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Mobile App Intervention Increases Adherence to Home Exercise Program After Whiplash Injury-A Randomized Controlled
Blaž Barun1, Zdravko Divić1, Dušanka Martinović Kaliterna2
1Division of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, 21000 Split, Croatia.
Mobile app push notifications improved adherence to home exercise and health-related quality of life for whiplash injury patients. This intervention also reduced pain catastrophizing six months post-injury.
Area of Science:
- Rehabilitation medicine
- Digital health interventions
- Musculoskeletal disorders
Background:
- Whiplash injury is a common consequence of traffic accidents.
- Effective management strategies are crucial for recovery.
- Adherence to physical therapy and home exercise is vital for optimal outcomes.
Purpose of the Study:
- To determine if a mobile app intervention using push notifications can enhance exercise adherence.
- To assess the impact of mobile app intervention on disability and pain following whiplash injury.
- To evaluate the effect on health-related quality of life and psychological factors.
Main Methods:
- A randomized controlled trial with concealed allocation and intention-to-treat analysis.
- Participants with recent whiplash injury received supervised physical therapy and were encouraged to exercise at home.
- The intervention group received daily mobile app push notifications as exercise reminders.
Main Results:
- The mobile app group demonstrated significantly higher adherence to home exercise compared to the control group.
- Improved health-related quality of life (HRQoL) was observed in the intervention group at 6-month follow-up.
- A significant reduction in pain catastrophizing was noted in the mobile app group, but no differences in disability or pain intensity were found.
Conclusions:
- Mobile app intervention via push notifications is effective in increasing adherence to home exercise programs.
- This digital health approach can positively impact pain catastrophizing and HRQoL in whiplash patients.
- Further research may explore optimizing app features for broader functional recovery.
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