Randomized controlled trial of exercise for chronic whiplash-associated disorders

Mark J. Stewart, Chris G. Maher, Kathryn M. Refshauge, Rob D. Herbert, Nikolai Bogduk and Michael Nicholas 

Whiplash-associated disorders are common and incur considerable expense in social and economic terms. There are no known effective treatments for those people whose pain and disability persist beyond 3 months. We conducted a randomized, assessor-blinded, controlled trial at two centres in Australia. All participants received 3 advice sessions. In addition the experimental group participated in 12 exercise sessions over 6 weeks. Primary outcomes were pain intensity, pain bothersomeness and function measured at 6 weeks and 12 months. The authors conclude thatiIn the short-term exercise and advice is slightly more effective than advice alone for people with persisting pain and disability following whiplash. Exercise is more effective for subjects with higher baseline pain and disability.

Pain, Volume 128, Issues 1-2, March 2007, Pages 59-68

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