Protocol of a randomized controlled trial of the effectiveness of physician education and activation versus two rehabilitation programs for the treatment of Whiplash-associated Disorders: The University Health Network Whiplash Intervention Trial
2008

Effectiveness of Physician Education vs. Rehabilitation for Whiplash

Sample size: 444 publication null Evidence: high

Author Information

Author(s): Côté Pierre, Cassidy J David, Carette Simon, Boyle Eleanor, Shearer Heather M, Stupar Maja, Ammendolia Carlo, van der Velde Gabrielle, Hayden Jill A, Yang Xiaoqing, van Tulder Maurits, Frank John W

Primary Institution: University Health Network

Hypothesis

Is physician care more effective than two rehabilitation programs for improving recovery in patients with whiplash-associated disorders?

Conclusion

The study aims to provide evidence on the effectiveness of physician care compared to rehabilitation programs for managing whiplash-associated disorders.

Supporting Evidence

  • Whiplash injuries lead to significant disability and high health care utilization.
  • Previous studies suggest physician care may be the most effective treatment for whiplash.
  • No randomized trials have previously investigated the effectiveness of coordinated rehabilitation programs for whiplash.

Takeaway

This study is trying to find out if seeing a doctor helps people with neck injuries from car accidents get better faster than going to rehab.

Methodology

A three-arm pragmatic randomized controlled trial with 444 participants diagnosed with Grade I or II Whiplash-associated Disorders.

Potential Biases

Potential contamination bias if multiple passengers from the same vehicle are randomized to different treatment arms.

Limitations

The study may have a 30% loss-to-follow-up rate.

Participant Demographics

Individuals aged 18 and older, diagnosed with Grade I or II Whiplash-associated Disorders, residing in Southern Ontario.

Statistical Information

P-Value

0.05

Confidence Interval

95%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1745-6215-9-75

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