Comprehensive physiotherapy exercise programme or advice for chronic whiplash
In this study, a comprehensive physiotherapy exercise program was compared to an advice group for treating chronic whiplash (>3months). All participants were provided with an educational booklet about whiplash-associated disorders. In the advice group, participants received a 30 minutes consultation with a physiotherapist in which they read the educational booklet and practiced the exercises. No additional supervision was provided.
In the physiotherapy group, participants received 20 individual exercise sessions, lasting 1 hour for 12 weeks. This consisted of 4 weeks of cervical spine exercises, manual therapy techniques, and motor relearning exercises, graded activity program and aerobic exercises.
The results are based on treatment effectiveness with pain being the primary outcome. The results of this study indicate that education and advice is as effective as more costly interventions, with slight benefit (but not considered as clinically relevant) for self-reported recovery and functional ability in the exercise program. How to successfully deliver these interventions needs to be established together with affordable strategies to prevent and treat these disorders effectively. > From: Michaleff et al., Lancet (2014) (Epub ahead of print). All rights reserved to Elsevier Ltd.
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