The Influence of Directional Preference on Movement Coordination Deficits in Individuals With Whiplash Associated Disorders
Status: Recruiting
Location: See all (2) locations...
Study Type: Observational
SUMMARY
The aim of this prospective observational study is to investigate whether the presence or absence of directional preference impacts movement coordination impairments as measured in patients with Whiplash Associated Disorders (WAD). The primary research question this study aims to answer is: 1\. Is the presence of directional preference in patients with WADs associated with more favorable improvements in the specific outcome measures as compared to those patients with WADs without the presence of directional preference. Patients in this study will asked to complete the following measures at baseline, during care, discharge, and 3 month follow up. 1. Numeric Pain Rating Scale (NPRS) 2. Optimal Screening for Prediction and Referral and Outcome-Yellow Flag (OSPRO-YF) 3. Neck Disability Index (NDI) 4. Craniocervical Flexion Test (CCFT) 5. Neck Flexor Endurance Test 6. Cervical Range of Motion Patients demonstrating a directional preference will be managed utilizing a Mechanical Diagnosis and Treatment approach (MDT) while those without directional preference will be managed according to published clinical practice guidelines for patients with Neck Pain and Movement Coordination Deficits (WADs).
Eligibility
Participation Requirements
Sex: All
Minimum Age: 19
Maximum Age: 70
Healthy Volunteers: t
View:
• Age 19-70
• Symptom complaints are related to a motor vehicle collision or trauma.
• Pain presents as unilateral or bilateral head/neck, upper back, or arm pain and/or stiffness
• Patient has been previously screened by their MD and received appropriate imaging to rule out the possibility of cervical fracture.
Locations
United States
Florida
Center for Orthopedic & Sports Physical Therapy
RECRUITING
Tallahassee
OrthoPT Spine & Joint Specialists Clinic
RECRUITING
Tampa
Contact Information
Primary
Eric Miller, DSc
millere@dyc.edu
7169129046
Backup
Jane Borgehammar, DSc
jborge@midwestern.edu
6309368001
Time Frame
Start Date:2023-12-30
Estimated Completion Date:2024-12-30
Participants
Target number of participants:65
Treatments
Whiplash Associated Disorder with Directional Preference
Movements that reduce, abolish, or centralize the patient symptoms are recognized as a directional preference. Directional preference is ultimately used to guide the treatment of neck pain related to derangement syndrome.If the patient neck impairments are related to a Derangement syndrome, the patient will be instructed to perform the movements in the identified directional preference every 2-3 hours for 10-12 repetitions or to hold the cervical spine in a sustained position for 1-2 minutes. If the response to the intervention plateaus, the exercise intensity is progressed through the application of patient self-overpressure. If warranted clinician overpressure and mobilization may be utilized as a progression beyond patient generated forces. to achieve a favorable response.
Whiplash Associated Disorder without Direction Preference
Patients with WADs that do not demonstrate directional preference will be managed based on the published Clinical Practice Guidelines (2017) for management of WADs with related movement coordination deficits. Treatment and progression of care for this group will be determined by the treating therapist but will consist of education, multimodal care inclusive of therapeutic exercise, mobilization, aerobic exercise, flexibility, and postural education. In addition, if the patient symptoms are chronic in nature treatment may include exercise progression, education and reassurance, transcutaneous nerve electrical stimulation, and cognitive behavioral therapy are recommended.