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The effect of neck-specific exercise with or without a behavioral approach in chronic whiplash-associated disorders: A systematic review and meta-analysis

dc.contributor.authorCorreia, Luís
dc.contributor.authorCarvalho, Paulo
dc.contributor.authorAmaral, Luísa
dc.contributor.authorEsteves, Mário
dc.contributor.authorVilarinho, Rui
dc.contributor.authorCervaens, Mariana
dc.contributor.authorVilarinho, Rui
dc.contributor.authorCarvalho, Paulo
dc.date.accessioned2026-04-27T14:36:19Z
dc.date.available2026-04-27T14:36:19Z
dc.date.issued2025-10-27
dc.description.abstractChronic whiplash-associated disorders describe a cluster of symptoms that result from a sudden neck acceleration/deceleration movement, including pain, musculoskeletal and neurological signs, inducing functional disability. The aim of this study was to compare the effects of physiotherapy treatment based on neck-specific exercises, with or without a behavioral approach, in individuals with whiplash-associated disorders. Computerized research was performed in PubMed, PEDro, National Institute for Health and Care Excellence, and ScienceDirect to identify randomized controlled trials that evaluated the effectiveness of neck-specific exercises, with or without a behavioral approach, for chronic whiplash. For the meta-analysis, the outcomes of pain and disability were assessed. Thirteen studies were included in the systematic review, with a total of 2427 participants of both sexes, with ages between 18 and 63 years. Although interventions with a behavioral approach decreased pain and disability more significantly in 4 and 6 studies when compared to neck-specific exercises without such an approach, respectively, the meta-analysis revealed no differences between them. Although interventions for chronic whiplash-associated disorders based on neck-specific exercises with a behavioral approach seem to be more effective in reducing pain and disability, there is no quantitative difference favoring one over the other.eng
dc.identifier.citationCorreia, L., Carvalho, P., Amaral, L., Esteves, M., Vilarinho, R., & Cervaens, M. (2025). The effect of neck-specific exercise with or without a behavioral approach in chronic whiplash-associated disorders: A systematic review and meta-analysis. Muscles, 4(4), 49. https://doi.org/10.3390/muscles4040049
dc.identifier.doi10.3390/muscles4040049
dc.identifier.eissn2813-0413
dc.identifier.urihttp://hdl.handle.net/10400.22/32299
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2813-0413/4/4/49
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectNeck-specific exercises
dc.subjectBehavioral approach
dc.subjectWhiplash
dc.subjectPhysiotherapy
dc.titleThe effect of neck-specific exercise with or without a behavioral approach in chronic whiplash-associated disorders: A systematic review and meta-analysiseng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage15
oaire.citation.issue4
oaire.citation.startPage1
oaire.citation.titleMuscles
oaire.citation.volume4
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameVilarinho
person.familyNameCarvalho
person.givenNameRui
person.givenNamePaulo
person.identifier1429505
person.identifier1542485
person.identifier.ciencia-idD711-9AB4-70AE
person.identifier.ciencia-id4318-59C3-5AA4
person.identifier.orcid0000-0002-4422-8440
person.identifier.orcid0000-0002-0133-3929
person.identifier.scopus-author-id57213681595
relation.isAuthorOfPublication04db8c5d-9644-460d-b318-dbad791becbd
relation.isAuthorOfPublication80f90c1d-52b3-4b9f-90c2-631d07f5ffcf
relation.isAuthorOfPublication.latestForDiscovery04db8c5d-9644-460d-b318-dbad791becbd

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