Advice or exercise for chronic whiplash disorders? Design of a randomized controlled trial.

Advice or exercise for chronic whiplash disorders? Design of a randomized controlled trial.
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DOI:
10.1186/1471-2474-4-18
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发表时间:
2003-08-21
影响因子:
2.3
通讯作者:
Nicholas M
Nicholas M
中科院分区:
医学3区
文献类型:
--
作者:
Stewart MJ;Maher CG;Refshauge KM;Herbert RD;Bogduk N;Nicholas M

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挥鞭样损伤相关疾病(或“挥鞭样损伤”)是在社会和经济方面引起相当大的费用的常见病症。缺乏对慢性挥鞭样损伤相关疾病患者有效治疗的研究促使了本研究的设计。这项随机对照试验的主要目的是确定体力活动计划对慢性(症状持续时间> 3个月)挥鞭样损伤患者的影响。次要目的是确定疼痛严重程度、残疾程度和对运动/(再)损伤的恐惧是否可预测对体育活动计划的反应。本文介绍了一项随机对照试验的基本原理和设计,该试验旨在研究建议和个体化次极量运动计划在治疗挥鞭样损伤相关疾病中的作用。本文重点介绍了颈部扭伤和慢性疼痛领域的一项重要临床试验的设计、方法和操作方面。
Whiplash-associated disorder (or "whiplash") is a common condition incurring considerable expense in social and economic terms. A lack of research on effective therapy for patients with chronic whiplash associated disorders prompted the design of the current study. The primary aim of this randomised controlled trial is to determine the effects of a physical activity program for people with chronic (symptoms of > 3 months duration) whiplash. A secondary aim is to determine if pain severity, level of disability and fear of movement/(re)injury predict response to a physical activity program. This paper presents the rationale and design of a randomised controlled trial examining the effects of advice and individualized sub-maximal exercise programs in the treatment of whiplash associated disorders. This paper highlights the design, methods and operational aspects of a significant clinical trial in the area of whiplash and chronic pain.
DOI: 10.1056/nejm199612053352302
发表时间: 1996-12-05
影响因子: 158.5
作者:
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