Cervical Disease
Conditions
Keywords
Whiplash, pain, exercise
Brief summary
Whiplash-associated disorders are a common cause of persistent neck pain following traffic accidents and are frequently associated with impairments in cervical motor control, pain, and functional disability. Therapeutic exercise aimed at restoring cervical motor control has shown promising results; however, evidence regarding the effectiveness of structured home-based exercise programs compared with conventional physiotherapy remains limited. The aim of this study was to compare the effectiveness of a home-based cervical motor control exercise program versus conventional physiotherapy in patients with whiplash-associated neck pain. A randomized controlled trial with two parallel groups was conducted. Patients diagnosed with whiplash-associated neck pain were randomly assigned to either an experimental group performing a structured home-based cervical motor control exercise program or a control group receiving conventional physiotherapy based on manual therapy and cervical mobilization techniques. Outcome measures included pain intensity assessed using the Visual Analogue Scale, functional disability measured with the Neck Disability Index, and active cervical range of motion. Assessments were performed at baseline and after an eight-week intervention period.
Interventions
PROCEDUREhome-based cervical motor control exercise programme
home-based programme of active cervical motor control exercises supervised by physiotherapists
PROCEDUREconventional physiotherapy treatment
Conventional physiotherapy treatment with passive therapy (manual therapy) carried out in a physiotherapy clinic.
Sponsors
Universidad Pontificia de Salamanca
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Masking description
Double blinding
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients who met the following criteria were included: * Age between 18 and 65 years. * Clinical diagnosis of post-whiplash neck pain resulting from a traffic accident. * Symptoms lasting longer than four weeks. * Presence of neck pain with a minimum intensity of 3 points on the Visual Analogue Scale. * Ability to understand and follow the instructions of the home exercise programme. * Signed informed consent.
Exclusion criteria
* Patients with the following conditions were excluded: * Signs of severe neurological compromise or significant structural cervical pathology (fractures, cervical instability, myelopathy). * History of cervical surgery. * Rheumatic, neurological, or systemic diseases that could influence the results. * Previous physiotherapy treatment for the same episode in the three months prior to the study. * Pregnancy or any medical contraindication for therapeutic exercise.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain | 2 months | measured using the visual analogue pain scale (VAS) (where 0 is the least possible pain and 10 is the maximum possible pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| range of motion | 2 months | The range of active cervical movement was assessed using goniometry, recording the movements of flexion, extension, rotation, and lateralisation of the cervical spine. |
Countries
Spain
Outcome results
None listed