Evidence map›Paper›PMID 39682637›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Mobile App Intervention Increases Adherence to Home Exercise Program After Whiplash Injury-A Randomized Controlled Trial (RCT).

Blaž Barun, Zdravko Divić, Dušanka Martinović Kaliterna, Ana Poljičanin, Benjamin Benzon, Jure Aljinović

Registry-linked trialAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05704023 (Effects of a Mobile App on Adherence to Daily Exercise and Recovery After Whiplash Injury - a Randomized Controlled Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT05704023 nacompletednot on this map

Effects of a Mobile App on Adherence to Daily Exercise and Recovery After Whiplash Injury - a Randomized Controlled Trial

TypeinterventionalSponsorBlaz BarunRan2023 to 2024Enrolled68ConditionsWhiplash Injury of Cervical SpineArmsReminder to exercise
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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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

6 authors.

Blaž BarunDivision of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, 21000 Split, Croatia.ORCID 0000-0003-1143-6822
Zdravko DivićDivision of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, 21000 Split, Croatia.
Dušanka Martinović KaliternaUniversity of Split School of Medicine, 21000 Split, Croatia.
Ana PoljičaninDivision of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, 21000 Split, Croatia.
Benjamin BenzonDepartments of Anatomy, Histology and Embryology, School of Medicine, University of Split, 21000 Split, Croatia.ORCID 0000-0003-3681-8499
Jure AljinovićDivision of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, 21000 Split, Croatia.ORCID 0000-0001-9546-3777

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCan mobile app intervention via push notifications increase adherence to exercise and reduce disability and pain after a whiplash injury?

methodsA randomized controlled trial was conducted with concealed allocation, blinding of some assessors, and an intention-to-treat analysis. Participants who sustained whiplash injury at most 3 months prior were divided into active and control groups. Both groups completed a two-part physiotherapist-supervised physical therapy program (3-week break in between, ten sessions each, 5x/week). The program included TENS, therapeutic ultrasound, and exercises (breathing, ROM, deep neck flexor activation, and stretching). Both groups were encouraged to exercise at home. The active group additionally received push notifications through the mobile app once a day as a reminder to exercise. Outcomes were adherence to exercise (four-point Likert scale), physical functioning (NDI), pain intensity (VAS), perceived recovery (three-point Likert scale), work information, psychological functioning (PCS), and HRQoL (SF-12) at baseline and 6-month follow-up.

resultsAt month 6, when comparing the groups, the intervention group showed higher adherence to home exercise (3 [2-4] vs. 2 [2-4]; p = 0.005, median [IQR]) and improved HRQoL (∆SF-12) (20 [6-36] vs. 15 [9-23]; p = 0.038). Unlike the control group, the intervention group showed a significant decrease in pain catastrophizing (31%; p = 0.01). A multivariant analysis showed that mobile app intervention influenced adherence most (≈1 Likert point). The groups did not differ in NDI, pain VAS, perceived recovery, or work limitation.

conclusionsMobile app intervention increased adherence to home exercise, reduced pain catastrophizing, and increased HRQoL six months after a whiplash injury.

trial registrationClinicalTrials.gov NCT05704023.

Indexed as

adherence to exerciseNeck Disability Indexphysical therapyrandomized controlled trialwhiplash injury

Identifiers

PMID39682637
PMCPMC11640009

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Registered trials

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.