Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 16317
  Title Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol
Journal J Manipulative Physiol Ther. 2003 Sep;26(7):412-420
Peer Review Yes
Publication Type Randomized Controlled Trial
Abstract/Notes 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.

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