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Neck-specific exercise improves impaired interactions between ventral neck muscles in chronic whiplash: A randomized controlled ultrasound study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Linköping Univ, Dept Med & Hlth Sci, Linköping, Sweden.ORCID iD: 0000-0003-2492-0306
Umea Univ, Dept Chem, Computat Life Sci Cluster CLiC, Umea, Sweden.
Umea Univ, Dept Chem, Computat Life Sci Cluster CLiC, Umea, Sweden.
Linköping Univ, Dept Med & Hlth Sci, Linköping, Sweden.
2018 (English)In: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 8, article id 9649Article in journal (Refereed) Published
Abstract [en]

Chronic pain and disability is common in whiplash-associated disorders (WAD), leading to personal suffering, sick leave, and social cost. The cervical spine is heavily dependent on muscular support and whiplash injury can cause damage to the neck muscles, but diagnostic tools to measure neck muscle impairment and evaluate exercise interventions are lacking. Therefore, the present study investigated ventral neck muscle interactions in 26 individuals with chronic WAD randomized to neck-specific exercise (NSE) or remaining on a waiting list (WL) in 3 months. We performed real-time, non-invasive ultrasound measurements with speckle tracking analysis and calculated the deformation area and deformation rate in three ventral neck muscles. Multivariate statistics were used to analyse interactions between the muscles. After 3 months of NSE, significant improvements were observed in neck muscle interactions and pain intensity in the NSE group compared to the WL group. Thus, this study demonstrates that non-invasive ultrasound can be a diagnostic tool for muscle impairment and used to evaluate exercise interventions in WAD and stands to make a breakthrough for better management in chronic WAD.

Place, publisher, year, edition, pages
NATURE PUBLISHING GROUP , 2018. Vol. 8, article id 9649
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Physiotherapy
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URN: urn:nbn:se:uu:diva-360009DOI: 10.1038/s41598-018-27685-7ISI: 000436078500012PubMedID: 29941911OAI: oai:DiVA.org:uu-360009DiVA, id: diva2:1247873
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Swedish Research CouncilAvailable from: 2018-09-13 Created: 2018-09-13 Last updated: 2020-01-31Bibliographically approved

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