Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol☆
Received 10 May 2002
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.
aInvestigator, Dutch National Institute of Allied Health Professions, Amersfoort, The Netherlands; Lector, Faculty of Medicine and Pharmacology, Postgraduate Education in Manual Therapy, Vrije Universiteit Brussel, Brussels, Belgium; Investigator, Center for Quality of Care Research, University Medical Center Nijmegen, Nijmegen, The Netherlands; and Physiotherapist and Manual therapist, Spine and Rehabilitation Center of Uden, Uden, The Netherlands
bSenior Investigator, Department of General Practice, Erasmus University of Rotterdam, Rotterdam, The Netherlands
cInvestigator, Dutch National Institute of Allied Health Professions, Amersfoort, The Netherlands
dPhysiotherapist and Manual therapist, Practice of Physical and Manual Therapy, Drunen, The Netherlands
eScientific director, Dutch National Institute of Allied Health Professions, Amersfoort, The Netherlands
fGeneral director, Dutch National Institute of Allied Health Professions, Amersfoort, The Netherlands
Submit requests for reprints to: Gwendolijne G.M. Scholten-Peeters, Dutch National Institute of Allied Health Professions, PO Box 1161, 3800 BD Amersfoort, The Netherlands
☆ This research is supported financially by grants from the Dutch College of Care (CvZ).
ABSTRACT