Flemming Winther Bach

Neck collar, "act-as-usual" or active mobilization for whiplash injury? A randomized parallel-group trial

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Neck collar, "act-as-usual" or active mobilization for whiplash injury? A randomized parallel-group trial. / Kongsted, Alice; Montvilas, Erisela Qerama; Kasch, Helge; Bendix, Tom; Bach, Flemming Winther; Korsholm, Lars; Jensen, Troels Staehelin.

I: Spine, Bind 32, 2007, s. 618-626.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{242eafc0337211dcbee902004c4f4f50,
title = "Neck collar, {"}act-as-usual{"} or active mobilization for whiplash injury? A randomized parallel-group trial",
abstract = "Study Design. Randomized, parallel-group trial. Objective. To compare the effect of 3 early intervention strategies following whiplash injury. Summary of Background Data. Long-lasting pain and disability, known as chronic whiplash-associated disorder (WAD), may develop after a forced flexion-extension trauma to the cervical spine. It is unclear whether this, in some cases disabling, condition can be prevented by early intervention. Active interventions have been recommended but have not been compared with information only. Methods. Participants were recruited from emergency units and general practitioners within 10 days after a whiplash injury and randomized to: 1) immobilization of the cervical spine in a rigid collar followed by active mobilization, 2) advice to {"}act-as-usual,{"} or 3) an active mobilization program (Mechanical Diagnosis and Therapy). Follow-up was carried out after 3, 6, and 12 months postinjury. Treatment effect was measured in terms of headache and neck pain intensity (0-10), disability, and work capability. Results. A total of 458 participants were included. At the 1-year follow-up, 48{\%} of participants reported considerable neck pain, 53{\%} disability, and 14{\%} were still sick listed at 1 year follow-up. No significant differences were observed between the 3 interventions group. Conclusion. Immobilization, {"}act-as-usual,{"} and mobilization had similar effects regarding prevention of pain, disability, and work capability 1 year after a whiplash injury.",
author = "Alice Kongsted and Montvilas, {Erisela Qerama} and Helge Kasch and Tom Bendix and Bach, {Flemming Winther} and Lars Korsholm and Jensen, {Troels Staehelin}",
year = "2007",
language = "English",
volume = "32",
pages = "618--626",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams & Wilkins",

}

RIS

TY - JOUR

T1 - Neck collar, "act-as-usual" or active mobilization for whiplash injury? A randomized parallel-group trial

AU - Kongsted, Alice

AU - Montvilas, Erisela Qerama

AU - Kasch, Helge

AU - Bendix, Tom

AU - Bach, Flemming Winther

AU - Korsholm, Lars

AU - Jensen, Troels Staehelin

PY - 2007

Y1 - 2007

N2 - Study Design. Randomized, parallel-group trial. Objective. To compare the effect of 3 early intervention strategies following whiplash injury. Summary of Background Data. Long-lasting pain and disability, known as chronic whiplash-associated disorder (WAD), may develop after a forced flexion-extension trauma to the cervical spine. It is unclear whether this, in some cases disabling, condition can be prevented by early intervention. Active interventions have been recommended but have not been compared with information only. Methods. Participants were recruited from emergency units and general practitioners within 10 days after a whiplash injury and randomized to: 1) immobilization of the cervical spine in a rigid collar followed by active mobilization, 2) advice to "act-as-usual," or 3) an active mobilization program (Mechanical Diagnosis and Therapy). Follow-up was carried out after 3, 6, and 12 months postinjury. Treatment effect was measured in terms of headache and neck pain intensity (0-10), disability, and work capability. Results. A total of 458 participants were included. At the 1-year follow-up, 48% of participants reported considerable neck pain, 53% disability, and 14% were still sick listed at 1 year follow-up. No significant differences were observed between the 3 interventions group. Conclusion. Immobilization, "act-as-usual," and mobilization had similar effects regarding prevention of pain, disability, and work capability 1 year after a whiplash injury.

AB - Study Design. Randomized, parallel-group trial. Objective. To compare the effect of 3 early intervention strategies following whiplash injury. Summary of Background Data. Long-lasting pain and disability, known as chronic whiplash-associated disorder (WAD), may develop after a forced flexion-extension trauma to the cervical spine. It is unclear whether this, in some cases disabling, condition can be prevented by early intervention. Active interventions have been recommended but have not been compared with information only. Methods. Participants were recruited from emergency units and general practitioners within 10 days after a whiplash injury and randomized to: 1) immobilization of the cervical spine in a rigid collar followed by active mobilization, 2) advice to "act-as-usual," or 3) an active mobilization program (Mechanical Diagnosis and Therapy). Follow-up was carried out after 3, 6, and 12 months postinjury. Treatment effect was measured in terms of headache and neck pain intensity (0-10), disability, and work capability. Results. A total of 458 participants were included. At the 1-year follow-up, 48% of participants reported considerable neck pain, 53% disability, and 14% were still sick listed at 1 year follow-up. No significant differences were observed between the 3 interventions group. Conclusion. Immobilization, "act-as-usual," and mobilization had similar effects regarding prevention of pain, disability, and work capability 1 year after a whiplash injury.

M3 - Journal article

VL - 32

SP - 618

EP - 626

JO - Spine

JF - Spine

SN - 0362-2436

ER -