Gunnel E Peterson1, Maria H Landén Ludvigsson2, Shaun P O'Leary3, Åsa M Dedering4, Thorne Wallman5, Margaretha I N Jönsson6, Anneli L C Peolsson7. 1. PhD Student, Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden; PhD Student, Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden. Electronic address: gunnel.peterson@liu.se. 2. PhD Student, Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Registered Physical Therapist, Rehab Väst, County Council of Östergötland, Östergötland, Sweden. 3. Principal Research Fellow, NHMRC CCRE (Spinal Pain, Injury and Health), the University of Queensland, Brisbane, Australia; Principal Research Fellow, Physiotherapy Department, Royal Brisbane and Women's Hospital, Queensland Health, Brisbane, Australia. 4. Associate Professor, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet; Associate Professor, Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden. 5. Deputy Director, Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden; Adjunct Senior Lecturer, Public Health & Caring Sciences, Family Medicine & Preventive Medicine Section, Uppsala University, Uppsala, Sweden. 6. Registered Physical Therapist, Prima Rehab, Herrgärdet Health Care Center, County Council of Västmanland, Västmanland, Sweden. 7. Associate Professor, Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Associate Professor, NHMRC CCRE (Spinal Pain, Injury and Health), the University of Queensland, Brisbane, Australia.
Abstract
OBJECTIVE: The purpose of this study was to compare the effects of 3 different exercise approaches on neck muscle endurance (NME), kinesiophobia, exercise compliance, and patient satisfaction in patients with chronic whiplash. METHODS: This prospective randomized clinical trial included 216 individuals with chronic whiplash. Participants were randomized to 1 of 3 exercise interventions: neck-specific exercise (NSE), NSE combined with a behavioral approach (NSEB), or prescribed physical activity (PPA). Measures of ventral and dorsal NME (endurance time in seconds), perceived pain after NME testing, kinesiophobia, exercise compliance, andpatient satisfaction were recorded at baseline and at the 3- and 6-month follow-ups. RESULTS: Compared with individuals in the prescribed physical activity group, participants in the NSE and NSEB groups exhibited greater gains in dorsal NME (P = .003), greater reductions in pain after NME testing (P = .03), and more satisfaction with treatment (P < .001). Kinesiophobia and exercise compliance did not significantly differ between groups (P > .07). CONCLUSION: Among patients with chronic whiplash, a neck-specific exercise intervention (with or without a behavioral approach) appears to improve NME. Participants were more satisfied with intervention including neck-specific exercises than with the prescription of general exercise.
RCT Entities:
OBJECTIVE: The purpose of this study was to compare the effects of 3 different exercise approaches on neck muscle endurance (NME), kinesiophobia, exercise compliance, and patient satisfaction in patients with chronic whiplash. METHODS: This prospective randomized clinical trial included 216 individuals with chronic whiplash. Participants were randomized to 1 of 3 exercise interventions: neck-specific exercise (NSE), NSE combined with a behavioral approach (NSEB), or prescribed physical activity (PPA). Measures of ventral and dorsal NME (endurance time in seconds), perceived pain after NME testing, kinesiophobia, exercise compliance, and patient satisfaction were recorded at baseline and at the 3- and 6-month follow-ups. RESULTS: Compared with individuals in the prescribed physical activity group, participants in the NSE and NSEB groups exhibited greater gains in dorsal NME (P = .003), greater reductions in pain after NME testing (P = .03), and more satisfaction with treatment (P < .001). Kinesiophobia and exercise compliance did not significantly differ between groups (P > .07). CONCLUSION: Among patients with chronic whiplash, a neck-specific exercise intervention (with or without a behavioral approach) appears to improve NME. Participants were more satisfied with intervention including neck-specific exercises than with the prescription of general exercise.