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Table 2 Implementation component

From: Evaluation of implementation and effectiveness of neck-specific exercise for persistent disability and pain after whiplash injury: study protocol for a randomized controlled study using a hybrid 2 design

Implementation education

Content

Lecture 1

• Introduction to the neuromuscular function of the neck

• Current evidence for exercise in neck pain and WAD

• Results of the previous two RCTs regarding NSEIT and NSE

• Information about the progression of the exercise program

Lecture 2

• The whiplash injury mechanism and causes of general neck pain

• Relevant musculoskeletal anatomy and function

• Biopsychosocial factors in persisting pain

• Neurophysiological and neurobiological processes underlying chronic pain

• Strategies for dealing with neck pain relapse

• Theoretical base for the medical history and clinical examination

• How to measure neck muscle endurance and clinical signs of neuromuscular neck dysfunction.

Lecture 3

• Information on how to use the internet-based program

• Practical training in the use of NSEIT in the test version

Practical training

• Face-to-face meeting with physiotherapists at the clinic

• Practical training in clinical examination of neuromuscular dysfunction and neck muscle endurance

• Practical training in neck-specific exercise

Workshop 1

• Discussion regarding difficulties experienced in using NSEIT/NSE and to share information with other physiotherapists; for example, regarding the progression of the exercises and patients with sustained pain.

Workshop 2

• Discussion regarding difficulties experienced in using NSEIT/NSE and to share information with other physiotherapists; for example, regarding the progression of the exercises and patients with sustained pain.