Treatment of Patients With Neck Pain After a Commuting Accident

May 3, 2025 updated by: Rubén Cuesta-Barriuso, PhD, Universidad Católica San Antonio de Murcia

Physiotherapy in the Treatment of Patients With Neck Pain After a Commuting Accident; a Retrospective Cohort Study

Introduction. Neck pain is one of the main causes of incapacity for work. The economic impact of neck pain is considerable due to the cost of medical treatment and physiotherapy. Accidents in itinere, those that occur on the way between home and the workplace, can cause pain and functional impairment.

Objective. To analyze the relationship between the time off work following accidents on the way to and from work and the type of treatment received.

Material and method. Multicenter retrospective cohort study. Data will be collected from 146 patients. The primary variable of the study will be the time on sick leave (in days), with the type of intervention received (manual therapy or not) being the dependent variable. The secondary variables, estimated as modifying or confounding, will be the intensity of the pain (visual analog scale), sex, age, occupational cervical strain, type of contract (salaried/self-employed) and the number of physiotherapy sessions received.

Study Overview

Status

Active, not recruiting

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

204

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Murcia, Spain, 33006
        • Universidad Católica San Antonio de Murcia

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Patients who have suffered a traffic accident while traveling to or from work between 2022 and 2024.

Description

Inclusion Criteria:

  • Patients of both sexes
  • Persons aged 18 to 65
  • Patients with a medical diagnosis of neck pain secondary to traffic accidents while commuting
  • Persons without a medical diagnosis of another associated pathology
  • Patients whose accident occurred between 2022 and 2024.

Exclusion Criteria:

  • Patients who have received physiotherapy treatment at another centre during the process
  • Patients who requested voluntary discharge for whatever reason.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Observational group
Data will be collected from medical records of a mutual insurance company that collaborates with the Social Security. The data will be from patients of both sexes with a medical diagnosis of neck pain secondary to traffic accidents while commuting and without a medical diagnosis of associated traffic pathology, between the years 2022 and 2024. The patients had received a physiotherapy intervention with and without manual therapy.
As this is an observational cohort study, there will be no intervention. In this study, only retrospective data will be collected for subsequent analysis. Similarly, the aim is to assess the relationship between the time on sick leave and the type of physiotherapy treatment received by patients. As this is an observational and retrospective cohort study, there is no risk derived from the development of the study for the subjects whose data form part of the study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Measurement of time off work
Time Frame: Screening visit
The dependent variable, time off work, will be measured in days.
Screening visit

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Measurement of type of intervention received
Time Frame: Screening visit
The secondary variable, type of intervention received, will be evaluated with a dichotomous coding: manual therapy or no manual therapy.
Screening visit
Measurement of pain intensity at the time of medical discharge
Time Frame: Screening visit
The secondary variable, pain intensity at the time of medical discharge, will be collected with the recording of the visual analog scale (range 0-10)
Screening visit
Measurement of the number of physiotherapy sessions received
Time Frame: Screening visit
The secondary variable, number of physiotherapy sessions received, will be measured quantitatively (in days of treatment administration). This value will be collected from the physiotherapy record
Screening visit
Measurement of the type of employment contract of the patients
Time Frame: Screening visit
The secondary variable, type of employment contract of the patients, will be collected in a dichotomous qualitative variable (salaried/self-employed)
Screening visit
Measuring the age of the patients
Time Frame: Screening visit
The secondary variable, age of the patients, will be collected in a quantitative variable of completed years (measured in days)
Screening visit
Measurement of patients' occupational cervical strain
Time Frame: Screening visit
The secondary variable, patients' cervical strain , will be collected in a qualitative variable (Yes/No) depending on the type of work of the patients, their daily work may or may not require cervical strain.
Screening visit
Measuring the gender of patients
Time Frame: Screening visit
The secondary variable, the gender of patients, will be collected in a qualitative variable (Female/Male).
Screening visit

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 22, 2025

Primary Completion (Estimated)

May 13, 2025

Study Completion (Estimated)

May 15, 2025

Study Registration Dates

First Submitted

April 14, 2025

First Submitted That Met QC Criteria

April 14, 2025

First Posted (Actual)

April 22, 2025

Study Record Updates

Last Update Posted (Actual)

May 6, 2025

Last Update Submitted That Met QC Criteria

May 3, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Itinere

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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