Effects of a Mobile App on Adherence to Daily Exercise and Recovery After Whiplash Injury - a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Change in Neck Disability Index from baseline to 6 months after the injury
研究概览
简要总结
This study investigates the effect of daily mobile app reminders to exercise in conjunction with standard physical therapy on adherence to exercise and recovery after whiplash injury of the neck. Participants will be divided into two groups, the experimental (Arm A) and control group (Arm B). Both groups will complete a standard physical therapy program under the supervision of a physiotherapist. Both groups will get illustrated home exercise programs and will be advised to continue exercising at home. In addition, the experimental group will receive one daily push notification via a mobile app to perform a daily exercise at home.
详细描述
Whiplash injury of the neck is the most common injury resulting from a traffic accident. Although most people recover completely, 30 to 50% of them develop chronic neck pain and disability. Also, long sick leaves and lower productivity at work create a burden on the healthcare system.
Conservative treatment includes exercise, physical therapy modalities such as transcutaneous electric nerve stimulation (TENS), and ultrasound therapy. Although conservative treatment is recommended, the evidence of its efficacy remains unclear. Education after the injury can be beneficial in lowering anxiety and pain.
Many studies are investigating the usefulness of mobile apps in various medical conditions. In rehabilitation medicine, apps are used to increase knowledge about different conditions, as a measurement tool, and as an intervention to increase adherence to the prescribed therapy.
After the enrollment in the study, participants will complete the two-part physical therapy program (2x10 sessions, 5times/day, 3-week break in between) under the supervision of a physiotherapist at the outpatient clinic. After completing the program, the participants will get a home exercise program, group A via mobile app, and group B via papers, and will be encouraged to continue exercising at home. Also, group A will download a mobile app, "WIapp," that was developed for this purpose and will receive one daily push notification as a reminder to perform a daily exercise at home.
The investigators hypothesize that daily reminding to exercise via mobile app can increase adherence to prescribed therapy and overall increase recovery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients who sustained whiplash injury of the neck in a car accident as drivers or co-drivers
- •diagnosed with a whiplash injury of the neck by physical and rehabilitation medicine specialist within 3 months
- •Neck Disability Index (NDI) score higher than 5 (10%)
- •possession of and ability to use a smartphone and a mobile app
- •age ≥ 18 years
- •signed written informed consent
排除标准
- •bone fracture sustained in the accident
- •spinal cord injury
- •accident in any other type of vehicle other than car
- •treatment of malignant disease in the last 5 years
- •expected non-compliance (not possible to use a smartphone because of severe mental or physical impairment)
结局指标
主要结局
Change in Neck Disability Index from baseline to 6 months after the injury
时间窗: baseline, 6 months after the injury
Physical functioning - where values from 0-8% are regarded as no disability, 10-28% mild disability, 30-48% as moderate disability, 50-68% severe disability, and 70-100% complete disability)
次要结局
- Questionnaire assessment of adherence to exercise(6 months after the injury)
- Questionnaire assessment of perceived recovery(6-months after the injury)
- Questionnaire assessment work(baseline, 6 months after the injury)
- Pain catastrophizing scale(6 months after the injury)
- Short Form Health Survey 12(6 months after the injury)
- Change in Visual Analog Scale (VAS) Pain Score from baseline to 6 months after the injury(baseline, 6 months after the injury)
- Questionnaire assessment of social functioning(6 months after the injury)
研究者
Blaz Barun
Principal Investigator
University of Split, School of Medicine