EFFECT OF NECK-SPECIFIC EXERCISES WITH AND WITHOUT INTERNET SUPPORT ON CERVICAL RANGE OF MOTION AND NECK MUSCLE ENDURANCE IN CHRONIC WHIPLASH-ASSOCIATED DISORDERS: ANALYSIS OF FUNCTIONAL OUTCOMES OF A RANDOMIZED CONTROLLED TRIAL.

Objective: To compare the effects of a neck-specific exercise programme with internet support and 4 physiotherapist sessions (NSEIT) and the same neck-specific exercises supervised by a physiotherapist (NSE) on neck muscle endurance and cervical range of motion. Design: Randomized controlled trial....

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Publicado en:Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 56; pp. 1 - 11
Autores principales: PETERSON, Gunnel, NILSING STRID, Emma, JONSSON, Margaretha, HAVERMARK, Jesper, PEOLSSON, Anneli
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Medical Journals Sweden AB 2024
Acceso en línea:Ver este registro en EBSCOhost
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      issn: 16501977
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    pubinfo:
      dt: 2024
      vid: 56
      pid: 59195
      pub: Medical Journals Sweden AB
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        10.2340/jrm.v56.34785
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        atl: EFFECT OF NECK-SPECIFIC EXERCISES WITH AND WITHOUT INTERNET SUPPORT ON CERVICAL RANGE OF MOTION AND NECK MUSCLE ENDURANCE IN CHRONIC WHIPLASH-ASSOCIATED DISORDERS: ANALYSIS OF FUNCTIONAL OUTCOMES OF A RANDOMIZED CONTROLLED TRIAL.
      aug:
        au:
          PETERSON, Gunnel
          NILSING STRID, Emma
          JONSSON, Margaretha
          HAVERMARK, Jesper
          PEOLSSON, Anneli
        affil: Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden
      sug:
        subj:
          Therapeutic Exercise Methods
          Neck Pain Rehabilitation
          Internet
          Support, Psychosocial
          Cervical Vertebrae Physiology
          Range of Motion Evaluation
          Neck Muscles Physiology
          Physical Endurance
          Whiplash Injuries Therapy
          Chronic Disease Therapy
          Physical Therapists Psychosocial Factors
          Ambulatory Care Facilities
          Treatment Outcomes
          Human
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Randomized Controlled Trials
          Random Assignment
          Functional Status
          Prospective Studies
          Multicenter Studies
          Descriptive Statistics
          Comparative Studies
          Neck Physiology
          Spine Physiology
          Pain Management
          Telemedicine
          Questionnaires
          Intraclass Correlation Coefficient
          Visual Analog Scaling
          Pain Measurement
          Data Analysis Software
          T-Tests
          Pearson's Correlation Coefficient
          Fisher's Exact Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: To compare the effects of a neck-specific exercise programme with internet support and 4 physiotherapist sessions (NSEIT) and the same neck-specific exercises supervised by a physiotherapist (NSE) on neck muscle endurance and cervical range of motion. Design: Randomized controlled trial. Patients: A total of 140 participants with chronic whiplash-associated disorders grade II or grade III were randomly assigned to the NSEIT or NSE groups. Methods: Outcomes were changes in active cervical range of motion, cranio-cervical flexion test, neck muscle endurance, and neck pain, at 3- and 15-month follow-ups. Results: There were no significant differences between the NSEIT and NSE groups. There was a significant group-by-time interaction effect in active cervical range of motion flexion/extension where the NSEIT group improved to 3-month follow-up, but the NSE group did not. Both groups were significantly improved over time in all other outcomes (p < 0.001) at 3- and 15-month follow-ups, with effect size between 0.64 and 1.35 in active cervical range of motion, cranio-cervical flexion test, dorsal neck muscle endurance, and neck pain, and effect size between 0.22 and 0.42 in ventral neck muscle endurance. Conclusion: Both NSE and NSEIT led to improved neck function. Depending on the patients' needs, either NSE or NSEIT could be used as treatment for patients with chronic whiplash-associated disorders.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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