Navigation Links
Pricier, Intensive Whiplash Treatment May Not Pay Off: Study
Date:12/17/2012

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:
*Name:
*Comment:
*Email:
Related Image:
Pricier, Intensive Whiplash Treatment May Not Pay Off: Study
(Date:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th ... Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s CEO, ... The fun run is geared towards children of all ages; it is a non-competitive, ...
(Date:10/13/2017)... ... 2017 , ... Talented host, actor Rob Lowe, is introducing ... new episode of "Success Files," which is an award-winning educational program broadcasted on ... subject in-depth with passion and integrity. , Sciatica occurs when the sciatic nerve ...
(Date:10/13/2017)... ... , ... “The Journey: From the Mountains to the Mission Field”: the story ... the Philippines. “The Journey: From the Mountains to the Mission Field” is the creation ... has taught all ages and currently teaches a class of ladies at her church, ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... advisory services for healthcare compliance program management, will showcase a range of technology ... Association for Assisted Living (NCAL) Convention and Expo to be held October 14–18, ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... IRVING, Texas , Oct. 11, 2017  Caris ... science focused on fulfilling the promise of precision medicine, ... Institute has joined Caris, Precision Oncology Alliance™ (POA) as ... leading cancer centers, the St. Jude Crosson Cancer Institute ... to advance the use of tumor profiling, making cancer ...
(Date:10/10/2017)... , Oct. 10, 2017   West Pharmaceutical Services, ... solutions for injectable drug administration, today shared the results ... Adapter for improving the intradermal administration of polio vaccines. ... Vaccination Summit in May 2017 by Dr. Ondrej ... Department, World Health Organization (WHO), and recently published in ...
(Date:10/4/2017)... -- According to the Centers for Disease Control and Prevention (CDC), influenza ... Care is helping communities across Massachusetts , ... no-cost* flu shots through the end of the month. *Some ... ... flu shot is by the end of October, according to the Centers ...
Breaking Medicine Technology: