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Exercise therapy for whiplash-associated disorders : A systematic review and meta-analysis

Chrcanovic, Bruno ; Larsson, Johan LU orcid ; Malmström, Eva Maj LU ; Westergren, Hans LU and Häggman-Henrikson, Birgitta (2021) In Scandinavian Journal of Pain
Abstract

Acute as well as chronic pain syndromes are common after whiplash trauma and exercise therapy is proposed as one possible intervention strategy. The aim of the present systematic review was to evaluate the effect of exercise therapy in patients with Whiplash-Associated Disorders for the improvement of neck pain and neck disability, compared with other therapeutic interventions, placebo interventions, no treatment, or waiting list. The review was registered in Prospero (CRD42017060356) and conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A literature search in PubMed, Scopus and Cochrane from inception until January 13, 2020 was combined with a hand search to... (More)

Acute as well as chronic pain syndromes are common after whiplash trauma and exercise therapy is proposed as one possible intervention strategy. The aim of the present systematic review was to evaluate the effect of exercise therapy in patients with Whiplash-Associated Disorders for the improvement of neck pain and neck disability, compared with other therapeutic interventions, placebo interventions, no treatment, or waiting list. The review was registered in Prospero (CRD42017060356) and conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A literature search in PubMed, Scopus and Cochrane from inception until January 13, 2020 was combined with a hand search to identify eligible randomized controlled studies. Abstract screening, full text assessment and risk of bias assessment (Cochrane RoB 2.0) were conducted by two independent reviewers. The search identified 4,103 articles. After removal of duplicates, screening of 2,921 abstracts and full text assessment of 100 articles, 27 articles that reported data for 2,127 patients were included. The included articles evaluated the effect of exercise therapy on neck pain, neck disability or other outcome measures and indicated some positive effects from exercise, but many studies lacked control groups not receiving active treatment. Studies on exercise that could be included in the random-effect meta-analysis showed significant short-term effects on neck pain and medium-term effects on neck disability. Despite a large number of articles published in the area of exercise therapy and Whiplash-Associated Disorders, the current evidence base is weak. The results from the present review with meta-analysis suggests that exercise therapy may provide additional effect for improvement of neck pain and disability in patients with Whiplash-Associated Disorders.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
exercise therapy, neck pain, randomized controlled trials, rehabilitation, systematic review, whiplash injuries
in
Scandinavian Journal of Pain
publisher
Elsevier
external identifiers
  • scopus:85116139746
ISSN
1877-8860
DOI
10.1515/sjpain-2021-0064
language
English
LU publication?
yes
additional info
Funding Information: Research funding: The study was supported by grants from the Folksam Research Foundation. Publisher Copyright: © 2021 Walter de Gruyter GmbH, Berlin/Boston.
id
41186a64-9893-45b6-9b9a-045155691e97
date added to LUP
2021-10-13 19:31:12
date last changed
2021-10-15 02:24:44
@article{41186a64-9893-45b6-9b9a-045155691e97,
  abstract     = {<p>Acute as well as chronic pain syndromes are common after whiplash trauma and exercise therapy is proposed as one possible intervention strategy. The aim of the present systematic review was to evaluate the effect of exercise therapy in patients with Whiplash-Associated Disorders for the improvement of neck pain and neck disability, compared with other therapeutic interventions, placebo interventions, no treatment, or waiting list. The review was registered in Prospero (CRD42017060356) and conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A literature search in PubMed, Scopus and Cochrane from inception until January 13, 2020 was combined with a hand search to identify eligible randomized controlled studies. Abstract screening, full text assessment and risk of bias assessment (Cochrane RoB 2.0) were conducted by two independent reviewers. The search identified 4,103 articles. After removal of duplicates, screening of 2,921 abstracts and full text assessment of 100 articles, 27 articles that reported data for 2,127 patients were included. The included articles evaluated the effect of exercise therapy on neck pain, neck disability or other outcome measures and indicated some positive effects from exercise, but many studies lacked control groups not receiving active treatment. Studies on exercise that could be included in the random-effect meta-analysis showed significant short-term effects on neck pain and medium-term effects on neck disability. Despite a large number of articles published in the area of exercise therapy and Whiplash-Associated Disorders, the current evidence base is weak. The results from the present review with meta-analysis suggests that exercise therapy may provide additional effect for improvement of neck pain and disability in patients with Whiplash-Associated Disorders.</p>},
  author       = {Chrcanovic, Bruno and Larsson, Johan and Malmström, Eva Maj and Westergren, Hans and Häggman-Henrikson, Birgitta},
  issn         = {1877-8860},
  language     = {eng},
  month        = {09},
  publisher    = {Elsevier},
  series       = {Scandinavian Journal of Pain},
  title        = {Exercise therapy for whiplash-associated disorders : A systematic review and meta-analysis},
  url          = {http://dx.doi.org/10.1515/sjpain-2021-0064},
  doi          = {10.1515/sjpain-2021-0064},
  year         = {2021},
}