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An active exercise and posture protocol reduced pain in acute whiplash injuries

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 QUESTIONS: In patients with acute whiplash injuries, is an active treatment protocol more effective than standard treatment for reducing pain? Is early initiation better than delayed initiation of treatment?

Design

Randomised {allocation concealed*}, unblinded, controlled trial with 6 months of follow up.

Setting

29 primary care units, 3 emergency wards, and several private clinics in Elfsborg County, southwestern Sweden.

Patients

102 patients who had an acute whiplash injury and could be randomised within 96 hours after the traumatic event. Exclusion criteria were cervical fractures, cervical dislocation, head injury, previously known symptomatic chronic neck problems, alcohol abuse, dementia, serious mental illness, or terminal illness. Follow up was 86% of randomised patients (mean age 36 y, 67% women).

Intervention

Patients were allocated to 1 of 4 groups: to active treatment within 96 hours (n=21) or after 2 weeks (n=22) …

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Footnotes

  • Source of funding: Swedish National Health Insurance.

  • For correspondence:Mr M E Rosenfeld, Fagerhult Östergården 14, 51794 Töllsjö, Sweden. mark.rosenfeld{at}telia.com.

  • * See glossary.

  • Information provided by author.

  • p Values calculated from data in article.