Effects of Different Exercise Programs for People With Chronic Whiplash

Status Completed

Clinical Trial Summary

Background:

Costs of health care consumption and sick leave 2006 in Sweden for Whiplash Associated Disorders (WAD) was estimated to be 4 billion Swedish crowns. Despite tremendous costs and personal sufferings there are only a few prospective randomized studies (RCT) in patients with chronic WAD, and none of them evaluating return to work, or the role of neck specific exercises with or without a combination of a behavioral approach compared with prescribed physical activity.

Aim:

The general aim of this RCT is to examine what neck-specific training with or without a combination with behavioral approach adds to prescribed physical activity of persons with chronic WAD with regard to pain intensity, physical and psychological function, health care consumption and return to work. Another aim is to study predictive factors of importance for a good outcome of rehabilitation.

Method:

After informed consent patients in age 18-63 years of age with WAD II-III with more than 6 months duration will be randomized to one out of the three alternatives of physiotherapy, treatment with medical exercise therapy with neck specific exercises (A),treatment with a behavioral approach combined with neck specific exercises (B), prescribed physical activity (C). Randomisation will be done by the central project leader. 200 patients will be included in the study. All physiotherapists engaged in the structured and well described treatment will be introduced in the program by the project leader. The measurements with good clinometric properties will be performed before treatment, after 12 weeks, 6, 12 and 24 months after inclusion into the study. Clinical measurements will be performed by a blinded investigator. Background data, disease-specific and generic data will be measured by self-evaluated answered questionnaires by the patients. Days of sick-leave will be collected from the Social Insurance Agency. Main outcomes of the measurements are pain intensity, neck specific disability and return to work. Cost-effectiveness will be calculated.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT01528579
Study type	Interventional
Source	Linkoeping University
Contact
Status	Completed
Phase	N/A
Start date	March 2011
Completion date	December 2014

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT06023264` - Evaluate the Effect of Dry Needling on the Temporomandibular Joint in Subjects Who Have Suffered a Whiplash as a Result of a Traffic Accident	N/A
Not yet recruiting	`NCT05468684` - PROCO Neck: The Course and Neuroplasticity in Neck Pain-Associated Disorders and Whiplash-Associated Disorders
Recruiting	`NCT03987334` - Virtual Reality Rehabilitation in Neck Pain Subjects	N/A
Completed	`NCT03784196` - Changes of Pain Sensitivity During Rehabilitation of Patients Suffering From Whiplash Associated Disorders
Not yet recruiting	`NCT06389188` - Effectiveness of Cervical Osteopathic Manipulation in Patients With Whiplash	N/A
Recruiting	`NCT00510757` - Multi Cervical Unit Measures of Cervical Isometric Strength and Range of Motion: A Pilot Study	N/A
Completed	`NCT02157038` - Neuromuscular Mechanisms Underlying Poor Recovery From Whiplash Injuries	N/A
Recruiting	`NCT01172795` - Diffuse Noxious Inhibitory Controls (DNIC): Nociceptive Modulation and Interaction With Neurocognitive Performance in Chronic Pain	N/A
Completed	`NCT02251028` - Value-based Cognitive Behavioral Therapy for Prevention of Chronic Whiplash-associated Disorders	N/A
Completed	`NCT01512576` - Does Acupuncture Activate Endogenous Pain Inhibition in Chronic Whiplash?	Phase 2
Completed	`NCT04204525` - Chronic Whiplash Associated Disorders: Disability, Pain (Beliefs), Central Sensitization and Brain Activity
Not yet recruiting	`NCT06028308` - The Effect of Adding Auditory Information on Head Movements in People With Traumatic Neck Pain	N/A
Completed	`NCT03239938` - Modern Pain Neuroscience Applied to Chronic Pain in Patients With Chronic Whiplash Associated Disorders	N/A
Recruiting	`NCT05321550` - The Nociceptive Flexion Reflex as a Diagnostic Tool of Central Sensitization

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Effects of Different Exercise Programs for People With Chronic Whiplash Associated Disorders

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms