Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol

Gwendolijne G M Scholten-Peeters, Arianne P Verhagen, Catharina W M Neeleman-van der Steen, John C A M Hurkmans, Ria W A Wams, Rob A B Oostendorp

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: Whiplash concerns a considerable problem to health care. Available evidence from systematic reviews indicates beneficial effects of active interventions for patients with whiplash injury. In order to evaluate whether a general practitioner or a physiotherapist should provide these active interventions, we have designed a randomized clinical trial.

OBJECTIVE: The purpose of this article is to present the design of the trial and to provide transparency into the dynamic treatment protocol used.

PATIENTS: Patients with whiplash-associated disorders grade I and II who still have symptoms and disabilities 4 weeks after the accident.

INTERVENTIONS: A dynamic treatment protocol consisting of 4 different subprotocols. The primary aim is to increase their activities and to improve their quality of life. Content and intensity of treatment are described. Outcome measures The primary outcome measures are pain and disability. The short-term effects are measured at 12 weeks and long-term effects at 1 year after the trauma.

CONCLUSION: To date, generally the effect of one intervention compared to another intervention has been examined. In our opinion, this cannot be considered as usual care for physiotherapy or general practice. Therefore, a dynamic treatment protocol has been developed to structure the black box of usual physiotherapy and general practice treatment. The results of this trial will be available in 0.5 year.

Original languageEnglish
Pages (from-to)412-20
Number of pages9
JournalJournal of Manipulative and Physiological Therapeutics
Volume26
Issue number7
DOIs
Publication statusPublished - Sep 2003

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Clinical Protocols
Randomized Controlled Trials
General Practice
Outcome Assessment (Health Care)
Whiplash Injuries
Physical Therapists
General Practitioners
Accidents
Quality of Life
Delivery of Health Care
Pain
Wounds and Injuries
Therapeutics
Conservative Treatment

Keywords

  • Accidents, Traffic
  • Adult
  • Clinical Protocols
  • Family Practice
  • Female
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Outcome Assessment (Health Care)
  • Pain
  • Pain Measurement
  • Patient Education as Topic
  • Physician-Patient Relations
  • Range of Motion, Articular
  • Time Factors
  • Treatment Outcome
  • Whiplash Injuries
  • Clinical Trial
  • Journal Article
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

Cite this

Scholten-Peeters, Gwendolijne G M ; Verhagen, Arianne P ; Neeleman-van der Steen, Catharina W M ; Hurkmans, John C A M ; Wams, Ria W A ; Oostendorp, Rob A B. / Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders : considerations for the design and dynamic treatment protocol. In: Journal of Manipulative and Physiological Therapeutics. 2003 ; Vol. 26, No. 7. pp. 412-20.
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Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders : considerations for the design and dynamic treatment protocol. / Scholten-Peeters, Gwendolijne G M; Verhagen, Arianne P; Neeleman-van der Steen, Catharina W M; Hurkmans, John C A M; Wams, Ria W A; Oostendorp, Rob A B.

In: Journal of Manipulative and Physiological Therapeutics, Vol. 26, No. 7, 09.2003, p. 412-20.

Research output: Contribution to JournalArticleAcademicpeer-review

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T1 - Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders

T2 - considerations for the design and dynamic treatment protocol

AU - Scholten-Peeters, Gwendolijne G M

AU - Verhagen, Arianne P

AU - Neeleman-van der Steen, Catharina W M

AU - Hurkmans, John C A M

AU - Wams, Ria W A

AU - Oostendorp, Rob A B

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N2 - BACKGROUND: Whiplash concerns a considerable problem to health care. Available evidence from systematic reviews indicates beneficial effects of active interventions for patients with whiplash injury. In order to evaluate whether a general practitioner or a physiotherapist should provide these active interventions, we have designed a randomized clinical trial.OBJECTIVE: The purpose of this article is to present the design of the trial and to provide transparency into the dynamic treatment protocol used.PATIENTS: Patients with whiplash-associated disorders grade I and II who still have symptoms and disabilities 4 weeks after the accident.INTERVENTIONS: A dynamic treatment protocol consisting of 4 different subprotocols. The primary aim is to increase their activities and to improve their quality of life. Content and intensity of treatment are described. Outcome measures The primary outcome measures are pain and disability. The short-term effects are measured at 12 weeks and long-term effects at 1 year after the trauma.CONCLUSION: To date, generally the effect of one intervention compared to another intervention has been examined. In our opinion, this cannot be considered as usual care for physiotherapy or general practice. Therefore, a dynamic treatment protocol has been developed to structure the black box of usual physiotherapy and general practice treatment. The results of this trial will be available in 0.5 year.

AB - BACKGROUND: Whiplash concerns a considerable problem to health care. Available evidence from systematic reviews indicates beneficial effects of active interventions for patients with whiplash injury. In order to evaluate whether a general practitioner or a physiotherapist should provide these active interventions, we have designed a randomized clinical trial.OBJECTIVE: The purpose of this article is to present the design of the trial and to provide transparency into the dynamic treatment protocol used.PATIENTS: Patients with whiplash-associated disorders grade I and II who still have symptoms and disabilities 4 weeks after the accident.INTERVENTIONS: A dynamic treatment protocol consisting of 4 different subprotocols. The primary aim is to increase their activities and to improve their quality of life. Content and intensity of treatment are described. Outcome measures The primary outcome measures are pain and disability. The short-term effects are measured at 12 weeks and long-term effects at 1 year after the trauma.CONCLUSION: To date, generally the effect of one intervention compared to another intervention has been examined. In our opinion, this cannot be considered as usual care for physiotherapy or general practice. Therefore, a dynamic treatment protocol has been developed to structure the black box of usual physiotherapy and general practice treatment. The results of this trial will be available in 0.5 year.

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