crivelli, Larry Wyatt, Michael Sheppard, and Sheryl A Walters.
• Private Practice, Santee, California.
• J Manipulative Physiol Ther. 2019 Nov 1; 42 (9): 635-650.

ObjectiveThe purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain.MethodsA steering committee of experts in chiropractic practice, education, and research drafted a set of recommendations based on the most current relevant clinical practice guidelines. Additional supportive literature was identified through targeted searches conducted by a health sciences librarian. A national panel of chiropractors representing expertise in practice, research, and teaching rated the recommendations using a modified Delphi process. The consensus process was conducted from August to November 2018. Fifty-six panelists rated the 50 statements and concepts and reached consensus on all statements within 3 rounds.ResultsThe statements and concepts covered aspects of the clinical encounter, ranging from informed consent through diagnosis, assessment, treatment planning and implementation, and concurrent management and referral for patients presenting with neck pain.ConclusionsThese best-practice recommendations for chiropractic management of adults with neck pain are based on the best available scientific evidence. For uncomplicated neck pain, including neck pain with headache or radicular symptoms, chiropractic manipulation and multimodal care are recommended.Copyright © 2019. Published by Elsevier Inc.

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