Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol.
BACKGROUND: Whiplash concerns a considerable problem to health care. Available evidence from systematic reviews indicates beneficial effects of active interventions for patients with whiplash injury. In order to evaluate whether a general practitioner or a physiotherapist should provide these active...
| Publicado en: | Journal of Manipulative & Physiological Therapeutics Vol. 26; no. 7; pp. 412 - 421 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Sep2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106776605&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106776605 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01614754 8GE jtl: Journal of Manipulative & Physiological Therapeutics issn: 01614754 maglogo: N pubinfo: dt: Sep2003 vid: 26 iid: 7 pid: 1265 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 106776605 106776605 2004155544 10.1016/s0161-4754(03)00092-7 NLM12975627 106776605 ppf: 412 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol. aug: au: Scholten-Peeters GGM Verhagen AP Neeleman-van der Steen CWM Hurkmans JCA Wams RWA Oostendorp RAB affil: Investigator, Dutch National Institute of Allied Health Professions, Amersfoort, The Netherlands sug: subj: Physical Therapy Primary Health Care Whiplash Injuries Rehabilitation Whiplash Injuries Therapy Clinical Trials Conceptual Framework Data Analysis Software Data Analysis, Statistical Descriptive Statistics Female Male Multiple Regression Netherlands P-Value Patient Education Quality of Life Research Instruments Scales Two-Tailed Test Visual Analog Scaling Human Female Male ab: BACKGROUND: Whiplash concerns a considerable problem to health care. Available evidence from systematic reviews indicates beneficial effects of active interventions for patients with whiplash injury. In order to evaluate whether a general practitioner or a physiotherapist should provide these active interventions, we have designed a randomized clinical trial. OBJECTIVE: The purpose of this article is to present the design of the trial and to provide transparency into the dynamic treatment protocol used. PATIENTS: Patients with whiplash-associated disorders grade I and II who still have symptoms and disabilities 4 weeks after the accident. INTERVENTIONS: A dynamic treatment protocol consisting of 4 different subprotocols. The primary aim is to increase their activities and to improve their quality of life. Content and intensity of treatment are described.Outcome measures The primary outcome measures are pain and disability. The short-term effects are measured at 12 weeks and long-term effects at 1 year after the trauma. CONCLUSION: To date, generally the effect of one intervention compared to another intervention has been examined. In our opinion, this cannot be considered as usual care for physiotherapy or general practice. Therefore, a dynamic treatment protocol has been developed to structure the black box of usual physiotherapy and general practice treatment. The results of this trial will be available in 0.5 year. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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