Neck-specific exercises with internet-based support compared to neck-specific exercises at a physiotherapy clinic for chronic whiplash-associated disorders: study protocol of a randomized controlled multicentre trial

BMC Musculoskeletal Disorders

Study Protocol

Anneli Peolsson¹  Gunnel Peterson²  Maria Landén Ludvigsson³ 

[1] Department of Medical and Health Sciences, Physiotherapy, Linköping University, Sandbäcksg. 7, 58183, Linköping, Sweden;Department of Medical and Health Sciences, Physiotherapy, Linköping University, Sandbäcksg. 7, 58183, Linköping, Sweden;Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden;Department of Medical and Health Sciences, Physiotherapy, Linköping University, Sandbäcksg. 7, 58183, Linköping, Sweden;Department of Rehabilitation and Department of Medical and Health Sciences, Rehab Väst, County Council of Östergötland, Linköping University, Linköping, Sweden;

关键词: Whiplash injury;    Neck;    Spine;    Chronic;    Physiotherapy;    Rehabilitation;    Exercise therapy;    Randomized;    Follow-up study;    Outcome;   

DOI  :  10.1186/s12891-017-1853-1

 received in 2017-04-11, accepted in 2017-11-15,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundGlobally, neck pain is the fourth most common condition associated with longer periods of living with disability. Annually, approximately 0.3% of the population of Western countries undergo whiplash trauma, and half of those individuals will develop chronic problems with high costs for the individual and society. Evidence for chronic whiplash-associated disorders (WAD) treatment is scarce, though neck-specific training at a physiotherapy clinic twice a week for 12 weeks has demonstrated good results. More efficient, flexible rehabilitation with reduced waiting times and lower costs is needed, ideally replacing lengthy on-site treatment series by healthcare providers. Internet-based care has been shown to be a viable alternative for a variety of diseases and interventions, but studies are lacking on Internet-based interventions for individuals with chronic neck problems. The aim of the trial described here is to compare the effects of an Internet-based neck-specific exercise programme to the same exercises performed at a physiotherapy clinic in regards to self-reported and clinical measures, as well as cost-effectiveness.MethodsThis prospective, randomized controlled trial will involve 140 participants. Measurements will be made at baseline, 3 months (end of treatment), and 15 months (12 months after end of intervention) and will include ratings of pain, disability, satisfaction with care, work ability, quality of life, and cost-effectiveness.DiscussionThe study results may contribute to the development of a more effective rehabilitation, flexible and equal care, shorter waiting times, increased availability, and lower costs for healthcare and society.Trial registrationClinicalTrials.gov Protocol ID: NCT03022812, initial release 12/20/2016.

【 授权许可】

CC BY   
© The Author(s). 2017