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

NCT01547624 | Completed DMC

• 1 other identifier: Ultrasound on neck muscles WAD
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Whiplash Associated Disorder

Keywords

Neck; Spine; Muscles; Activity; Coordination

Outcome Measures

Primary Outcomes (1)

• Speckle tracking analysis of muscle function

  Measured with medical ultrasonography

  Baseline and at 3 and 6 months follow-up. The outcome measure is going to report a change over time.

Secondary Outcomes (17)

• Background data

  Baseline

• Symptom satisfaction

  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)

  Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.

• Dizziness/ unsteadiness on visual analogue scale

  Baseline and at 3 month follow-up. The outcome measure is going to report a change over time.

• Pain distribution on drawing

  Baseline and at 3 months follow-up. The outcome measure is going to report a change over time.

Study Arms (3)

Neck Specific exercises

EXPERIMENTAL

3 months of neck specific exercises for 30 patients.

Other: Neck specific exercises

Waiting list

NO INTERVENTION

Thirty patients on the waiting list for 3 month before they have their intervention

Healthy controls

NO INTERVENTION

Forty healthy controls. Comparisons between forty included WAD patients and 40 healthy controls matched for age and gender will be investigated at baseline.

Interventions

Neck specific exercises OTHER

Neck specific exercises 2 times/week for 3 month at a physiotherapist. Home exercises.

Also known as: Physiotherapy with neck specific exercises

Neck Specific exercises

Eligibility Criteria

• Age: 18 Years - 63 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

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

You may not qualify if:

• 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

Sponsors & Collaborators

• Linkoeping University: lead

Study Sites (1)

Anneli Peolsson

Linköping, Östergötland County, SE-58183, Sweden

Location

Related Publications (2)

• Peolsson A, Landen Ludvigsson M, Tigerfors AM, Peterson G. Effects of Neck-Specific Exercises Compared to Waiting List for Individuals With Chronic Whiplash-Associated Disorders: A Prospective, Randomized Controlled Study. Arch Phys Med Rehabil. 2016 Feb;97(2):189-95. doi: 10.1016/j.apmr.2015.10.087. Epub 2015 Oct 26.

  PMID: 26514296 DERIVED

• Landen Ludvigsson M, Peterson G, Jull G, Trygg J, Peolsson A. Mechanical properties of the trapezius during scapular elevation in people with chronic whiplash associated disorders--A case-control ultrasound speckle tracking analysis. Man Ther. 2016 Feb;21:177-82. doi: 10.1016/j.math.2015.07.009. Epub 2015 Aug 5.

  PMID: 26277485 DERIVED

MeSH Terms

Conditions

Motor Activity

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Anneli Peolsson, Assoc. Prof.

  Linkoeping University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof., PhD, MSC PT

Study Record Dates

• First Submitted: February 28, 2012
• First Posted: March 8, 2012
• Study Start: February 1, 2011
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: March 13, 2017

Record last verified: 2017-03

Locations

SE (1)