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Arch Phys Med Rehabil. 2016 Feb;97(2):189-95. doi: 10.1016/j.apmr.2015.10.087. Epub 2015 Oct 26.

Effects of Neck-Specific Exercises Compared to Waiting List for Individuals With Chronic Whiplash-Associated Disorders: A Prospective, Randomized Controlled Study.

Author information

1
Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden. Electronic address: Anneli.Peolsson@liu.se.
2
Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden; Rehab Väst, County Council of Östergötland, Motala, Sweden.
3
Previa Occupational Health Care AB, Gävle, Sweden.
4
Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.

Abstract

OBJECTIVE:

To determine whether 3 months of neck-specific exercises (NSEs) could benefit individuals with chronic whiplash-associated disorder (WAD) who were on a waiting list (WL) for treatment.

DESIGN:

A prospective, randomized controlled study.

SETTING:

Primary health care.

PARTICIPANTS:

Individuals (N=41; 31 women, 10 men; mean age ± SD, 38±11.2y) with chronic (6-36mo) WAD, grades 2 and 3, were analyzed.

INTERVENTIONS:

Patients were randomly assigned to NSEs or no treatment for 3 months.

MAIN OUTCOME MEASURES:

Neck-specific disability (Neck Disability Index [NDI]), neck pain (visual analog scale), general pain-related disability (Pain Disability Index [PDI]), self-perceived performance ability (Self-Efficacy Scale [SES]), and health-related quality of life (EuroQol 5 dimensions [EQ-5D]) were measured.

RESULTS:

NSEs significantly improved the NDI, SES, and EQ-5D compared with WL (P<.01). There was significant improvement (P<.0001) over time in all outcomes for NSEs, and apart from the PDI, significant worsening (P=.002-.0002) over time for the untreated group.

CONCLUSIONS:

NSEs were more beneficial than no intervention while on a WL for individuals with chronic WAD.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01547624.

KEYWORDS:

Exercise; Randomized controlled trial; Rehabilitation; Whiplash injuries

PMID:
26514296
DOI:
10.1016/j.apmr.2015.10.087
[Indexed for MEDLINE]
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