Evidence map›Paper›PMID 19954546›Full record

Trial reportBMC musculoskeletal disorders2009

A randomised clinical trial of a comprehensive exercise program for chronic whiplash: trial protocol.

Zoe A Michaleff, Chris G Maher, Gwendolen Jull, Jane Latimer, Luke B Connelly, Chung-Wei Christine Lin, Trudy Rebbeck, Michele Sterling

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Exercises for mechanical neck disorders.The Cochrane database of systematic reviews · 2015
    Pooled it
  2. Patient education for neck pain.The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Trial
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zoe A MichaleffThe George Institute for International Health, The University of Sydney, George Street, Sydney, 2000, Australia. zmichaleff@george.org.au
Chris G Maher
Gwendolen Jull
Jane Latimer
Luke B Connelly
Chung-Wei Christine Lin
Trudy Rebbeck
Michele Sterling

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhiplash is the most common injury following a motor vehicle accident. Approximately 60% of people suffer persistent pain and disability six months post injury. Two forms of exercise; specific motor relearning exercises and graded activity, have been found to be effective treatments for this condition. Although the effect sizes for these exercise programs, individually, are modest, pilot data suggest much larger effects on pain and disability are achieved when these two treatments are combined. The aim of this study is to investigate the effectiveness and cost-effectiveness of this comprehensive exercise approach for chronic whiplash. METHODS/

designA multicentre randomised controlled trial will be conducted. One hundred and seventy-six participants with chronic grade I to II whiplash will be recruited in Sydney and Brisbane, Australia. All participants will receive an educational booklet on whiplash and in addition, those randomised to the comprehensive exercise group (specific motor relearning and graded activity exercises) will receive 20 progressive and individually-tailored, 1 hour exercise sessions over a 12 week period (specific motor relearning exercises: 8 sessions over 4 weeks; graded activity: 12 sessions over 8 weeks). The primary outcome to be assessed is pain intensity. Other outcomes of interest include disability, health-related quality of life and health service utilisation. Outcomes will be measured at baseline, 14 weeks, 6 months and 12 months by an assessor who is blinded to the group allocation of the subjects. Recruitment is due to commence in late 2009. DISCUSSION: The successful completion of this trial will provide evidence on the effectiveness and cost-effectiveness of a simple treatment for the management of chronic whiplash.

trial registrationACTRN12609000825257.

Indexed as

Accidents, TrafficExercise TherapyResearch DesignAustraliaChronic DiseaseCost-Benefit AnalysisDisability EvaluationHealth Care CostsHealth ResourcesHumansPainPain ManagementPain MeasurementQuality of LifeTime FactorsTreatment Outcome

Identifiers

PMID19954546
PMCPMC2799382

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.