Implementation and Evaluation of Neck-specific Exercises (NCT05198258) | Clinical Trial Compass
CompletedNot Applicable
Implementation and Evaluation of Neck-specific Exercises
Sweden20 participantsStarted 2022-03-18
Plain-language summary
Persistent pain and disability in whiplash-associated disorders (WAD) grade II and III are common. Randomized controlled studies (RCTs) have shown promising result for neck-specific exercise (NSE) programmes in chronic WAD with clinically and statistically significant improvement in pain and disability. Neck-specific exercise with internet support (NSEIT) and four visits to a physiotherapist was non-inferior to NSE at a physiotherapist clinic 2 times a week in 12 weeks (24 visits). The aims of the proposed study are to evaluate an implementation strategy for NSE and NSEIT in primary health care and to evaluate the effectiveness of NSE and NSEIT in clinical practice.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria implementation
\- Reg. physiotherapists working in twenty physiotherapy clinics in primary health care.
Exclusion criteria implementation
\- No exclusion criterta
Inclusion criteria to evaluate the effectiveness of neck-specific exercise
* The physiotherapists will include patients ≥ 18 years with neck pain.
* Patients are required to have internet access by phone, tablet, or computer
* Be able to read and understand Swedish
Exclusion criteria:
* Physiotherapists should exclude patients with "red flags"i.e., symptoms that suggest a serious illness or spinal abnormality.
* Serious trauma to the neck and no X-ray
* Preceding neck surgery
* Osteoporosis
* Myelopathy
* History of cancer
* Unexplained weight loss
* Present fever, history of infections
* Constant and progressive non-mechanical pain
* Insidious progression of pain
* Signs of spinal cord compression (neurological examination to exclude spinal cord or cervical myelopathy such as clumsy hands, altered gait, or disturbances of sexual, bladder or sphincter function).
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Implementation - Adoption of neck-specific exercise programmes
Timeframe: Baseline to 3 and 12 months (proportions of 500 patients with neck pain from 20 physiotherapy clinics)
2
Patient Effectiveness - Neck Disability Index
Timeframe: Change from baseline to 3 months (after treatment) and 12 months follow-up