Effects of neck-specific exercise with or without a behavioural approach in addition to prescribed physical activity for individuals with chronic whiplash-associated disorders: A prospective randomised study

Peolsson, Anneli, Landen Ludvigsson, Maria, Overmeer, Thomas, Dedering, Asa, Bernfort, Lars, Johansson, Gun, Kammerlind, Ann-Sofi and Peterson, Gunnel (2013) Effects of neck-specific exercise with or without a behavioural approach in addition to prescribed physical activity for individuals with chronic whiplash-associated disorders: A prospective randomised study. BMC Musculoskeletal Disorders, 14 311.1-311.7. doi:10.1186/1471-2474-14-311


Author Peolsson, Anneli
Landen Ludvigsson, Maria
Overmeer, Thomas
Dedering, Asa
Bernfort, Lars
Johansson, Gun
Kammerlind, Ann-Sofi
Peterson, Gunnel
Title Effects of neck-specific exercise with or without a behavioural approach in addition to prescribed physical activity for individuals with chronic whiplash-associated disorders: A prospective randomised study
Journal name BMC Musculoskeletal Disorders   Check publisher's open access policy
ISSN 1471-2474
Publication date 2013
Year available 2013
Sub-type Article (original research)
DOI 10.1186/1471-2474-14-311
Open Access Status DOI
Volume 14
Start page 311.1
End page 311.7
Total pages 7
Place of publication London, United Kingdom
Publisher BioMed Central Ltd.
Collection year 2014
Language eng
Subject 2732 Orthopedics and Sports Medicine
2745 Rheumatology
Abstract Background: Up to 50% of chronic whiplash associated disorders (WAD) patients experience considerable pain and disability and remain on sick-leave. No evidence supports the use of physiotherapy treatment of chronic WAD, although exercise is recommended. Previous randomised controlled studies did not evaluate the value of adding a behavioural therapy intervention to neck-specific exercises, nor did they compare these treatments to prescription of general physical activity. Few exercise studies focus on patients with chronic WAD, and few have looked at patients' ability to return to work and the cost-effectiveness of treatments. Thus, there is a great need to develop successful evidence-based rehabilitation models. The study aim is to investigate whether neck-specific exercise with or without a behavioural approach (facilitated by a single caregiver per patient) improves functioning compared to prescription of general physical activity for individuals with chronic WAD. Methods/Design. The study is a prospective, randomised, controlled, multi-centre study with a 2-year follow-up that includes 216 patients with chronic WAD (> 6 months and < 3 years). The patients (aged 18 to 63) must be classified as WAD grade 2 or 3. Eligibility will be determined with a questionnaire, telephone interview and clinical examination. The participants will be randomised into one of three treatments: (A) neck-specific exercise followed by prescription of physical activity; (B) neck-specific exercise with a behavioural approach followed by prescription of physical activity; or (C) prescription of physical activity alone without neck-specific exercises. Treatments will be performed for 3 months. We will examine physical and psychological function, pain intensity, health care consumption, the ability to resume work and economic health benefits. An independent, blinded investigator will perform the measurements at baseline and 3, 6, 12 and 24 months after inclusion. The main study outcome will be improvement in neck-specific disability as measured with the Neck Disability Index. All treatments will be recorded in treatment diaries and medical records. Discussion. The study findings will help improve the treatment of patients with chronic WAD. Trials registration. ClinicalTrials.gov identifier: NCT01528579.
Keyword Exercise
Neck pain
Physical therapy
Rehabilitation
Spine
Whiplash injuries
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
 
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