@article{ref1,
title="Therapy recommendation "act as usual" in patients with whiplash injuries QTF I°",
journal="Global journal of health science",
year="2012",
author="Dehner, Christoph and Kraus, Michael and Schöll, Hendrik and Schneider, Florian and Richter, Peter and Kramer, Michael",
volume="4",
number="6",
pages="36-42",
abstract="Up to now no therapy study has used the classification system of the Quebec Task Force (QTF) to differentiate between patients with (QTF II°) and without functional disorders (QTF I°). This differentiation seems meaningful, as this difference may be relevant for the correct treatment planning. In this context the effect of the therapy recommendation &quot;act as usual&quot; has been evaluated in a homogeneous patient collective with whiplash injuries QTF I°. 470 patients with acute whiplash injuries had been catched in this study and classified according to the QTF. 359 patients (76.4%) with QTF I° injuries could be identified. Out of that 162 patients were enrolled to the study and received the therapy recommendation &quot;act as usual&quot; and the adapted pain treatment with non-steroidal anti-inflammatory drugs (NSAID). After six months the outcome was evaluated by phone. After injury the median pain score assessed by a visual analogue scale (VAS) was 5.4 (min = 3.3; max = 8.5). After six months 5 of the 162 patients complained intermittent pain symptoms (VAS values < 2). This is consistent with a chronification rate of 3.1%. After injury, the median pain disability index (PDI) was 3.9 (min = 1.9; max = 7.7). After six months 3 of the 162 patients stated persisting disability during sporting and physical activities (VAS values < 1). The therapy recommendation &quot;act as usual&quot; in combination with an adapted pain treatment is sufficient. Usually patients with whiplash injuries QTF I° do not need physical therapy. An escalation of therapy measures should be reserved to patients with complicated healing processes.<p /> <p>Language: en</p>",
language="en",
issn="1916-9736",
doi="",
url="http://dx.doi.org/"
}