Novel Internet Support for Neck-Specific Rehabilitation Improves Work-Related Outcomes to the Same Extent as Extensive Visits to a Physiotherapy Clinic in Individuals with Chronic Whiplash-Associated Disorders: A Prospective Randomised Study.

Purpose: To address the current lack of information about work-related factors for individuals with whiplash-associated disorders (WAD) we investigated the effectiveness of 3 months of neck-specific rehabilitation with internet support in combination with four physiotherapy visits (NSEIT) compared t...

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Published in:Journal of Occupational Rehabilitation Vol. 34; no. 4; pp. 873 - 884
Main Authors: Peolsson, Anneli, Nilsing Strid, Emma, Peterson, Gunnel
Format: research tables/charts randomized controlled trial Journal Article
Published: Springer Nature Dec2024
Online Access:View this record in EBSCOhost
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      dt: Dec2024
      vid: 34
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10926-024-10176-0
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        atl: Novel Internet Support for Neck-Specific Rehabilitation Improves Work-Related Outcomes to the Same Extent as Extensive Visits to a Physiotherapy Clinic in Individuals with Chronic Whiplash-Associated Disorders: A Prospective Randomised Study.
      aug:
        au:
          Peolsson, Anneli
          Nilsing Strid, Emma
          Peterson, Gunnel
        affil: https://ror.org/05ynxx418 Occupational and Environmental Medicine Centre, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping University, 58185, Linköping, Sweden
      sug:
        subj:
          Whiplash Injuries Rehabilitation
          Neck Pain Rehabilitation
          Physical Therapy
          Outpatient Service
          Chronic Disease Rehabilitation
          Office Visits
          Internet-Based Intervention
          Occupational-Related Injuries Rehabilitation
          Support, Psychosocial
          Therapeutic Exercise
          Time Factors
          Treatment Outcomes
          Human
          Male
          Female
          Adult
          Middle Age
          Prospective Studies
          Multicenter Studies
          Randomized Controlled Trials
          Random Assignment
          Comparative Studies
          Sweden
          Descriptive Statistics
          Data Analysis Software
          Analysis of Variance
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: To address the current lack of information about work-related factors for individuals with whiplash-associated disorders (WAD) we investigated the effectiveness of 3 months of neck-specific rehabilitation with internet support in combination with four physiotherapy visits (NSEIT) compared to the same exercises performed twice a week (24 times) at a physiotherapy clinic (NSE). Methods: This is a prospective, multicentre, randomised controlled trial regarding secondary outcomes of work-related factors in 140 individuals with chronic moderate/severe WAD with 3- and 15-month follow-up. Results: There were no group differences between NSE and NSEIT in the Work Ability Scale or work subscales of the Neck Disability Index, Whiplash Disability Questionnaire or Fear Avoidance Beliefs Questionnaire (FABQ-work). Both groups improved in all work-related outcome measures, except for FABQ-work after the 3-month intervention and results were maintained at the 15-month follow-up. Conclusions: Despite fewer physiotherapy visits for the NSEIT group, there were no group differences between NSEIT and NSE, with improvements in most work-related measures maintained at the 15-month follow-up. The results of the present study are promising for those with remaining work ability problems after a whiplash injury. Protocol registered before data collection started: clinicaltrials.gov NCT03022812.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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