Neck pain is fourth among the most common conditions worldwide associated with longer periods
of living with disability. Annually, about 30 000 people in Sweden undergo a whiplash trauma
(WAD), and half of those individuals will develop chronic problems with high costs for the
individual and society. Evidence for chronic WAD treatment is scarce, although neck-specific
training at a physiotherapy clinic (2 times a week for 3 months) has demonstrated good
results. A more efficient, flexible rehabilitation with reduced waiting times and lower costs
is needed, ideally replacing lengthy on-site treatment series by health care providers.
Internet-based care has proven to be a viable alternative to personal care meetings for a
variety of diseases and interventions, but studies are lacking on Internet-based
interventions for individuals with chronic neck problems. The purpose of this study is to
investigate if A) neck-specific training delivered through Internet-based care differs from
B) a longer series of treatments at a physiotherapy clinic regarding, e.g., work ability,
sick-leave and disability. This prospective, randomized study involves 140 participants.
Measurement is done at baseline, 3 months (end of treatment), and 15 months (12 months after
end of treatment in the study) and will include ratings of work ability, sick-leave, work
presenteeism, disability, pain, health, satisfaction with care, quality of life, and
cost-effectiveness. The study results may contribute to the development of a more effective
rehabilitation, flexible and equal care, shorter waiting times, increased availability and
lower costs for health care and society. The program can be implemented on a broader scale in
neck pain patients.