Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS