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Whiplash associated disorders: a review of the literature to guide patient information and advice

McClune, T., Burton, A. Kim and Waddell, Gordon (2002) Whiplash associated disorders: a review of the literature to guide patient information and advice. Emergency medicine journal, 19. pp. 499-506. ISSN 1472-0205

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    Objectives: To review the literature and provide an evidence based framework for patient centred
    information and advice on whiplash associated disorders.
    Methods: A systematic literature search was conducted, which included both clinical and non-clinical
    articles to encompass the wide range of patients’ informational needs. From the studies and previous
    reviews retrieved, 163 were selected for detailed review. The review process considered the quantity,
    consistency, and relevance of all selected articles. These were categorised under a grading system to
    reflect the quality of the evidence, and then linked to derived evidence statements.
    Results: The main messages that emerged were: physical serious injury is rare; reassurance about
    good prognosis is important; over-medicalisation is detrimental; recovery is improved by early return to
    normal pre-accident activities, self exercise, and manual therapy; positive attitudes and beliefs are
    helpful in regaining activity levels; collars, rest, and negative attitudes and beliefs delay recovery and
    contribute to chronicity. These findings were synthesised into patient centred messages with the potential
    to reduce the risk of chronicity.
    Conclusions: The scientific evidence on whiplash associated disorders is of variable quality, but sufficiently
    robust and consistent for the purpose of guiding patient information and advice. While the
    delivery of appropriate messages can be both oral and written, consistency is imperative, so an innovative
    patient educational booklet, The Whiplash Book, has been developed and published.

    Item Type: Article
    Additional Information: ©2002 BMJ Publishing Group Ltd
    Uncontrolled Keywords: whiplash literature review patient advice
    Subjects: R Medicine > R Medicine (General)
    Schools: School of Human and Health Sciences
    School of Human and Health Sciences > Centre for Applied Psychological Research
    School of Human and Health Sciences > Centre for Health and Social Care Research
    Depositing User: Sara Taylor
    Date Deposited: 22 Feb 2007
    Last Modified: 23 Nov 2011 12:38

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