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Neck Muscle Activation in Patients With Long Standing Problems After a Whiplash Trauma Registered With Ultrasound With Speckle Tracking

10 marzo 2017 aggiornato da: Anneli Peolsson, Linkoeping University
Today there is evidence for that neck specific exercises reduce neck pain problems in patients with mechanical neck pain. However, there is a lack of consensus on how to optimize neck exercises and dosages in neck rehabilitation. More knowledge is needed to determine which and how muscles are activated in exercises thought to be neck-specific. There is neither enough knowledge of differences in neck muscle activation between patients with long standing neck problems after a whiplash trauma and healthy controls nor if the neck muscle function improved with specific neck exercises. One approach would be a real time study of deformation and deformation rate in different layers of neck muscles in patients with residual long-term neck pain and disability after a whiplash trauma. The purpose of the present study was to investigate deformation and deformation rate in different layers of dorsal and ventral neck muscles (including upper and middle part of trapezius muscle) during rest and during different exercises; arm flexion until 120 degrees, repeated arm flexion until 90 degrees, low loaded neck extension, low loaded neck muscle endurance test, shoulder elevation. Forty patients with long standing (more than 6 months but less than 3 years)patients and 40 controls matched for age and gender will be included for comparisons between patients and healthy in neck muscle activation. The investigators also include 60 patients with whiplash trauma, of those 30 patients will be randomized to A. neck specific exercises in a 3 months period and B. will 30 be on a waiting list for 3 months. Measurements are performed at baseline and at 3 months follow-up. Those patients who fulfilled the 3 months period of neck specific exercises will also be asked for a 6 months follow-up.

Panoramica dello studio

Stato

Completato

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Anticipato)

60

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Svezia
    • Östergötland
      • Linköping, Östergötland, Svezia, SE-58183
        • Anneli Peolsson

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 63 anni (Adulto)

Accetta volontari sani

Sì

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • WAD II and III
  • Age 18-63 years
  • Remaining problems
  • Right handed
  • Pain on right or on both sides.

Exclusion Criteria:

  • Myelopathy
  • Earlier fracture or luxation of the cervical column, earlier neck injury
  • Spinal tumour
  • Spinal infection
  • Surgery in the cervical column
  • Malignity
  • Systemic disease or other disease or another injury contraindicated to perform the treatment program or the measurements
  • Diagnosed severe psychiatric disorder
  • Unconscious in connection to the trauma
  • Known drug abuse
  • Lack of familiarity with the Swedish language

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Diagnostico
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Neck Specific exercises
3 months of neck specific exercises for 30 patients.
Altro: Neck specific exercises
Neck specific exercises 2 times/week for 3 month at a physiotherapist. Home exercises.
Altri nomi:
  • Physiotherapy with neck specific exercises
Nessun intervento: Waiting list
Thirty patients on the waiting list for 3 month before they have their intervention
Nessun intervento: Healthy controls
Forty healthy controls. Comparisons between forty included WAD patients and 40 healthy controls matched for age and gender will be investigated at baseline.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Speckle tracking analysis of muscle function
Lasso di tempo: Baseline and at 3 and 6 months follow-up. The outcome measure is going to report a change over time.
Measured with medical ultrasonography
Baseline and at 3 and 6 months follow-up. The outcome measure is going to report a change over time.

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Background data
Lasso di tempo: Baseline
Background data of age, gender, social situation, work, work situation, sick-leave, income, pain history, debute of symptoms, about the accident, earlier treatment, other diseases or pain problems, expectations of treatment
Baseline
Symptom satisfaction
Lasso di tempo: Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.
Pain intensity on visual analogue scale (VAS)
Lasso di tempo: Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.
Symptoms in general, Neck, Arm, Headache
Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.
Dizziness/ unsteadiness on visual analogue scale
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Pain distribution on drawing
Lasso di tempo: Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.
Pain Disability Index
Lasso di tempo: Baseline and at 3 months follow-up. The outcome measure is going to report a change over time
Baseline and at 3 months follow-up. The outcome measure is going to report a change over time
Neck Disability Index
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Tampa Scale of Kinesiophobia (TSK-11 short version)
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Pain Catastrophizing Scale
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Hospital Anxiety and Depression Scale
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Euroquol
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Euroquol 5D and thermometer
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Exercise Self-Efficacy Scale
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
"How confident you are to exercise when things get in the way" Exercise self-efficacy scale is a six item scale with a five point scale (1=not at all confident and 5=completely confident).
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Self-Efficacy Scale
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
"People´s beliefs about their capabilities to produce designated levels of performance that exercise influence over events that affect their lives" Self-efficacy scale (by Altmaier) is a 20 item, 11 point scale (0=not at all confident, 10=completely confident).
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Work Ability Index
Lasso di tempo: Baseline and at 3 month follow-up. The outcome is going to report a change over time.
Baseline and at 3 month follow-up. The outcome is going to report a change over time.
Physical Activity level
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Physical Outcome Measures
Lasso di tempo: Baseline and at 3 month follow-up. The outcome is going to report a change over time.
Active range of motion of the neck, Head repositioning accuracy, hand strength, neck muscle endurance, sharpened Romberg, walking in a figure of eight, neurological examination: reflexes, sensibility and motor function
Baseline and at 3 month follow-up. The outcome is going to report a change over time.
SF-36
Lasso di tempo: Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.
Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Linkoeping University

Investigatori

  • Cattedra di studio: Anneli Peolsson, Assoc. Prof., Linkoeping University

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Pubblicazioni generali

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 febbraio 2011

Completamento primario (Effettivo)

1 dicembre 2015

Completamento dello studio (Effettivo)

1 dicembre 2015

Date di iscrizione allo studio

Primo inviato

28 febbraio 2012

Primo inviato che soddisfa i criteri di controllo qualità

4 marzo 2012

Primo Inserito (Stima)

8 marzo 2012

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

13 marzo 2017

Ultimo aggiornamento inviato che soddisfa i criteri QC

10 marzo 2017

Ultimo verificato

1 marzo 2017

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • Ultrasound on neck muscles WAD

Piano per i dati dei singoli partecipanti (IPD)

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INDECISO

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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