Grade II whiplash injuries to the neck: what is the benefit for patients treated by different physical therapy modalities?
2009

Benefits of Different Physical Therapy for Whiplash Injuries

Sample size: 70 publication Evidence: moderate

Author Information

Author(s): Dehner Christoph, Elbel Martin, Strobel Philipp, Scheich Matthias, Schneider Florian, Krischak Gert, Kramer Michael

Primary Institution: Center of Surgery, Department of Orthopedic Trauma, Hand-, Plastic- and Reconstructive Surgery, University of Ulm

Hypothesis

Does physical therapy provide medical or economic benefits for patients with whiplash injuries?

Conclusion

Active physical therapy leads to better pain reduction and shorter recovery time compared to passive therapy or no therapy.

Supporting Evidence

  • Patients in both therapy groups had a median period of disability of 14 days compared to 49 days in the AAU group.
  • The median pain reduction was significantly greater in the APT group (50.5) than in the PPT (39.2) or AAU group (28.8).
  • No significant difference in range of motion improvement was observed between the therapy groups.

Takeaway

This study shows that doing exercises helps people with neck injuries feel better faster than just resting or doing nothing.

Methodology

Seventy patients with acute grade II whiplash injuries were randomized into two groups receiving active or passive physical therapy, and compared to a previous group receiving usual care.

Potential Biases

Potential bias due to non-randomization in the AAU group.

Limitations

The AAU group was not randomized, which may affect the comparison validity.

Participant Demographics

32 patients in APT group (10 males, 22 females; median age 28), 32 in PPT group (12 males, 20 females; median age 29), and 14 in AAU group (5 males, 9 females; median age 29).

Statistical Information

P-Value

0.009

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1754-9493-3-2

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