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A randomised clinical trial of a comprehensive exercise program for chronic whiplash: trial protocol
Zoe A Michaleff1, Chris G Maher, Gwendolen Jull
1The George Institute for International Health, The University of Sydney, George Street, Sydney, 2000, Australia. zmichaleff@george.org.au
BMC Musculoskeletal Disorders
|December 4, 2009
Summary
This study investigates a combined exercise approach for chronic whiplash pain. The comprehensive program aims to improve pain and disability more effectively than individual treatments.
Area of Science:
- Rehabilitation Medicine
- Clinical Trials
- Pain Management
Background:
- Whiplash is a common motor vehicle accident injury, with 60% experiencing persistent pain and disability.
- Current effective treatments include specific motor relearning and graded activity exercises, though individual effects are modest.
- Pilot data suggest combining these exercises may yield significantly larger improvements in pain and disability.
Purpose of the Study:
- To evaluate the effectiveness of a comprehensive exercise approach for chronic whiplash.
- To assess the cost-effectiveness of this combined treatment strategy.
- To provide evidence for managing persistent pain and disability after whiplash injuries.
Main Methods:
- A multicentre randomized controlled trial involving 176 participants with chronic grade I-II whiplash.
- The comprehensive exercise group received 20 tailored sessions (motor relearning and graded activity) over 12 weeks.
- Outcomes including pain intensity, disability, quality of life, and health service utilization were assessed at multiple time points by blinded assessors.
Main Results:
- This section is not available in the provided abstract.
Conclusions:
- The trial's completion will offer crucial evidence on the effectiveness and cost-effectiveness of this integrated exercise treatment for chronic whiplash management.