Dry needling and exercise for chronic whiplash: a randomised controlled trial

Michele Sterling, Stephanie Valentin, Bill Vicenzino, Tina Souvlis, Luke B Connelly

Research output: Contribution to journalArticle

Abstract

Background
Chronic whiplash is a common and costly problem. Sensory hypersensitivity is a feature of chronic whiplash that is associated with poor responsiveness to physical treatments such as exercise. Modalities such as dry-needling have shown some capacity to modulate sensory hypersensitivity, suggesting that when combined with advice and exercise, such an approach may be more effective in the management of chronic whiplash. The primary aim of this project is to investigate the effectiveness of dry-needling, advice and exercise for chronic whiplash.
Method/Design
A double-blind randomised controlled trial will be conducted. 120 participants with chronic whiplash, grade II will be randomised to receive either 1) dry-needling, advice and exercise or 2) sham dry-needling, advice and exercise. All participants will receive an educational booklet on whiplash. Participants who are randomised to Group 1 will receive 6 treatments of combined dry-needling and exercise delivered in the first 3 weeks of the 6 week program, and 4 treatments of exercise only in the last 3 weeks of the program. Participants randomised to Group 2 will receive an identical protocol, except that a sham dry-needling technique will be used instead of dry-needling. The primary outcome measures are the Neck Disability Index (NDI) and participants' perceived recovery. Outcomes will be measured at 6, 12, 24 and 52 weeks after randomization by an assessor who is blind to the group allocation of the participants. In parallel, an economic analysis will be conducted.
Discussion
This trial will utilise high quality trial methodologies in accordance with CONSORT guidelines. The successful completion of this trial will provide evidence of the effectiveness and cost-effectiveness of a combined treatment approach for the management of chronic whiplash.
Original languageEnglish
Article number160
JournalBMC Musculoskeletal Disorders
Volume10
DOIs
Publication statusPublished - 18 Dec 2009
Externally publishedYes

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Hypersensitivity
Randomized Controlled Trials
Pamphlets
Random Allocation
Double-Blind Method
Cost-Benefit Analysis
Neck
Economics
Outcome Assessment (Health Care)
Guidelines

Cite this

Sterling, Michele ; Valentin, Stephanie ; Vicenzino, Bill ; Souvlis, Tina ; Connelly, Luke B. / Dry needling and exercise for chronic whiplash : a randomised controlled trial. In: BMC Musculoskeletal Disorders. 2009 ; Vol. 10.
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Dry needling and exercise for chronic whiplash : a randomised controlled trial. / Sterling, Michele; Valentin, Stephanie; Vicenzino, Bill; Souvlis, Tina; Connelly, Luke B.

In: BMC Musculoskeletal Disorders, Vol. 10, 160, 18.12.2009.

Research output: Contribution to journalArticle

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AU - Sterling, Michele

AU - Valentin, Stephanie

AU - Vicenzino, Bill

AU - Souvlis, Tina

AU - Connelly, Luke B

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AB - BackgroundChronic whiplash is a common and costly problem. Sensory hypersensitivity is a feature of chronic whiplash that is associated with poor responsiveness to physical treatments such as exercise. Modalities such as dry-needling have shown some capacity to modulate sensory hypersensitivity, suggesting that when combined with advice and exercise, such an approach may be more effective in the management of chronic whiplash. The primary aim of this project is to investigate the effectiveness of dry-needling, advice and exercise for chronic whiplash.Method/DesignA double-blind randomised controlled trial will be conducted. 120 participants with chronic whiplash, grade II will be randomised to receive either 1) dry-needling, advice and exercise or 2) sham dry-needling, advice and exercise. All participants will receive an educational booklet on whiplash. Participants who are randomised to Group 1 will receive 6 treatments of combined dry-needling and exercise delivered in the first 3 weeks of the 6 week program, and 4 treatments of exercise only in the last 3 weeks of the program. Participants randomised to Group 2 will receive an identical protocol, except that a sham dry-needling technique will be used instead of dry-needling. The primary outcome measures are the Neck Disability Index (NDI) and participants' perceived recovery. Outcomes will be measured at 6, 12, 24 and 52 weeks after randomization by an assessor who is blind to the group allocation of the participants. In parallel, an economic analysis will be conducted.DiscussionThis trial will utilise high quality trial methodologies in accordance with CONSORT guidelines. The successful completion of this trial will provide evidence of the effectiveness and cost-effectiveness of a combined treatment approach for the management of chronic whiplash.

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