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

Status unconfirmed

Conditions studied: Whiplash Injury of Cervical Spine, Muscle Weakness

In brief

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).

Key facts

Study ID

NCT06143228

Run by

D'Youville College

People needed

65

Starts

2023-12-30

Expected to finish

2024-12-30

Last updated by the study team

2024-02-22

Who can join

Age: 19 and older, up to 70. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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

Where it is running

• Center for Orthopedic & Sports Physical Therapy — Tallahassee, Florida, United States (enrolling)
• OrthoPT Spine & Joint Specialists Clinic — Tampa, Florida, United States (enrolling)

Full record on ClinicalTrials.gov

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