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Dry needling and exercise for chronic whiplash - a randomised controlled trial.

Michele Sterling1, Stephanie Valentin, Bill Vicenzino

  • 1Centre of National Research on Disability and Rehabilitation Medicine, The University of Queensland, Brisbane, Australia. m.sterling@uq.edu.au

BMC Musculoskeletal Disorders
|December 22, 2009
PubMed
Summary

This study investigates if dry-needling combined with advice and exercise effectively treats chronic whiplash. The findings will inform best practices for managing this costly condition.

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Area of Science:

  • Pain Management
  • Rehabilitation Medicine
  • Clinical Trials

Background:

  • Chronic whiplash is a prevalent and expensive condition.
  • Sensory hypersensitivity in chronic whiplash hinders response to physical therapies like exercise.
  • Dry-needling shows potential in modulating sensory hypersensitivity.

Purpose of the Study:

  • To determine the effectiveness of dry-needling, advice, and exercise for chronic whiplash.
  • To evaluate the cost-effectiveness of this combined treatment approach.

Main Methods:

  • A double-blind, randomized controlled trial involving 120 participants with chronic whiplash (Grade II).
  • Participants were randomized to receive either dry-needling, advice, and exercise, or sham dry-needling, advice, and exercise.

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  • Outcomes, including Neck Disability Index (NDI) and perceived recovery, were assessed at 6, 12, 24, and 52 weeks.
  • Main Results:

    • Primary outcome measures include the Neck Disability Index (NDI) and perceived recovery.
    • Data collection spans 52 weeks post-randomization.
    • An economic analysis will run in parallel to assess cost-effectiveness.

    Conclusions:

    • The trial employs high-quality methodologies adhering to CONSORT guidelines.
    • Evidence will be provided on the effectiveness of a combined dry-needling, advice, and exercise approach.
    • The study aims to establish the cost-effectiveness of this management strategy for chronic whiplash.