Clinical practice guideline for the physiotherapy of patients with whiplash-associated disorders

G G M Scholten-Peeters, Geertruida E Bekkering, Arianne P Verhagen, D.A.W.M. van der Windt, K Lanser, Erik J M Hendriks, R A B Oostendorp

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

STUDY DESIGN: A clinical practice guideline. OBJECTIVES: To assist physiotherapists in decision making and to improve the efficacy and uniformity of care for patients with whiplash-associated disorders Grades I and II. SUMMARY OF BACKGROUND DATA: Whiplash constitutes a considerable problem in health care. Many interventions are used in physiotherapy practice, despite increasing evidence for the use of active interventions. There is still no clinical practice guideline for the management of patients with whiplash-associated disorders. METHOD OF DEVELOPMENT: A computerized literature search of Medline, Cinahl, Cochrane Controlled Trial Register, Cochrane Database of Systematic Reviews, and the Database of the Dutch National Institute of Allied Health Professions was performed to search for information about the diagnostic process and the therapeutic process in whiplash patients. When no evidence was available, consensus between experts was achieved to develop the guideline. Practicing physiotherapists reviewed the clinical applicability and feasibility of the guideline, and their comments were used to improve it. RECOMMENDATIONS: The diagnostic process consists of systematic history taking and a physical examination supported by reliable and valid assessment tools to document symptoms and functional disabilities. The primary goals of treatment are a quick return to normal activities and the prevention of chronicity. Active interventions such as education, exercise therapy, training of functions, and activities are recommended according to the length of time since the accident and the rate of recovery. The biopsychosocial model is used to address the consequences of whiplash trauma. CONCLUSIONS: Scientific evidence for the diagnosis and physiotherapeutic management of whiplash is sparse; therefore, consensus is used in different parts of the guideline. The guideline reflects the current state of knowledge of the effective and appropriate physiotherapy in whiplash patients. More and better research is necessary to validate this guideline in the future.
Original languageEnglish
Pages (from-to)412-422
Number of pages11
JournalSpine
Volume27
Issue number4
DOIs
Publication statusPublished - 2002

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Practice Guidelines
Guidelines
Physical Therapists
Consensus
Databases
Exercise Therapy
Health Occupations
Practice Management
National Institutes of Health (U.S.)
Physical Examination
Accidents
Decision Making
Patient Care
Teaching
Exercise
Delivery of Health Care
Education
Wounds and Injuries
Therapeutics
Research

Keywords

  • Activities of Daily Living
  • Chronic Pain -- Prevention and Control
  • Clinical Assessment Tools
  • Decision Making, Clinical
  • Functional Assessment
  • Functional Training
  • Netherlands
  • Patient Education
  • Patient History Taking
  • Physical Examination
  • Physical Therapy
  • Therapeutic Exercise
  • Whiplash Injuries -- Diagnosis
  • Whiplash Injuries -- Therapy

Cite this

Scholten-Peeters, G G M ; Bekkering, Geertruida E ; Verhagen, Arianne P ; van der Windt, D.A.W.M. ; Lanser, K ; Hendriks, Erik J M ; Oostendorp, R A B. / Clinical practice guideline for the physiotherapy of patients with whiplash-associated disorders. In: Spine. 2002 ; Vol. 27, No. 4. pp. 412-422.
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abstract = "STUDY DESIGN: A clinical practice guideline. OBJECTIVES: To assist physiotherapists in decision making and to improve the efficacy and uniformity of care for patients with whiplash-associated disorders Grades I and II. SUMMARY OF BACKGROUND DATA: Whiplash constitutes a considerable problem in health care. Many interventions are used in physiotherapy practice, despite increasing evidence for the use of active interventions. There is still no clinical practice guideline for the management of patients with whiplash-associated disorders. METHOD OF DEVELOPMENT: A computerized literature search of Medline, Cinahl, Cochrane Controlled Trial Register, Cochrane Database of Systematic Reviews, and the Database of the Dutch National Institute of Allied Health Professions was performed to search for information about the diagnostic process and the therapeutic process in whiplash patients. When no evidence was available, consensus between experts was achieved to develop the guideline. Practicing physiotherapists reviewed the clinical applicability and feasibility of the guideline, and their comments were used to improve it. RECOMMENDATIONS: The diagnostic process consists of systematic history taking and a physical examination supported by reliable and valid assessment tools to document symptoms and functional disabilities. The primary goals of treatment are a quick return to normal activities and the prevention of chronicity. Active interventions such as education, exercise therapy, training of functions, and activities are recommended according to the length of time since the accident and the rate of recovery. The biopsychosocial model is used to address the consequences of whiplash trauma. CONCLUSIONS: Scientific evidence for the diagnosis and physiotherapeutic management of whiplash is sparse; therefore, consensus is used in different parts of the guideline. The guideline reflects the current state of knowledge of the effective and appropriate physiotherapy in whiplash patients. More and better research is necessary to validate this guideline in the future.",
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Clinical practice guideline for the physiotherapy of patients with whiplash-associated disorders. / Scholten-Peeters, G G M; Bekkering, Geertruida E; Verhagen, Arianne P; van der Windt, D.A.W.M.; Lanser, K; Hendriks, Erik J M; Oostendorp, R A B.

In: Spine, Vol. 27, No. 4, 2002, p. 412-422.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Clinical practice guideline for the physiotherapy of patients with whiplash-associated disorders

AU - Scholten-Peeters, G G M

AU - Bekkering, Geertruida E

AU - Verhagen, Arianne P

AU - van der Windt, D.A.W.M.

AU - Lanser, K

AU - Hendriks, Erik J M

AU - Oostendorp, R A B

PY - 2002

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N2 - STUDY DESIGN: A clinical practice guideline. OBJECTIVES: To assist physiotherapists in decision making and to improve the efficacy and uniformity of care for patients with whiplash-associated disorders Grades I and II. SUMMARY OF BACKGROUND DATA: Whiplash constitutes a considerable problem in health care. Many interventions are used in physiotherapy practice, despite increasing evidence for the use of active interventions. There is still no clinical practice guideline for the management of patients with whiplash-associated disorders. METHOD OF DEVELOPMENT: A computerized literature search of Medline, Cinahl, Cochrane Controlled Trial Register, Cochrane Database of Systematic Reviews, and the Database of the Dutch National Institute of Allied Health Professions was performed to search for information about the diagnostic process and the therapeutic process in whiplash patients. When no evidence was available, consensus between experts was achieved to develop the guideline. Practicing physiotherapists reviewed the clinical applicability and feasibility of the guideline, and their comments were used to improve it. RECOMMENDATIONS: The diagnostic process consists of systematic history taking and a physical examination supported by reliable and valid assessment tools to document symptoms and functional disabilities. The primary goals of treatment are a quick return to normal activities and the prevention of chronicity. Active interventions such as education, exercise therapy, training of functions, and activities are recommended according to the length of time since the accident and the rate of recovery. The biopsychosocial model is used to address the consequences of whiplash trauma. CONCLUSIONS: Scientific evidence for the diagnosis and physiotherapeutic management of whiplash is sparse; therefore, consensus is used in different parts of the guideline. The guideline reflects the current state of knowledge of the effective and appropriate physiotherapy in whiplash patients. More and better research is necessary to validate this guideline in the future.

AB - STUDY DESIGN: A clinical practice guideline. OBJECTIVES: To assist physiotherapists in decision making and to improve the efficacy and uniformity of care for patients with whiplash-associated disorders Grades I and II. SUMMARY OF BACKGROUND DATA: Whiplash constitutes a considerable problem in health care. Many interventions are used in physiotherapy practice, despite increasing evidence for the use of active interventions. There is still no clinical practice guideline for the management of patients with whiplash-associated disorders. METHOD OF DEVELOPMENT: A computerized literature search of Medline, Cinahl, Cochrane Controlled Trial Register, Cochrane Database of Systematic Reviews, and the Database of the Dutch National Institute of Allied Health Professions was performed to search for information about the diagnostic process and the therapeutic process in whiplash patients. When no evidence was available, consensus between experts was achieved to develop the guideline. Practicing physiotherapists reviewed the clinical applicability and feasibility of the guideline, and their comments were used to improve it. RECOMMENDATIONS: The diagnostic process consists of systematic history taking and a physical examination supported by reliable and valid assessment tools to document symptoms and functional disabilities. The primary goals of treatment are a quick return to normal activities and the prevention of chronicity. Active interventions such as education, exercise therapy, training of functions, and activities are recommended according to the length of time since the accident and the rate of recovery. The biopsychosocial model is used to address the consequences of whiplash trauma. CONCLUSIONS: Scientific evidence for the diagnosis and physiotherapeutic management of whiplash is sparse; therefore, consensus is used in different parts of the guideline. The guideline reflects the current state of knowledge of the effective and appropriate physiotherapy in whiplash patients. More and better research is necessary to validate this guideline in the future.

KW - Activities of Daily Living

KW - Chronic Pain -- Prevention and Control

KW - Clinical Assessment Tools

KW - Decision Making, Clinical

KW - Functional Assessment

KW - Functional Training

KW - Netherlands

KW - Patient Education

KW - Patient History Taking

KW - Physical Examination

KW - Physical Therapy

KW - Therapeutic Exercise

KW - Whiplash Injuries -- Diagnosis

KW - Whiplash Injuries -- Therapy

U2 - 10.1097/00007632-200202150-00018

DO - 10.1097/00007632-200202150-00018

M3 - Article

VL - 27

SP - 412

EP - 422

JO - Spine

JF - Spine

SN - 0362-2436

IS - 4

ER -