STUDY DESIGN: Population-based, incidence cohort. OBJECTIVES: To evaluate a government policy of funding community and hospital-based fitness training and multidisciplinary rehabilitation for whiplash. SUMMARY OF BACKGROUND DATA: Although insurance benefits commonly include rehabilitation for whiplash, its effectiveness is unknown. METHODS: All Saskatchewan adults treated for whiplash (n = 6,021) over a 2-year period were followed up at 6 weeks, 3, 6, 9, and 12 months. Recovery was defined by self-report of improvement. Recovery times were compared between those attending fitness training at health clubs (n = 833), multidisciplinary outpatient rehabilitation (n = 468), and multidisciplinary inpatient rehabilitation (n = 135) to those receiving usual insured individual care. RESULTS: Recovery was 32% slower in those receiving fitness training within 69 days of injury (P = 0.001) and 19% slower when received within 119 days of injury (P = 0.041). Recovery was 50% slower in those receiving outpatient rehabilitation within 119 days of injury (P = 0.001). Attending inpatient rehabilitation did not influence recovery rates during the follow up (P = 0.131). Multivariable adjustment for important prognostic factors did not change these results. CONCLUSIONS: We found no evidence to support the effectiveness of a population-based program of fitness training and multidisciplinary rehabilitation for whiplash. Rehabilitation programs should be tested in randomized trials before being recommended to injured populations.
STUDY DESIGN: Population-based, incidence cohort. OBJECTIVES: To evaluate a government policy of funding community and hospital-based fitness training and multidisciplinary rehabilitation for whiplash. SUMMARY OF BACKGROUND DATA: Although insurance benefits commonly include rehabilitation for whiplash, its effectiveness is unknown. METHODS: All Saskatchewan adults treated for whiplash (n = 6,021) over a 2-year period were followed up at 6 weeks, 3, 6, 9, and 12 months. Recovery was defined by self-report of improvement. Recovery times were compared between those attending fitness training at health clubs (n = 833), multidisciplinary outpatient rehabilitation (n = 468), and multidisciplinary inpatient rehabilitation (n = 135) to those receiving usual insured individual care. RESULTS: Recovery was 32% slower in those receiving fitness training within 69 days of injury (P = 0.001) and 19% slower when received within 119 days of injury (P = 0.041). Recovery was 50% slower in those receiving outpatient rehabilitation within 119 days of injury (P = 0.001). Attending inpatient rehabilitation did not influence recovery rates during the follow up (P = 0.131). Multivariable adjustment for important prognostic factors did not change these results. CONCLUSIONS: We found no evidence to support the effectiveness of a population-based program of fitness training and multidisciplinary rehabilitation for whiplash. Rehabilitation programs should be tested in randomized trials before being recommended to injured populations.
Authors: Robert W Teasell; J Andrew McClure; David Walton; Jason Pretty; Katherine Salter; Matthew Meyer; Keith Sequeira; Barry Death Journal: Pain Res Manag Date: 2010 Sep-Oct Impact factor: 3.037
Authors: Robert W Teasell; J Andrew McClure; David Walton; Jason Pretty; Katherine Salter; Matthew Meyer; Keith Sequeira; Barry Death Journal: Pain Res Manag Date: 2010 Sep-Oct Impact factor: 3.037
Authors: Pierre Côté; Jessica J Wong; Deborah Sutton; Heather M Shearer; Silvano Mior; Kristi Randhawa; Arthur Ameis; Linda J Carroll; Margareta Nordin; Hainan Yu; Gail M Lindsay; Danielle Southerst; Sharanya Varatharajan; Craig Jacobs; Maja Stupar; Anne Taylor-Vaisey; Gabrielle van der Velde; Douglas P Gross; Robert J Brison; Mike Paulden; Carlo Ammendolia; J David Cassidy; Patrick Loisel; Shawn Marshall; Richard N Bohay; John Stapleton; Michel Lacerte; Murray Krahn; Roger Salhany Journal: Eur Spine J Date: 2016-03-16 Impact factor: 3.134
Authors: Pierre Côté; J David Cassidy; Simon Carette; Eleanor Boyle; Heather M Shearer; Maja Stupar; Carlo Ammendolia; Gabrielle van der Velde; Jill A Hayden; Xiaoqing Yang; Maurits van Tulder; John W Frank Journal: Trials Date: 2008-12-24 Impact factor: 2.279