Active Intervention in Patients with Whiplash-Associated Disorders Improves Long-Term Prognosis: A Randomized Controlled Clinical Trial

  title={Active Intervention in Patients with Whiplash-Associated Disorders Improves Long-Term Prognosis: A Randomized Controlled Clinical Trial},
  author={Mark S. Rosenfeld and Aris Seferiadis and Jane Y. Carlsson and Ronny K Gunnarsson},
Study Design. Three-year follow-up of a prospective randomized trial in 97 patients exposed to whiplash trauma in motor vehicle collisions. Objectives. To compare the long-term efficacy of active intervention with that of standard intervention and the effect of early versus delayed initiation of intervention. Summary of Background Data. There is no strong evidence for many treatments for whiplash-associated disorders. Some studies provide weak evidence supporting active intervention. Method… 
Active Involvement and Intervention in Patients Exposed to Whiplash Trauma in Automobile Crashes Reduces Costs: A Randomized, Controlled Clinical Trial and Health Economic Evaluation
For patients exposed to whiplash trauma in a motor vehicle collision, an active involvement and intervention were both less costly and more effective than a standard intervention.
Neck Collar, “Act-as-Usual” or Active Mobilization for Whiplash Injury?: A Randomized Parallel-Group Trial
Immobilization, “act-as-usual,” and mobilization had similar effects regarding prevention of pain, disability, and work capability 1 year after a whiplash injury.
Grade II whiplash injuries to the neck: what is the benefit for patients treated by different physical therapy modalities?
Data show that active physical therapy results in enhanced pain reduction and shortening of post-injury disability, and should be considered the treatment of choice in patients with QTF grade II whiplash injuries.
Does Early Management of Whiplash-Associated Disorders Assist or Impede Recovery?
The epidemiological evidence on the effectiveness of early rehabilitation on health outcomes for patients with whiplash-associated disorders and from a sociological perspective how the medicalization of this condition may have contributed to increasing its burden on disability are described.
Simple educational intervention to improve the recovery from acute whiplash: results of a randomized, controlled trial.
  • R. Ferrari, B. Rowe, A. Russell
  • Medicine
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
  • 2005
An evidence-based educational pamphlet provided to patients at discharge from the emergency department is no more effective than usual care for patients with grade 1 or 2 whiplash-associated disorder.
The effectiveness of a supervised physical training model tailored to the individual needs of patients with whiplash-associated disorders - a randomized controlled trial
The results showed that supervised training was significantly more favourable than home training, with a more rapid improvement in self-efficacy, fear of movement/(re)injury and pain disability at three months, and improvements were partly maintained at nine months, even though there was no amelioration in pain and physical disorders.
Physiotherapy and management in early whiplash-associated disorders (WAD) – A review
An appropriate and effective physiotherapy in the early WAD management should comprise pain relief, home exercises to maintain cervical movement, posture and coping strategies to handle disability due to neck pain and outcome follow-up.
What Factors Have Influence on Persistence of Neck Pain After a Whiplash?
Findings indicate that factors that allow patients at risk for poor recovery are age, dizziness, and initial evaluation of neck pain with VAS and cervical column functionality with NPH.
A Randomized Controlled Trial of an Educational Intervention to Prevent the Chronic Pain of Whiplash Associated Disorders Following Rear-End Motor Vehicle Collisions
The presence of persistent WAD symptoms following simple rear-end MVCs was high in this sample and the video group demonstrated a trend toward less severe Wad symptoms, which is recommended to recommend other educational interventions that could reduce WAD Symptoms.


Early Intervention in Whiplash-Associated Disorders: A Comparison of Two Treatment Protocols
In patients with whiplash-associated disorders caused by a motor vehicle collision treatment with frequently repeated active submaximal movements combined with mechanical diagnosis and therapy is more effective in reducing pain than a standard program of initial rest, recommended use of a soft collar, and gradual self-mobilization.
Acute Treatment of Whiplash Neck Sprain Injuries: A Randomized Trial of Treatment During the First 14 Days After a Car Accident
The outcome was better for patients who were encouraged to continue engaging in their normal, pre‐injury activities as usual than for patients Who took sick leave from work and who were immobilized during the first 14 days after the neck sprain injury.
The Efficacy of Conservative Treatment in Patients With Whiplash Injury: A Systematic Review of Clinical Trials
It appears that “rest makes rusty,” whereas active interventions have a tendency to be more effective in patients with whiplash injury, and active treatments show a beneficial long-term effect on at least one of the primary outcome measures.
The role of physiotherapy in the management of acute neck sprains following road-traffic accidents.
71 patients who received out-patient physiotherapy were shown to have significant improvement in severity of neck pain and cervical movement at 1 and 2 months post-injury when compared with 33 Patients who received analgesia and a cervical collar.
Can Chronic Disability Be Prevented?: A Randomized Trial of a Cognitive-Behavior Intervention and Two Forms of Information for Patients With Spinal Pain
It is demonstrated that a cognitive-behavior group intervention can lower the risk of a long-term disability developing, and underscores the significance of early interventions that specifically aim to prevent chronic problems.
Clinical Practice Guideline for the Physiotherapy of Patients With Whiplash-Associated Disorders
A guideline to assist physiotherapists in decision making and to improve the efficacy and uniformity of care for patients with whiplash-associated disorders to reflect the current state of knowledge of the effective and appropriate physiotherapy inWhiplash patients.
Early mobilization of acute whiplash injuries.
A randomised study in 61 patients comparing the standard treatment with an alternative regimen of early active mobilisation for acute whiplash injuries showed that eight weeks after the accident the degree of improvement seen in the actively treated group compared with the group given standard treatment was significantly greater.
Impaired Cognitive Functioning After Whiplash Injury of the Cervical Spine
Findings from previous research regarding cognitive functioning of patients with whiplash show a fair rate of recovery, which parallels recovery from trauma-related somatic symptoms and current research does not indicate disturbances in higher cognitive functions afterWhiplash.
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Back-pain patients with onset in the preceding 1–10 days and comparable on a back examination were randomly assigned to traditional management (A regimen) and behavioral treatment methods (B
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The results suggest that, at the earliest stage of low back pain, fear of pain should be identified by clinicians and, where this is severe, pain confrontation should arguably form part of the approach to treatment.