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

G G Scholten-Peeters, Arianne P Verhagen, Catharina W M Neeleman-van der Steen, John C A M Hurkmans, Ria W A Wams, R A 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)412-420
Number of pages9
JournalJournal of Manipulative and Physiological Therapeutics
Volume26
Issue number7
DOIs
Publication statusPublished - Sep 2003

Fingerprint

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/st [Standards]
  • Family Practice/st [Standards]
  • Female
  • Humans
  • IM
  • Male
  • Middle Aged
  • Netherlands
  • Outcome Assessment (Health Care)/st [Standards]
  • Pain Measurement
  • Pain/et [Etiology]
  • Pain/rh [Rehabilitation]
  • Patient Education as Topic/mt [Methods]
  • Physician-Patient Relations
  • Range of Motion, Articular
  • Time Factors
  • Treatment Outcome
  • Whiplash Injuries/co [Complications]
  • Whiplash Injuries/pp [Physiopathology]
  • Whiplash Injuries/rh [Rehabilitation]

Cite this

@article{0200c7e4ba014bc996552fcac99a4a01,
title = "Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol.",
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.",
keywords = "Accidents, Traffic, Adult, Clinical Protocols/st [Standards], Family Practice/st [Standards], Female, Humans, IM, Male, Middle Aged, Netherlands, Outcome Assessment (Health Care)/st [Standards], Pain Measurement, Pain/et [Etiology], Pain/rh [Rehabilitation], Patient Education as Topic/mt [Methods], Physician-Patient Relations, Range of Motion, Articular, Time Factors, Treatment Outcome, Whiplash Injuries/co [Complications], Whiplash Injuries/pp [Physiopathology], Whiplash Injuries/rh [Rehabilitation]",
author = "Scholten-Peeters, {G G} and Verhagen, {Arianne P} and {Neeleman-van der Steen}, {Catharina W M} and Hurkmans, {John C A M} and Wams, {Ria W A} and Oostendorp, {R A}",
year = "2003",
month = "9",
doi = "10.1016/S0161-4754(03)00092-7",
language = "English",
volume = "26",
pages = "412--420",
journal = "Journal of Manipulative and Physiological Therapeutics",
issn = "0161-4754",
publisher = "Mosby Inc.",
number = "7",

}

Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol. / Scholten-Peeters, G G; Verhagen, Arianne P; Neeleman-van der Steen, Catharina W M; Hurkmans, John C A M; Wams, Ria W A; Oostendorp, R A.

In: Journal of Manipulative and Physiological Therapeutics, Vol. 26, No. 7, 09.2003, p. 412-420.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol.

AU - Scholten-Peeters, G G

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, R A

PY - 2003/9

Y1 - 2003/9

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.

KW - Accidents, Traffic

KW - Adult

KW - Clinical Protocols/st [Standards]

KW - Family Practice/st [Standards]

KW - Female

KW - Humans

KW - IM

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Outcome Assessment (Health Care)/st [Standards]

KW - Pain Measurement

KW - Pain/et [Etiology]

KW - Pain/rh [Rehabilitation]

KW - Patient Education as Topic/mt [Methods]

KW - Physician-Patient Relations

KW - Range of Motion, Articular

KW - Time Factors

KW - Treatment Outcome

KW - Whiplash Injuries/co [Complications]

KW - Whiplash Injuries/pp [Physiopathology]

KW - Whiplash Injuries/rh [Rehabilitation]

U2 - 10.1016/S0161-4754(03)00092-7

DO - 10.1016/S0161-4754(03)00092-7

M3 - Article

VL - 26

SP - 412

EP - 420

JO - Journal of Manipulative and Physiological Therapeutics

JF - Journal of Manipulative and Physiological Therapeutics

SN - 0161-4754

IS - 7

ER -