A randomised clinical trial of a comprehensive exercise program for chronic whiplash: trial protocol

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• 作者：Zoe A Michaleff (1)
  Chris G Maher (1)
  Gwendolen Jull (2)
  Jane Latimer (1)
  Luke B Connelly (2) (3) (4) (5)
  Chung-Wei Christine Lin (1)
  Trudy Rebbeck (6)
  Michele Sterling (2) (3)
  
• 刊名：BMC Musculoskeletal Disorders
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：10
• 期：1
• 全文大小：514KB
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  34. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/10/149/prepub
  
• 作者单位：Zoe A Michaleff (1)
  Chris G Maher (1)
  Gwendolen Jull (2)
  Jane Latimer (1)
  Luke B Connelly (2) (3) (4) (5)
  Chung-Wei Christine Lin (1)
  Trudy Rebbeck (6)
  Michele Sterling (2) (3)
  
  1. The George Institute for International Health, The University of Sydney, George Street, Sydney, 2000, Australia
  2. National Health and Medical Research Council Centre of Clinical Research Excellence: Spinal Pain, Injury and Health, Division of Physiotherapy, The University of Queensland, Therapies Road, Brisbane, 4072, Australia
  3. Centre for National Research on Disability and Rehabilitation Medicin, The University of Queensland, Herston Road, Brisbane, 4006, Australia
  4. Australian Centre for Economic Research on Health, The University of Queensland, Herston Road, Brisbane, 4006, Australia
  5. School of Economics, The University of Queensland, Blair Drive, Brisbane, 4072, Australia
  6. Faculty of Health Sciences, The University of Sydney, East Street, Sydney, 2141, Australia
  

文摘

Background Whiplash is the most common injury following a motor vehicle accident. Approximately 60% of people suffer persistent pain and disability six months post injury. Two forms of exercise; specific motor relearning exercises and graded activity, have been found to be effective treatments for this condition. Although the effect sizes for these exercise programs, individually, are modest, pilot data suggest much larger effects on pain and disability are achieved when these two treatments are combined. The aim of this study is to investigate the effectiveness and cost-effectiveness of this comprehensive exercise approach for chronic whiplash. Methods/Design A multicentre randomised controlled trial will be conducted. One hundred and seventy-six participants with chronic grade I to II whiplash will be recruited in Sydney and Brisbane, Australia. All participants will receive an educational booklet on whiplash and in addition, those randomised to the comprehensive exercise group (specific motor relearning and graded activity exercises) will receive 20 progressive and individually-tailored, 1 hour exercise sessions over a 12 week period (specific motor relearning exercises: 8 sessions over 4 weeks; graded activity: 12 sessions over 8 weeks). The primary outcome to be assessed is pain intensity. Other outcomes of interest include disability, health-related quality of life and health service utilisation. Outcomes will be measured at baseline, 14 weeks, 6 months and 12 months by an assessor who is blinded to the group allocation of the subjects. Recruitment is due to commence in late 2009. Discussion The successful completion of this trial will provide evidence on the effectiveness and cost-effectiveness of a simple treatment for the management of chronic whiplash. Trial registration ACTRN12609000825257