Exercise therapy for whiplash-associated disorders : A systematic review and meta-analysis
Chrcanovic, Bruno ; Larsson, Johan LU
; Malmström, Eva Maj
LU
; Westergren, Hans
LU
and Häggman-Henrikson, Birgitta
(2022)
In Scandinavian Journal of Pain
22(2).
p.232-261
- 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.
(Less)
- author
- Chrcanovic, Bruno
; Larsson, Johan
LU
; Malmström, Eva Maj
LU
; Westergren, Hans
LU
and Häggman-Henrikson, Birgitta
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- exercise therapy, neck pain, randomized controlled trials, rehabilitation, systematic review, whiplash injuries
- in
- Scandinavian Journal of Pain
- volume
- 22
- issue
- 2
- article number
- 0064
- pages
- 232 - 261
- publisher
- Elsevier
- external identifiers
-
- pmid:34561976
- scopus:85116139746
- ISSN
- 1877-8860
- DOI
- 10.1515/sjpain-2021-0064
- language
- English
- LU publication?
- yes
- additional info
- 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
- 2025-01-13 15:18:55
@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}},
keywords = {{exercise therapy; neck pain; randomized controlled trials; rehabilitation; systematic review; whiplash injuries}},
language = {{eng}},
number = {{2}},
pages = {{232--261}},
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}},
volume = {{22}},
year = {{2022}},
}