A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WAD
Whiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific evidence supporting their effectiveness is often lack...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2010/108685 |
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| _version_ | 1849699174162890752 |
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| author | Robert W Teasell J Andrew McClure David Walton Jason Pretty Katherine Salter Matthew Meyer Keith Sequeira Barry Death |
| author_facet | Robert W Teasell J Andrew McClure David Walton Jason Pretty Katherine Salter Matthew Meyer Keith Sequeira Barry Death |
| author_sort | Robert W Teasell |
| collection | DOAJ |
| description | Whiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific evidence supporting their effectiveness is often lacking. A systematic review was conducted to evaluate the strength of evidence associated with various WAD therapies. Multiple databases (including Web of Science, EMBASE and PubMed) were searched to identify all studies published from January 1980 through March 2009 that evaluated the effectiveness of any clearly defined treatment for acute (less than two weeks), subacute (two to 12 weeks) or chronic (longer than 12 weeks) WAD. The present article, the third in a five-part series, evaluates the evidence for interventions initiated during the subacute phase of WAD. Thirteen studies that met the inclusion criteria were identified, six of which were randomized controlled trials with ‘good’ overall methodology (median Physiotherapy Evidence Database score of 6). Although some evidence was identified to support the use of interdisciplinary interventions and chiropractic manipulation, the evidence was not strong for any of the evaluated treatments. There is a clear need for further research to evaluate interventions aimed at treating patients with subacute WAD because there are currently no interventions satisfactorily supported by the research literature. |
| format | Article |
| id | doaj-art-2becd8f58b634d449e7733c4be3a7ce0 |
| institution | DOAJ |
| issn | 1203-6765 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-2becd8f58b634d449e7733c4be3a7ce02025-08-20T03:18:41ZengWileyPain Research and Management1203-67652010-01-0115530531210.1155/2010/108685A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WADRobert W Teasell0J Andrew McClure1David Walton2Jason Pretty3Katherine Salter4Matthew Meyer5Keith Sequeira6Barry Death7Lawson Health Research Institute, St Joseph’s Health Care, CanadaLawson Health Research Institute, St Joseph’s Health Care, CanadaSchool of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, London, Ontario, CanadaLawson Health Research Institute, St Joseph’s Health Care, CanadaLawson Health Research Institute, St Joseph’s Health Care, CanadaLawson Health Research Institute, St Joseph’s Health Care, CanadaDepartment of Physical Medicine and Rehabilitation, Parkwood Hospital, St Joseph’s Health Care, CanadaDepartment of Physical Medicine and Rehabilitation, Parkwood Hospital, St Joseph’s Health Care, CanadaWhiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific evidence supporting their effectiveness is often lacking. A systematic review was conducted to evaluate the strength of evidence associated with various WAD therapies. Multiple databases (including Web of Science, EMBASE and PubMed) were searched to identify all studies published from January 1980 through March 2009 that evaluated the effectiveness of any clearly defined treatment for acute (less than two weeks), subacute (two to 12 weeks) or chronic (longer than 12 weeks) WAD. The present article, the third in a five-part series, evaluates the evidence for interventions initiated during the subacute phase of WAD. Thirteen studies that met the inclusion criteria were identified, six of which were randomized controlled trials with ‘good’ overall methodology (median Physiotherapy Evidence Database score of 6). Although some evidence was identified to support the use of interdisciplinary interventions and chiropractic manipulation, the evidence was not strong for any of the evaluated treatments. There is a clear need for further research to evaluate interventions aimed at treating patients with subacute WAD because there are currently no interventions satisfactorily supported by the research literature.http://dx.doi.org/10.1155/2010/108685 |
| spellingShingle | Robert W Teasell J Andrew McClure David Walton Jason Pretty Katherine Salter Matthew Meyer Keith Sequeira Barry Death A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WAD Pain Research and Management |
| title | A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WAD |
| title_full | A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WAD |
| title_fullStr | A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WAD |
| title_full_unstemmed | A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WAD |
| title_short | A Research Synthesis of Therapeutic Interventions for Whiplash-Associated Disorder (WAD): Part 3 – Interventions for Subacute WAD |
| title_sort | research synthesis of therapeutic interventions for whiplash associated disorder wad part 3 interventions for subacute wad |
| url | http://dx.doi.org/10.1155/2010/108685 |
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