Sequelae of Cervical Sprain (Chronic Whiplash-Associated Disorder) Cervical sprain, whiplash injury, chronic neck pain, chronic pain, Kanshoho, manual therapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with whiplash-associated disorder (WAD) whose symptoms have persisted for more than 6 months without organic abnormalities. 2. Outpatients of *Shin Orthopedic Rehabilitation & Sports Clinic* who provide written informed consent to participate. 3. Judged eligible for participation by the attending physician.
Exclusion criteria
Exclusion criteria: * Patients currently undergoing treatment for underlying diseases. * Individuals deemed unsuitable by the attending physician due to excessive physical or mental burden. * Individuals judged inappropriate by the principal investigator. * Employees and family members of the Japan Health Organization or Shin Orthopedic Rehabilitation & Sports Clinic.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in pain intensity (VAS score) before and after the intervention. Pain intensity is assessed using a 100-mm visual analogue scale (VAS) by a physician, and the difference between pre- and post-intervention scores is used as the primary outcome. Time frame: Pre- and post-intervention (same day). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Change in cervical range of motion (ROM)_flexion, extension, rotation, and lateral flexion, measured according to the 1995 criteria of the Japanese Orthopaedic Association and Japanese Association of Rehabilitation Medicine. 2.Changes in ultrasound findings_morphological alterations and echo intensity of the muscles and tendons at the treated sites. 3.Duration of intervention_time (minutes) required until pain disappearance (maximum 20 min). Time frame: Pre- and post-intervention (same day). | — |
Contacts
Japan Health Organization (Non-profit)