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Novel Internet Support for Neck-Specific Rehabilitation Improves Work-Related Outcomes to the Same Extent as Extensive Visits to a Physiotherapy Clinic in Individuals with Chronic Whiplash-Associated Disorders: A Prospective Randomised Study.
Peolsson, Anneli; Nilsing Strid, Emma; Peterson, Gunnel.
Afiliación
  • Peolsson A; Occupational and Environmental Medicine Centre, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping University, 58185, Linköping, Sweden. Anneli.Peolsson@liu.se.
  • Nilsing Strid E; Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden. Anneli.Peolsson@liu.se.
  • Peterson G; Faculty of Medicine and Health, University Health Care Research Centre, Örebro University, Örebro, Sweden.
J Occup Rehabil ; 2024 Mar 25.
Article en En | MEDLINE | ID: mdl-38526764
ABSTRACT

PURPOSE:

To address the current lack of information about work-related factors for individuals with whiplash-associated disorders (WAD) we investigated the effectiveness of 3 months of neck-specific rehabilitation with internet support in combination with four physiotherapy visits (NSEIT) compared to the same exercises performed twice a week (24 times) at a physiotherapy clinic (NSE).

METHODS:

This is a prospective, multicentre, randomised controlled trial regarding secondary outcomes of work-related factors in 140 individuals with chronic moderate/severe WAD with 3- and 15-month follow-up.

RESULTS:

There were no group differences between NSE and NSEIT in the Work Ability Scale or work subscales of the Neck Disability Index, Whiplash Disability Questionnaire or Fear Avoidance Beliefs Questionnaire (FABQ-work). Both groups improved in all work-related outcome measures, except for FABQ-work after the 3-month intervention and results were maintained at the 15-month follow-up.

CONCLUSIONS:

Despite fewer physiotherapy visits for the NSEIT group, there were no group differences between NSEIT and NSE, with improvements in most work-related measures maintained at the 15-month follow-up. The results of the present study are promising for those with remaining work ability problems after a whiplash injury. Protocol registered before data collection started clinicaltrials.gov NCT03022812.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Occup Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Occup Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Países Bajos