Effectiveness of a Home-based Cervical Motor Control Exercise Programme Versus Conventional Manual Therapy in Patients With Post-whiplash Neck Pain.
NCT ID: NCT07324811
Last Updated: 2026-01-08
Study Results
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Basic Information
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COMPLETED
NA
80 participants
INTERVENTIONAL
2025-01-10
2025-09-10
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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home-based cervical motor control exercise programme
home-based cervical motor control exercise programme monitored by physiotherapists
home-based cervical motor control exercise programme
home-based programme of active cervical motor control exercises supervised by physiotherapists
conventional physiotherapy treatment
Conventional physiotherapy treatment including passive therapies (manual therapy) in the physiotherapy clinic.
conventional physiotherapy treatment
Conventional physiotherapy treatment with passive therapy (manual therapy) carried out in a physiotherapy clinic.
Interventions
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home-based cervical motor control exercise programme
home-based programme of active cervical motor control exercises supervised by physiotherapists
conventional physiotherapy treatment
Conventional physiotherapy treatment with passive therapy (manual therapy) carried out in a physiotherapy clinic.
Eligibility Criteria
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Inclusion Criteria
* 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
* 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.
18 Years
65 Years
ALL
No
Sponsors
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Universidad Pontificia de Salamanca
OTHER
Responsible Party
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Jorge Velazquez
Principal Investigator
Locations
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Universidad Pontificia de Salamanca
Salamanca, , Spain
Countries
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References
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Randlov A, Ostergaard M, Manniche C, Kryger P, Jordan A, Heegaard S, Holm B. Intensive dynamic training for females with chronic neck/shoulder pain. A randomized controlled trial. Clin Rehabil. 1998 Jun;12(3):200-10. doi: 10.1191/026921598666881319.
Jordan A, Bendix T, Nielsen H, Hansen FR, Host D, Winkel A. Intensive training, physiotherapy, or manipulation for patients with chronic neck pain. A prospective, single-blinded, randomized clinical trial. Spine (Phila Pa 1976). 1998 Feb 1;23(3):311-8; discussion 319. doi: 10.1097/00007632-199802010-00005.
Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH, Vernon H. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine (Phila Pa 1976). 2001 Apr 1;26(7):788-97; discussion 798-9. doi: 10.1097/00007632-200104010-00020.
Kjellman GV, Skargren EI, Oberg BE. A critical analysis of randomised clinical trials on neck pain and treatment efficacy. A review of the literature. Scand J Rehabil Med. 1999 Sep;31(3):139-52. doi: 10.1080/003655099444489.
Other Identifiers
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00043
Identifier Type: -
Identifier Source: org_study_id
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