Document Detail


The best approach to the problem of whiplash? One ticket to Lithuania, please.
MedLine Citation:
PMID:  10410265     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Quebec Task Force (QTF) on Whiplash Associated Disorders (WAD)--1995--sent a clear message that we need to re-evaluate the basis for our treatment strategies, and in particular place more emphasis on research to better define these strategies. Judging by many of the clinical strategies currently in use, the Task Force recommendations seem to have been largely ignored three years later. A further compelling reason to re-evaluate our current practices at this time is the finding of much more rapid recovery rates in some cultures, even with little or no therapy. This commentary is a frank consideration of the therapeutic community's responsibility to not only help solve the dilemma of whiplash, but also avoid contributing to the problem. We thus explore a new biopsychosocial model of whiplash, considering the effects of symptom expectation, amplification, and attribution in chronic pain reporting. Based on that model we propose a treatment strategy, and conclude that such strategies provide the only viable approach to this medicolegal and social dilemma.
Authors:
R Ferrari; O Kwan; A S Russell; J M Pearce; H Schrader
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical and experimental rheumatology     Volume:  17     ISSN:  0392-856X     ISO Abbreviation:  Clin. Exp. Rheumatol.     Publication Date:    1999 May-Jun
Date Detail:
Created Date:  1999-09-02     Completed Date:  1999-09-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8308521     Medline TA:  Clin Exp Rheumatol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  321-6     Citation Subset:  IM    
Affiliation:
Department of Rheumatic Diseases, University of Alberta, Edmonton, Canada.
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MeSH Terms
Descriptor/Qualifier:
Chronic Disease
Humans
Models, Biological
Neck Pain
Patient Education as Topic
Sick Role
Whiplash Injuries* / epidemiology,  psychology,  therapy

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