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Whiplash-associated disorders are a common cause of persistent neck pain following traffic accidents and are frequently associated with impairments in cervical motor control, pain, and functional disability. Therapeutic exercise aimed at restoring cervical motor control has shown promising results; however, evidence regarding the effectiveness of structured home-based exercise programs compared with conventional physiotherapy remains limited. The aim of this study was to compare the effectiveness of a home-based cervical motor control exercise program versus conventional physiotherapy in patients with whiplash-associated neck pain.
A randomized controlled trial with two parallel groups was conducted. Patients diagnosed with whiplash-associated neck pain were randomly assigned to either an experimental group performing a structured home-based cervical motor control exercise program or a control group receiving conventional physiotherapy based on manual therapy and cervical mobilization techniques. Outcome measures included pain intensity assessed using the Visual Analogue Scale, functional disability measured with the Neck Disability Index, and active cervical range of motion. Assessments were performed at baseline and after an eight-week intervention period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| home-based cervical motor control exercise programme | Experimental | home-based cervical motor control exercise programme monitored by physiotherapists |
|
| conventional physiotherapy treatment | Active Comparator | Conventional physiotherapy treatment including passive therapies (manual therapy) in the physiotherapy clinic. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| home-based cervical motor control exercise programme | Procedure | home-based programme of active cervical motor control exercises supervised by physiotherapists |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain | measured using the visual analogue pain scale (VAS) (where 0 is the least possible pain and 10 is the maximum possible pain) | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| range of motion | The range of active cervical movement was assessed using goniometry, recording the movements of flexion, extension, rotation, and lateralisation of the cervical spine. | 2 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad Pontificia de Salamanca | Salamanca | 37002 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 9688035 | Result | Randlov A, Ostergaard M, Manniche C, Kryger P, Jordan A, Heegaard S, Holm B. Intensive dynamic training for females with chronic neck/shoulder pain. A randomized controlled trial. Clin Rehabil. 1998 Jun;12(3):200-10. doi: 10.1191/026921598666881319. | |
| 9507618 | Result | Jordan A, Bendix T, Nielsen H, Hansen FR, Host D, Winkel A. Intensive training, physiotherapy, or manipulation for patients with chronic neck pain. A prospective, single-blinded, randomized clinical trial. Spine (Phila Pa 1976). 1998 Feb 1;23(3):311-8; discussion 319. doi: 10.1097/00007632-199802010-00005. |
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Double blinding
| conventional physiotherapy treatment | Procedure | Conventional physiotherapy treatment with passive therapy (manual therapy) carried out in a physiotherapy clinic. |
|
| 11295901 | Result | Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH, Vernon H. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine (Phila Pa 1976). 2001 Apr 1;26(7):788-97; discussion 798-9. doi: 10.1097/00007632-200104010-00020. |
| 10458312 | Result | Kjellman GV, Skargren EI, Oberg BE. A critical analysis of randomised clinical trials on neck pain and treatment efficacy. A review of the literature. Scand J Rehabil Med. 1999 Sep;31(3):139-52. doi: 10.1080/003655099444489. |
| ID | Term |
|---|---|
| D002577 | Uterine Cervical Diseases |
| D014911 | Whiplash Injuries |
| D010146 | Pain |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D019838 | Neck Injuries |
| D014947 | Wounds and Injuries |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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