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Recovery after Minor Traffic Injuries: A Randomized Controlled Trial
OBJECTIVES: To assess the efficacy of an acute multidisciplinary group intervention on self-perceived recovery following minor traffic-related musculoskeletal injuries. DESIGN: Open, randomized controlled trial. SETTING: A large inner-city hospital. PARTICIPANTS: 127 patients (≥15 y) with traffic-re...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1829405/ https://www.ncbi.nlm.nih.gov/pubmed/17380190 http://dx.doi.org/10.1371/journal.pctr.0020014 |
Sumario: | OBJECTIVES: To assess the efficacy of an acute multidisciplinary group intervention on self-perceived recovery following minor traffic-related musculoskeletal injuries. DESIGN: Open, randomized controlled trial. SETTING: A large inner-city hospital. PARTICIPANTS: 127 patients (≥15 y) with traffic-related acute minor musculoskeletal injuries and predicted to be at risk for delayed recovery were randomized into an intervention group (n = 65) or a control group (n = 62). INTERVENTION: Four 1½-h sessions in open groups with the aim of providing information about injuries in general, calling attention to the importance of self-care and promoting physical activity. In addition, both groups received standard medical care by regular staff. OUTCOME MEASURES: The main outcome measure was self-reported recovery at 12 mo. Secondary outcome measures were ratings of functional health status (SF-36, SMFA), pain and mental distress on visual analog scales, and self-reported duration of sick leave. RESULTS: At 12 mo, there was a 21.9 percentage point difference: 52.4% of the patients in the intervention group and 30.5% in the control group reported self-perceived recovery (95% confidence interval for the difference 5%–38%; p = 0.03). There were no statistically significant differences between the groups regarding the secondary outcome measures. CONCLUSION: A simple group intervention may accelerate the self-perceived recovery in selected patients. As we did not find evidence of improvements in the secondary outcome measures, the clinical significance of the treatment benefit remains to be defined. |
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