Personalised treatments for acute whiplash injuries: A pilot study of nested N-of-1 trials in a multiple baseline single-case experimental design

Autor: J. Nikles, R.L. Tate, G. Mitchell, M. Perdices, J.M. McGree, C. Freeman, S. Jacob, M.W. Taing, M. Sterling
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Contemporary Clinical Trials Communications, Vol 16, Iss , Pp - (2019)
Druh dokumentu: article
ISSN: 2451-8654
DOI: 10.1016/j.conctc.2019.100480
Popis: Background: Whiplash associated disorder (WAD), a common and disabling condition, incurs huge burden and costs to Australia. Yet, current treatments for whiplash are not very effective; improved outcomes are urgently needed. Clinical guidelines recommend simple analgesia (paracetamol and non-steroidal anti-inflammatory drugs) but there have been no trials of guideline-recommended drugs. This study will investigate the effectiveness of evidence-based advice (EBA), paracetamol, naproxen, and both paracetamol and naproxen, in reducing daily neck pain and preventing chronic neck pain after whiplash injury. Methods: This study is a pilot series of multi-cycle, double-blinded, randomised N-of-1 trials, nested in a multiple baseline design. The design will comprise three baselines of 5, 8 or 11 days duration. Post enrolment, participants will be randomly assigned to one of the baselines. Fifteen participants with acute (
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