Document Detail


A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 3 - interventions for subacute WAD.
MedLine Citation:
PMID:  21038009     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Whiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific evidence supporting their effectiveness is often lacking. A systematic review was conducted to evaluate the strength of evidence associated with various WAD therapies. Multiple databases (including Web of Science, EMBASE and PubMed) were searched to identify all studies published from January 1980 through March 2009 that evaluated the effectiveness of any clearly defined treatment for acute (less than two weeks), subacute (two to 12 weeks) or chronic (longer than 12 weeks) WAD. The present article, the third in a five-part series, evaluates the evidence for interventions initiated during the subacute phase of WAD. Thirteen studies that met the inclusion criteria were identified, six of which were randomized controlled trials with 'good' overall methodology (median Physiotherapy Evidence Database score of 6). Although some evidence was identified to support the use of interdisciplinary interventions and chiropractic manipulation, the evidence was not strong for any of the evaluated treatments. There is a clear need for further research to evaluate interventions aimed at treating patients with subacute WAD because there are currently no interventions satisfactorily supported by the research literature.
Authors:
Robert W Teasell; J Andrew McClure; David Walton; Jason Pretty; Katherine Salter; Matthew Meyer; Keith Sequeira; Barry Death
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur     Volume:  15     ISSN:  1203-6765     ISO Abbreviation:  Pain Res Manag     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-12-28     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9612504     Medline TA:  Pain Res Manag     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  305-12     Citation Subset:  IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Parkwood Hospital, London, Ontario, Canada. robert.teasell@sjhc.london.on.ca
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MeSH Terms
Descriptor/Qualifier:
Evidence-Based Medicine
Humans
Injury Severity Score
Manipulation, Chiropractic*
Neck Pain / etiology,  therapy*
Physical Therapy Modalities*
Randomized Controlled Trials as Topic
Whiplash Injuries / complications,  therapy*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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