Navigation Links
Pricier, Intensive Whiplash Treatment May Not Pay Off: Study

MONDAY, Dec. 17 (HealthDay News) -- More costly, intensive treatment is no better than usual care at hastening recovery from whiplash, a new study finds.

Researchers looked at more than 3,800 British whiplash patients to compare a more intensive approach to treatment ("active management") against usual care at 15 hospital emergency departments.

Active management included pain control plus positive messages about recovery, specific advice on exercise and an early return to normal activities. Usual care included more nonspecific advice to exercise, advice sheets with inconsistent information, and no guidance on expectations for recovery.

Researchers led by Sarah Lamb of the University of Warwick found little difference in recovery levels between active management and usual care patients at four, eight and 12 months after initial treatment in the emergency department.

Nearly 600 patients who still had whiplash symptoms three weeks after being treated in an emergency department were then assigned to receive either a single "advice session" with a physiotherapist or up to six physiotherapy sessions.

The patients who had the physiotherapy sessions had a somewhat quicker recovery at four months, but not at eight or 12 months. The physiotherapy sessions also reduced the number of work days lost by an average of four days over 12 months, according to the study published online Dec. 17 in The Lancet.

Active management and physiotherapy sessions are more expensive than usual care and physiotherapy advice, the researchers point out.

But the study suggests that these extra and more costly efforts "do not speed recovery. What is more, although additional physiotherapy, beyond a single advice session, did offer a modest benefit, it was not cost-effective," Lamb said in a journal news release.

Her conclusion: "Emergency departments should continue to provide usual care for whiplash injuries together with a single follow-up physiotherapy advice session for persisting symptoms."

An expert in the United States said this type of information is valuable.

"In today's economic environment and with the cost of health care skyrocketing, the cost/benefit analysis of a treatment is relevant," said Dr. Victor Khabie, co-director of the Orthopedic and Spine Institute and chief of sports medicine at Northern Westchester Hospital Center, in Mount Kisco, N.Y.

But he added that, "not all whiplash injuries are the same. Certain patients with more significant injuries may require more aggressive treatment. It is important for the treating physician to understand this and create an individualized treatment plan for every patient with a cervical injury."

More information

The U.S. National Institute of Neurological Disorders and Stroke has more about whiplash.

-- Robert Preidt

SOURCES: Victor Khabie, M.D., chief, department of surgery, co-director of the Orthopedic and Spine Institute, and chief of sports medicine, Northern Westchester Hospital, Mount Kisco, N.Y.; The Lancet, news release, Dec. 17, 2012

Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Intensive cholesterol therapy with multiple drugs effective over long term
2. UT Southwestern study shows treating diabetes early, intensively is best strategy
3. Bridges to Recovery Now Offers Intensive Psychological and Mental Treatment
4. Alcohol problems account for a quarter of Scottish intensive care unit admissions
5. Scientist awarded $1 million grant to develop tools for hepatitis C treatment discovery
6. Clinical insight improves treatment with new lung cancer drug
7. Rapid Asthma Treatment in ER May Prevent Admission
8. Novel compound demonstrates anti-leukemic effect in zebrafish, shows promise for human treatment
9. Breast cancer patients suffer treatment-related side effects long after completing care
10. Mayo Clinic offers newly approved treatment for acid reflux disease
11. Mobile Stroke Units Might Trim Time to Treatment
Post Your Comments:
Related Image:
Pricier, Intensive Whiplash Treatment May Not Pay Off: Study
(Date:6/27/2016)... ... June 27, 2016 , ... "FCPX editors can now ... of Final Cut Pro X," said Christina Austin - CEO of Pixel Film Studios. ... Final Cut Pro X users can now reveal the media of their split ...
(Date:6/27/2016)... ... 27, 2016 , ... A revolution is underway. Brooklyn-based ... experience for the millions of people who require these medical transport services annually. ... through the use of technology. Now, SmartEMS has put forth an industry-changing app ...
(Date:6/26/2016)... , ... June 26, 2016 , ... On June 10-11, ... of the 2016 Cereal Festival and World’s Longest Breakfast Table in Battle Creek, MI, ... the city’s history as home to some of the world’s leading providers of cereal ...
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer ... through a fitness app. The fitness app plans to fix the two major problems leading ... a one size fits all type program , They don’t eliminate all the ...
(Date:6/25/2016)... ... , ... Austin residents seeking Mohs surgery services, can now turn to Dr. ... Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to include ... in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Mass. , June 24, 2016   Pulmatrix, ... pharmaceutical company developing innovative inhaled drugs, announced today that ... Russell Investments reconstituted its comprehensive set of ... "This is an important milestone for Pulmatrix," ... will increase shareholder awareness of our progress in developing ...
(Date:6/23/2016)... Calif. , June 23, 2016 Any dentist ... many challenges of the current process. Many of them do ... of the technical difficulties and high laboratory costs involved. And ... to offer it at such a high cost that the ... it. Dr. Parsa Zadeh , founder of ...
(Date:6/23/2016)... ANGELES , June 23, 2016 ... CAPR ), a biotechnology company focused ... therapeutics, today announced that patient enrollment in its ... in Duchenne) has exceeded 50% of its 24-patient ... enrollment in the third quarter of 2016, and ...
Breaking Medicine Technology: