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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.
Linköping University, Physiotherapy, Department of Medical and Health Sciences.ORCID iD: 0000-0002-6075-4432
Linköping University, Physiotherapy, Department of Medical and Health Sciences; Linköping University, ehab Väst, County Council of Östergötland, Department of Rehabilitation and Department of Medical and Health Sciences .ORCID iD: 0000-0002-3259-3133
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Linköping University, Physiotherapy, Department of Medical and Health Sciences.ORCID iD: 0000-0003-2492-0306
2017 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 18, article id 524Article in journal (Refereed) Published
Abstract [en]

Background:Globally, neck pain is the fourth most common condition associated with longer periods of living withdisability. Annually, approximately 0.3% of the population of Western countries undergo whiplash trauma, and half ofthose individuals will develop chronic problems with highcosts for the individual and society. Evidence for chronicwhiplash-associated disorders (WAD) treatment is scarce, though neck-specific training at a physiotherapy clinic twice aweek for 12 weeks has demonstrated good results. More efficient, flexible rehabilitation with reduced waiting times andlower costs is needed, ideally replacing lengthy on-site treatment series by healthcare providers. Internet-based care hasbeen shown to be a viable alternative for a variety of diseases and interventions, but studies are lacking on Internet-basedinterventions for individuals with chronic neck problems. The aim of the trial described here is to compare the effects ofan Internet-based neck-specific exerciseprogrammetothesameexercisesperformed at a physiotherapy clinic in regardsto self-reported and clinical measures, as well as cost-effectiveness.

Methods:This prospective, randomized controlled trial will involve 140 participants. Measurements will be made atbaseline, 3 months (end of treatment), and 15 months (12 months after end of intervention) and will include ratings ofpain, disability, satisfaction with care, work ability, quality of life, and cost-effectiveness.

Discussion:The study results may contribute to the development of a more effective rehabilitation, flexible and equalcare, shorter waiting times, increased availability, and lower costs for healthcare and society.

Trial registration:ClinicalTrials.gov Protocol ID: NCT03022812, initial release 12/20/2016.

Place, publisher, year, edition, pages
2017. Vol. 18, article id 524
Keywords [en]
Whiplash injury, Neck, Spine, Chronic, Physiotherapy, Rehabilitation, Exercise therapy, Randomized, Follow-up study, Outcome
National Category
Rheumatology and Autoimmunity
Identifiers
URN: urn:nbn:se:uu:diva-342506DOI: 10.1186/s12891-017-1853-1ISI: 000417906500001PubMedID: 29233141OAI: oai:DiVA.org:uu-342506DiVA, id: diva2:1184513
Available from: 2018-02-21 Created: 2018-02-21 Last updated: 2018-02-23Bibliographically approved

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