Influence of Directional Preference on Movement Coordination Deficits in Individuals With Whiplash Associated Disorders

Description

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).

Conditions

Whiplash Injury of Cervical Spine, Muscle Weakness

Study Overview

Study Details

Study overview

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).

The Influence of Directional Preference on Movement Coordination Deficits in Individuals With Whiplash Associated Disorders

Influence of Directional Preference on Movement Coordination Deficits in Individuals With Whiplash Associated Disorders

Condition
Whiplash Injury of Cervical Spine
Intervention / Treatment

-

Contacts and Locations

Tallahassee

Center for Orthopedic & Sports Physical Therapy, Tallahassee, Florida, United States, 32308

Tampa

OrthoPT Spine & Joint Specialists Clinic, Tampa, Florida, United States, 33613

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * 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.
  • * Neck pain is determined to be of non-cervical origin
  • * Malignancy/infection
  • * Presence of progressive neurological deficits
  • * Cranial or cervical vascular disorder
  • * Substance use or withdrawal
  • * Acute post cervical surgery
  • * Psychosis/psychiatric disorder/post-traumatic stress disorder
  • * Vertigo with nystagmus is present

Ages Eligible for Study

19 Years to 70 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

D'Youville College,

Jane Borgehammar, DSc, STUDY_DIRECTOR, Midwestern University

Study Record Dates

2024-12-30