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
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 th...
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description | 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.
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.
The study findings will help improve the treatment of patients with chronic WAD.
ClinicalTrials.gov identifier: NCT01528579. |
doi_str_mv | 10.1186/1471-2474-14-311 |
format | Article |
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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.
The study findings will help improve the treatment of patients with chronic WAD.
ClinicalTrials.gov identifier: NCT01528579.</description><identifier>ISSN: 1471-2474</identifier><identifier>EISSN: 1471-2474</identifier><identifier>DOI: 10.1186/1471-2474-14-311</identifier><identifier>PMID: 24171699</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Behavior therapy ; Behavioral health care ; Care and treatment ; Councils ; Exercise ; Exercise (intensity) ; Exercise Therapy ; Fractures ; Health aspects ; Health Behavior ; Health sciences ; Humans ; Injuries ; Medical records ; MEDICIN ; MEDICINE ; Musculoskeletal diseases ; Neck pain ; Neurosciences ; Pain ; Physical therapy ; Physiological aspects ; Prospective Studies ; Rehabilitation ; Spine ; Studies ; Study Protocol ; Substance abuse treatment ; Therapeutics, Physiological ; Trauma ; Whiplash injuries ; Whiplash Injuries - rehabilitation</subject><ispartof>BMC MUSCULOSKELETAL DISORDERS, 2013, Vol.14 (1), p.311-311, Article 311</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Peolsson et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Copyright © 2013 Peolsson et al.; licensee BioMed Central Ltd. 2013 Peolsson et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c635t-869f8bb61af408888d4ad6054297fc9cb29fada5037b269a5207c10dc59453e43</citedby><cites>FETCH-LOGICAL-c635t-869f8bb61af408888d4ad6054297fc9cb29fada5037b269a5207c10dc59453e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228445/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228445/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24171699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-102784$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-23172$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-213996$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:127829350$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Peolsson, Anneli</creatorcontrib><creatorcontrib>Landén Ludvigsson, Maria</creatorcontrib><creatorcontrib>Overmeer, Thomas</creatorcontrib><creatorcontrib>Dedering, Åsa</creatorcontrib><creatorcontrib>Bernfort, Lars</creatorcontrib><creatorcontrib>Johansson, Gun</creatorcontrib><creatorcontrib>Kammerlind, Ann-Sofi</creatorcontrib><creatorcontrib>Peterson, Gunnel</creatorcontrib><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</title><title>BMC MUSCULOSKELETAL DISORDERS</title><addtitle>BMC Musculoskelet Disord</addtitle><description>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.
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.
The study findings will help improve the treatment of patients with chronic WAD.
ClinicalTrials.gov identifier: NCT01528579.</description><subject>Behavior therapy</subject><subject>Behavioral health care</subject><subject>Care and treatment</subject><subject>Councils</subject><subject>Exercise</subject><subject>Exercise (intensity)</subject><subject>Exercise Therapy</subject><subject>Fractures</subject><subject>Health aspects</subject><subject>Health Behavior</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Injuries</subject><subject>Medical records</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Musculoskeletal diseases</subject><subject>Neck pain</subject><subject>Neurosciences</subject><subject>Pain</subject><subject>Physical therapy</subject><subject>Physiological aspects</subject><subject>Prospective Studies</subject><subject>Rehabilitation</subject><subject>Spine</subject><subject>Studies</subject><subject>Study Protocol</subject><subject>Substance abuse treatment</subject><subject>Therapeutics, Physiological</subject><subject>Trauma</subject><subject>Whiplash injuries</subject><subject>Whiplash Injuries - 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rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peolsson, Anneli</creatorcontrib><creatorcontrib>Landén Ludvigsson, Maria</creatorcontrib><creatorcontrib>Overmeer, Thomas</creatorcontrib><creatorcontrib>Dedering, Åsa</creatorcontrib><creatorcontrib>Bernfort, Lars</creatorcontrib><creatorcontrib>Johansson, Gun</creatorcontrib><creatorcontrib>Kammerlind, Ann-Sofi</creatorcontrib><creatorcontrib>Peterson, Gunnel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SWEPUB Linköpings universitet full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Linköpings universitet</collection><collection>SwePub Articles full text</collection><collection>SWEPUB Mälardalens högskola full text</collection><collection>SWEPUB Mälardalens högskola</collection><collection>SWEPUB Uppsala universitet full text</collection><collection>SWEPUB Uppsala universitet</collection><jtitle>BMC MUSCULOSKELETAL DISORDERS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peolsson, Anneli</au><au>Landén Ludvigsson, Maria</au><au>Overmeer, Thomas</au><au>Dedering, Åsa</au><au>Bernfort, Lars</au><au>Johansson, Gun</au><au>Kammerlind, Ann-Sofi</au><au>Peterson, Gunnel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>BMC MUSCULOSKELETAL DISORDERS</jtitle><addtitle>BMC Musculoskelet Disord</addtitle><date>2013</date><risdate>2013</risdate><volume>14</volume><issue>1</issue><spage>311</spage><epage>311</epage><pages>311-311</pages><artnum>311</artnum><issn>1471-2474</issn><eissn>1471-2474</eissn><abstract>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.
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.
The study findings will help improve the treatment of patients with chronic WAD.
ClinicalTrials.gov identifier: NCT01528579.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24171699</pmid><doi>10.1186/1471-2474-14-311</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Behavior therapy Behavioral health care Care and treatment Councils Exercise Exercise (intensity) Exercise Therapy Fractures Health aspects Health Behavior Health sciences Humans Injuries Medical records MEDICIN MEDICINE Musculoskeletal diseases Neck pain Neurosciences Pain Physical therapy Physiological aspects Prospective Studies Rehabilitation Spine Studies Study Protocol Substance abuse treatment Therapeutics, Physiological Trauma Whiplash injuries Whiplash Injuries - rehabilitation |
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 |
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