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Is E-health a Way to Increase Ability and Health and Make Health Care More Effective in Chronic Whiplash? A Prospective Randomized Controlled Multicenter Trial
Sponsor study identifier
interventional
140
1 country
1
Study Start
April 6, 2017
Actual (reported)Primary Completion
September 15, 2020
Actual (reported)Study Completion
September 15, 2020
Actual (reported)Neck pain is fourth among the most common conditions worldwide associated with longer periods of living with disability. Annually, about 30 000 people in Sweden undergo a whiplash trauma (WAD), and half of those individuals will develop chronic problems with high costs for the individual and society. Evidence for chronic WAD treatment is scarce, although neck-specific training at a physiotherapy clinic (2 times a week for 3 months) has demonstrated good results. A more efficient, flexible rehabilitation with reduced waiting times and lower costs is needed, ideally replacing lengthy on-site treatment series by health care providers. Internet-based care has proven to be a viable alternative to personal care meetings for a variety of diseases and interventions, but studies are lacking on Internet-based interventions for individuals with chronic neck problems. The purpose of this study is to investigate if A) neck-specific training delivered through Internet-based care differs from B) a longer series of treatments at a physiotherapy clinic regarding, e.g., work ability, sick-leave and disability. This prospective, randomized study involves 140 participants. Measurement is done at baseline, 3 months (end of treatment), and 15 months (12 months after end of treatment in the study) and will include ratings of work ability, sick-leave, work presenteeism, disability, pain, health, satisfaction with care, quality of life, and cost-effectiveness. The study results may contribute to the development of a more effective rehabilitation, flexible and equal care, shorter waiting times, increased availability and lower costs for health care and society. The program can be implemented on a broader scale in neck pain patients.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 15, 2020
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
December 20, 2016
Actual (reported)January 18, 2017
Actual (reported)April 6, 2017
Actual (reported)September 15, 2020
Actual (reported)September 15, 2020
Actual (reported)Neck Disability Index (NDI)
Self-reported neck-specific function
Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up
Whiplash Disability Questionnaire
Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up
Patient-specific functional scale (PSFS)
Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up
Pain intensity in neck, head, and arm and dizziness by a VAS (0-100 mm)
Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up
Distribution of pain by a pain drawing assessed with images
Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up
Frequency of pain
Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up
Background data such as age and gender
Baseline
Work Ability Index (WAI)
Change from baseline to 3 months (the end of treatment) and 15 months (1 year after study treatment is finalized) follow-up
Global rating of change scale
Change from baseline to 3 months and 15 months follow-up, measured at follow-ups
Neck-specific exercise at a physiotherapy clinic, 24 times during 12 weeks (plus an additional first visit).
Neck-specific exercise with Internet support combined with 3 visits at a physiotherapy clinic (plus an additional first visit), exercises mainly performed outside the health care system during 12 weeks.
Neck-specific exercise
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Anneli Peolsson
Linköping, 58929, Sweden
Peolsson A, Ljunggren S, Peterson G. Factors associated with 1-year health-related quality of life after neck-specific exercise in chronic whiplash-associated disorders: an exploratory secondary analysis of a randomized controlled trial. BMC Musculoskelet Disord. 2026 Oct 13;27(1):871. doi: 10.1186/s12891-026-10581-x.
Dong HJ, Peterson G, Lofgren E, Peolsson A. Analgesic use after internet-supported versus clinic-based neck-specific exercise in people with whiplash: a secondary analysis. Ann Phys Rehabil Med. 2026 Aug 4;69(7):102152. doi: 10.1016/j.rehab.2026.102152. Online ahead of print.
Anneli Peolsson, Professor
Dep. Medical and Health Sciences, Physiotherapy, Linköping University, Linköping, Sweden
Gunnel Peterson, PhD
Dep. Medical and Health Sciences, Physiotherapy, Linköping University, Linköping, Sweden
Maria Landén Ludvigsson, PhD
Dep. Medical and Health Sciences, Physiotherapy, Linköping University, Linköping, Sweden
140 participants (actual enrollment reported by the registry).
First Submitted
December 20, 2016
First Posted
January 18, 2017
Study Start
April 6, 2017
Actual (reported)Contact the study team to confirm eligibility.
Zetterberg H, Boersma K, Peolsson A, Peterson G. Efficacy of neck-specific exercises with and without internet-based support on psychological factors in chronic whiplash-associated disorders: secondary analyses of a randomized controlled trial. Pain Med. 2026 Jul 1;27(7):794-803. doi: 10.1093/pm/pnaf179.
Peterson G, Ljunggren S, Peolsson A. Factors Related to Pain and Disability Outcomes After an Internet-Delivered or Physiotherapist-Led Exercise Program for Individuals With Chronic Whiplash Symptoms: Secondary Analysis of a Randomized Controlled Study. JMIR Hum Factors. 2025 May 30;12:e67991. doi: 10.2196/67991.
Dalal K, Peterson G, Peolsson A. Health related quality of life (HRQOL) from the perspective of patients with chronic whiplash-associated disorders (WAD) in Sweden. BMC Musculoskelet Disord. 2025 Feb 14;26(1):154. doi: 10.1186/s12891-025-08397-2.
Peolsson A, Wirqvist S, Kammerlind AS, Peterson G. Effectiveness of neck-specific exercises with and without internet-based support on dizziness/unsteadiness in chronic whiplash-associated disorders: Secondary analyses of a randomised controlled trial. PLoS One. 2024 Oct 7;19(10):e0311145. doi: 10.1371/journal.pone.0311145. eCollection 2024.
Peolsson A, Nilsing Strid E, Peterson G. 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. J Occup Rehabil. 2024 Dec;34(4):873-883. doi: 10.1007/s10926-024-10176-0. Epub 2024 Mar 25.
Peterson G, Peolsson A. Efficacy of Neck-Specific Exercise With Internet Support Versus Neck-Specific Exercise at a Physiotherapy Clinic in Chronic Whiplash-Associated Disorders: Multicenter Randomized Controlled Noninferiority Trial. J Med Internet Res. 2023 Jun 20;25:e43888. doi: 10.2196/43888.
Peolsson A, Landen Ludvigsson M, Peterson G. Neck-specific exercises with internet-based support compared to neck-specific exercises at a physiotherapy clinic for chronic whiplash-associated disorders: study protocol of a randomized controlled multicentre trial. BMC Musculoskelet Disord. 2017 Dec 12;18(1):524. doi: 10.1186/s12891-017-1853-1.
Primary Completion
September 15, 2020
Actual (reported)Study Completion
September 15, 2020
Actual (reported)Last Updated
February 17, 2021
Record last verified: 2021-02
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Source: ClinicalTrials.gov.
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