Vikne John, Oedegaard Arit, Laerum Even, Ihlebaek Camilla, Kirkesola Gitle
Friskvernklinikken, Asker, Norway.
J Rehabil Med. 2007 Apr;39(3):252-9. doi: 10.2340/16501977-0049.
Many patients with chronic whiplash-associated disorders have reduced neuromuscular control of the neck and head. It has been proposed that a new sling exercise therapy may promote neuromuscular control of the neck.
To compare the effects of traditional physiotherapy vs traditional physiotherapy combined with a new sling exercise therapy on discomfort and function in patients with chronic whiplash-associated disorders who have unsettled compensation claims; and to investigate possible additional effects of guided, long-term home training.
A randomized multi-centre trial with 4 parallel groups.
A total of 214 patients were assigned randomly to 4 treatment groups, and received either traditional physiotherapy with or without home training, or new sling exercise therapy with or without home training. Outcome measures were pain, disability, psychological distress, sick leave and physical tests.
A total of 171 patients (80%) completed the study. There were no important statistical or clinical differences between the groups after 4 months of treatment. There was a small statistically significant effect at 12-month follow-up in both groups with home training regarding pain during rest (p = 0.05) and reported fatigue in the final week (p = 0.02).
No statistically significant differences were found between the traditional physiotherapy group and the new sling exercise group, with or without home training. Since the groups were not compared with a control group without treatment, we cannot conclude that the studied treatments are effective for patients with whiplash-associated disorder, only that they did not differ in our study.
许多慢性挥鞭样损伤相关疾病患者的颈部和头部神经肌肉控制能力下降。有人提出一种新的悬吊运动疗法可能会促进颈部的神经肌肉控制。
比较传统物理治疗与传统物理治疗联合新的悬吊运动疗法对慢性挥鞭样损伤相关疾病且赔偿要求未解决患者的不适和功能的影响；并研究有指导的长期家庭训练可能产生的额外效果。
一项有4个平行组的随机多中心试验。
总共214名患者被随机分配到4个治疗组，接受有或无家庭训练的传统物理治疗，或有或无家庭训练的新悬吊运动疗法。结果测量指标包括疼痛、残疾、心理困扰、病假和身体测试。
共有171名患者（80%）完成了研究。治疗4个月后，各治疗组之间在统计学或临床上均无显著差异。在12个月的随访中，两组接受家庭训练的患者在静息时的疼痛（p = 0.05）和最后一周报告的疲劳感（p = 0.02）方面有较小的统计学显著效果。
无论有无家庭训练，传统物理治疗组和新悬吊运动组之间均未发现统计学上的显著差异。由于这些组未与未经治疗的对照组进行比较，我们不能得出所研究的治疗方法对挥鞭样损伤相关疾病患者有效的结论，只能得出它们在我们的研究中没有差异的结论。
