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.
OrthoEvidence Journal (OE Journal) - ACE Report
Epub Ahead of Print
J Rehabil Med. 2024 01-Jul;():. 10.2340/jrm.v56.34785What this means for my practice?
NSE improves cervical mobility, muscle endurance, and pain in patients with chronic whiplash-associated disorders regardless of whether exercises are delivered through supervised physiotherapy or internet-supported programs. Clinically, internet-supported exercise programs may provide a comparable and more accessible rehabilitation strategy for chronic whiplash. Key limitations include analysis of secondary outcomes and potential attrition at long-term follow-up.
Study Summary
One hundred forty patients with chronic whiplash-associated disorders were randomized to receive neck-specific exercise with internet support (NSEIT) and four physiotherapist sessions or supervised neck-specific exercise (NSE) delivered twice a week for 12 weeks. The outcomes of interest were cervical function measured by active cervical range of motion (ACROM), cranio-cervical flexion test (CCFT) performance, ventral and dorsal neck muscle endurance (NME), and neck pain intensity. Outcomes were assessed at baseline, 3 months, and 15 months. Overall, the results of the study revealed significant improvements over time in ACROM, NME, and neck pain in both groups, with no significant differences between groups. These findings suggest that NSEIT may provide similar functional benefits to NSE for chronic whiplash-associated disorders.
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