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Toward optimal earl...
Toward optimal early management after whiplash injury to lessen the rate of transition to chronicity
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- Jull, Gwendolen A (author)
- Univ Queensland, Australia
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- Söderlund, Anne (author)
- Mälardalens högskola,Hälsa och välfärd
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- Stemper, Brian D (author)
- Med Coll Wisconsin, USA
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- Kenardy, Justin (author)
- Univ Queensland, Australia
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- Gross, Anita R (author)
- McMaster Univ, Canada
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- Côté, Pierre (author)
- Univ Toronto, Canada
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- Treleaven, Julia (author)
- Univ Queensland, Australia
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- Bogduk, Nikolai (author)
- Royal Newcastle Ctr, Newcastle Bone & Joint Inst, Dept Clin Res, Newcastle, NSW, Australia
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- Sterling, Michele (author)
- Univ Queensland, Australia
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- Curatolo, Michele (author)
- Univ Bern, Switzerland
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(creator_code:org_t)
- 2011
- 2011
- English.
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In: Spine. - 0362-2436 .- 1528-1159. ; 36:25 Suppl, s. S335-S342
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- STUDY DESIGN: Expert debate and synthesis of research to inform future management approaches for acute whiplash disorders.OBJECTIVE: To identify a research agenda toward improving outcomes for acute whiplash-injured individuals to lessen the incidence of transition to chronicity.SUMMARY OF BACKGROUND DATA: International figures are concordant, estimating that 50% of individuals recover from pain and disability within 3 to 6 months of a whiplash injury. The remainder report continuing symptoms up to 1 to 2 years or longer postinjury. As no management approach to date has improved recovery rates, new clinical/research directions are required for early management of whiplash-injured patients.METHODS: A group of multidisciplinary researchers critically debated evidence and current research concerning whiplash from biological, psychological, and social perspectives toward informing future research directions for management of acute whiplash.RESULTS: It was recognized that effective treatments for acute whiplash are constrained by a limited understanding of causes of whiplash-associated disorders. Acute whiplash presentations are heterogeneous leading to the proposal that a research priority was development of a triage system based on modifiable prognostic indicators and clinical features to better inform individualized early management decisions. Other priorities identified included researching effective early pain management for individuals presenting with moderate to high levels of pain; development of best education/information for acute whiplash; testing the efficacy of stratified and individualized rehabilitation, researching modes of delivery considering psychosocial modulators of pain and disability; and the timing, nature, and mode of delivery of cognitive-behavioral therapies. Directions were highlighted for future biomechanical research into injury prevention.CONCLUSION: The burden of whiplash injuries, the high rate of transition to chronicity, and evidence of limited effects of current management on transition rates demand new directions in evaluation and management. Several directions have been proposed for future research, which reflect the potential multifaceted dimensions of an acute whiplash disorder.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)
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- art (subject category)
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- By the author/editor
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Jull, Gwendolen ...
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Söderlund, Anne
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Stemper, Brian D
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Kenardy, Justin
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Gross, Anita R
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Côté, Pierre
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show more...
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Treleaven, Julia
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Bogduk, Nikolai
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Sterling, Michel ...
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Curatolo, Michel ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Other Health Sci ...
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Spine
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Mälardalen University