Evidence map›Paper›PMID 42875773›Full record

Trial reportBMC musculoskeletal disorders2026

Factors associated with 1-year health-related quality of life after neck-specific exercise in chronic whiplash-associated disorders: an exploratory secondary analysis of a randomized controlled trial.

Anneli Peolsson, Stefan Ljunggren, Gunnel Peterson

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03022812 (Is E-health a Way to Increase Ability and Health and Make Health Care More Effective in Chronic Whiplash? A Prospective Randomized Controlled Multicenter Trial), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT03022812 nacompletednot on this map

Is E-health a Way to Increase Ability and Health and Make Health Care More Effective in Chronic Whiplash? A Prospective Randomized Controlled Multicenter Trial

TypeinterventionalSponsorLinkoeping UniversityRan2017 to 2020Enrolled140ConditionsWhiplash Associated DisordersArmsNeck-specific exercise
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Anneli PeolssonDepartment of Health Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden. Anneli.Peolsson@liu.se.ORCID https://orcid.org/0000-0002-6075-4432
Stefan LjunggrenOccupational and Environmental Medicine Centre, Department of Health Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-3984-3964
Gunnel PetersonDepartment of Health Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-2492-0306

Funding

Folksam foundation XXXLinköping University XXXSweden's Innovation Agency VINNOVA 2021-02244the Centre for Clinical Research Sörmland at Uppsala University DLL-736751, DLL- 854531, DLL-930399the county council of Östergötland RÖ-676261, RÖ-847691the Medical Research Council of Southeast Sweden Dnr FORSS-939838, FORSS-844451the Regional Research Council Mid Sweden 641551, 838701, 939243the Swedish Research Council/ Vetenskapsrådet VR 2018-02476The Swedish Society of Medicine SLS-688671
6 · The paper itself

Abstract

backgroundFactors associated with changes in health-related quality of life (HRQoL) outcomes in neck disorders have not been investigated after internet-based support for exercise. The purpose of the study was to investigate baseline and short-term outcome factors associated with changes in HRQoL (EQ-5D-3L and EQ-VAS) at 3 and 15 months, respectively, after a neck-specific exercise programme (NSE) for individuals with chronic whiplash-associated disorders grades 2 and 3.

methodsThis was a secondary analysis of a prospective randomized controlled multi-centre trial with concealed allocation. Participants (n = 140) were randomized to NSE at a physiotherapy clinic or internet-based NSE with four physiotherapy visits (NSEIT). Assessor-blinded investigators obtained measurements at baseline and at 3- and 15-month follow-up. Orthogonal partial least square (OPLS) and OPLS discriminant statistical analyses (OPLS-DA) were used.

resultsThere were no significant differences between the exercise programmes. Improvement in psychosocial measures, pain, disability and several objective measures were associated with improvements in HRQoL in OPLS models (R

conclusionsSeveral factors, including adverse psychosocial measures, may be clinically relevant for HRQoL after neck-specific exercise interventions. Given the models' weak predictive ability, the findings should be regarded as exploratory and hypothesis-generating.

trial registrationThe study was registered before data collection started, ClinicalTrials.gov Protocol ID: NCT03022812, initial release 12/20/2016. The study was approved by the regional ethical review board in Linköping, Sweden (Dnr 2016/135-31; 2016/526-32; 2017/45-32).

Indexed as

Exercise TherapyNeck PainQuality of LifeWhiplash InjuriesAdultChronic DiseaseFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTime FactorsTreatment OutcomeAssociationExerciseQuality of lifeRehabilitationSpineWhiplash

Identifiers

PMID42875773
PMCPMC13670587

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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.