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Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study
Whiplash injury associated disorders (WAD) cause high costs for public health care. Neck pain is number 16 on the global prevalence lists for the 50 most common sequelae. It is of importance to obtain long-term data on disability and working capacity outcomes after rehabilitation. Long-term prospect...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340438/ https://www.ncbi.nlm.nih.gov/pubmed/28248865 http://dx.doi.org/10.1097/MD.0000000000006113 |
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author | Haiduk, Philipp Benz, Thomas Lehmann, Susanne Gysi-Klaus, Francoise Aeschlimann, André Michel, Beat A. Angst, Felix |
author_facet | Haiduk, Philipp Benz, Thomas Lehmann, Susanne Gysi-Klaus, Francoise Aeschlimann, André Michel, Beat A. Angst, Felix |
author_sort | Haiduk, Philipp |
collection | PubMed |
description | Whiplash injury associated disorders (WAD) cause high costs for public health care. Neck pain is number 16 on the global prevalence lists for the 50 most common sequelae. It is of importance to obtain long-term data on disability and working capacity outcomes after rehabilitation. Long-term prospective data of the outcome course of whiplash are sparse. The aim of this study was to quantify improvements of pain, function/role performance, vitality, and working capacity 5 years after whiplash injury and to compare the state of health to normative values at 5 years after rehabilitation. In this naturalistic, observational, prospective cohort study, 115 patients were assessed 5 years (60 months) after a multidisciplinary rehabilitation program. The assessment set consisted of the Short Form 36 (SF-36), parts of the North American Spine Society's cervical spine assessment questionnaire (NASS) and the coping strategies questionnaire (CSQ). The effects were quantified by effect size (ES) and standardized response mean (SRM). Score differences over the course were tested by the Wilcoxon–Mann–Whitney U test for significance. Comparing data between entry and 60 months after rehabilitation 8 of 15 parameters improved with large ES/SRM. Outcome between 6 and 60 months showed small to moderate ES/SRM. Working capacity increased from 0 at entry to rehabilitation to 21 h/wk at 6 months and to 30 h/wk at 60 months follow-up. After large improvements in health and working capacity in the mid-term, further important improvements were observed in the long-term course. It can be hypothesized that part of those can be attributed to the interventions during inpatient rehabilitation, for example, due to better coping strategies. |
format | Online Article Text |
id | pubmed-5340438 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-53404382017-03-09 Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study Haiduk, Philipp Benz, Thomas Lehmann, Susanne Gysi-Klaus, Francoise Aeschlimann, André Michel, Beat A. Angst, Felix Medicine (Baltimore) 6300 Whiplash injury associated disorders (WAD) cause high costs for public health care. Neck pain is number 16 on the global prevalence lists for the 50 most common sequelae. It is of importance to obtain long-term data on disability and working capacity outcomes after rehabilitation. Long-term prospective data of the outcome course of whiplash are sparse. The aim of this study was to quantify improvements of pain, function/role performance, vitality, and working capacity 5 years after whiplash injury and to compare the state of health to normative values at 5 years after rehabilitation. In this naturalistic, observational, prospective cohort study, 115 patients were assessed 5 years (60 months) after a multidisciplinary rehabilitation program. The assessment set consisted of the Short Form 36 (SF-36), parts of the North American Spine Society's cervical spine assessment questionnaire (NASS) and the coping strategies questionnaire (CSQ). The effects were quantified by effect size (ES) and standardized response mean (SRM). Score differences over the course were tested by the Wilcoxon–Mann–Whitney U test for significance. Comparing data between entry and 60 months after rehabilitation 8 of 15 parameters improved with large ES/SRM. Outcome between 6 and 60 months showed small to moderate ES/SRM. Working capacity increased from 0 at entry to rehabilitation to 21 h/wk at 6 months and to 30 h/wk at 60 months follow-up. After large improvements in health and working capacity in the mid-term, further important improvements were observed in the long-term course. It can be hypothesized that part of those can be attributed to the interventions during inpatient rehabilitation, for example, due to better coping strategies. Wolters Kluwer Health 2017-03-03 /pmc/articles/PMC5340438/ /pubmed/28248865 http://dx.doi.org/10.1097/MD.0000000000006113 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 6300 Haiduk, Philipp Benz, Thomas Lehmann, Susanne Gysi-Klaus, Francoise Aeschlimann, André Michel, Beat A. Angst, Felix Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study |
title | Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study |
title_full | Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study |
title_fullStr | Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study |
title_full_unstemmed | Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study |
title_short | Interdisciplinary rehabilitation after whiplash injury: An observational prospective 5 years outcome study |
title_sort | interdisciplinary rehabilitation after whiplash injury: an observational prospective 5 years outcome study |
topic | 6300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340438/ https://www.ncbi.nlm.nih.gov/pubmed/28248865 http://dx.doi.org/10.1097/MD.0000000000006113 |
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