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Effects of Neck-Specific Exercises Compared to Waiting List for Individuals With Chronic Whiplash-Associated
Anneli Peolsson1, Maria Landén Ludvigsson2, Ann-Marie Tigerfors3
1Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden.
Objective:
To determine whether 3 months of neck-specific exercises (NSEs) could benefit individuals with chronic whiplash-associated disorder (WAD) who were on a waiting list (WL) for treatment.
Design:
A prospective, randomized controlled study.
Setting:
Primary health care.
Participants:
Individuals (N=41; 31 women, 10 men; mean age ± SD, 38±11.2y) with chronic (6-36mo) WAD, grades 2 and 3, were analyzed.
Interventions:
Patients were randomly assigned to NSEs or no treatment for 3 months.
Main Outcome Measures:
Neck-specific disability (Neck Disability Index [NDI]), neck pain (visual analog scale), general pain-related disability (Pain Disability Index [PDI]), self-perceived performance ability (Self-Efficacy Scale [SES]), and health-related quality of life (EuroQol 5 dimensions [EQ-5D]) were measured.
Results:
NSEs significantly improved the NDI, SES, and EQ-5D compared with WL (P<.01). There was significant improvement (P<.0001) over time in all outcomes for NSEs, and apart from the PDI, significant worsening (P=.002-.0002) over time for the untreated group.
Conclusions:
NSEs were more beneficial than no intervention while on a WL for individuals with chronic WAD.
