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18.06.2019 | Review Article

The role of non-rigid cervical collar in pain relief and functional restoration after whiplash injury: a systematic review and a pooled analysis of randomized controlled trials

verfasst von: Luca Ricciardi, Vito Stifano, Sonia D’Arrigo, Filippo Maria Polli, Alessandro Olivi, Carmelo Lucio Sturiale

Erschienen in: European Spine Journal | Ausgabe 8/2019

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Abstract

Purpose

Whiplash injury (WI) represents a common diagnosis at every emergency department. Several investigations have been conducted to compare the different medical managements for non-surgical cases. However, the role of the immobilization with a non-rigid cervical collar (nRCC) for pain management and range of motion (RoM) preservation has not been completely clarified.

Methods

We performed a systematic review of the randomized control trials (RCTs) and a pooled analysis in order to investigate the role of the nRCC for pain management, scored through the visual analogue scale (VAS) and the RoM, by comparing the use of a nRCC (for 1–2 weeks) with a non-immobilization protocols, regardless of the association with physical therapy (PhT). Only patients with whiplash-associated disorders grade I–II were included. Due to a certain heterogeneity across the RCTs, follow-up period time range resetting was necessary in order to pool the data.

Results

A total of 141 papers were reviewed; 6 of them matched the inclusion criteria and were admitted to the final study. Pooled analysis showed that nRCC does not improve the outcome in terms of VAS score and RoM trends along the follow-up. Moreover, VAS and RoM trends seem to further improve at long-term follow-up in non-immobilization associated with PhT group.

Conclusions

This pooled analysis of the available RCTs shows the absence of an advantage of the immobilization protocol with a nRCC after a WI. On the contrary, non-immobilization protocols show an overall better trend of pain relief and neck mobility recovery, regardless of the association of PhT.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.

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Spitzer WO, Skovron ML, Salmi LR et al (1995) Scientific monograph of the Quebec Task Force on whiplash-associated disorders: redefining “whiplash” and its management. Spine 20:1S–73SCrossRefPubMed

Overmeer T, Peterson G, Landén Ludvigsson M, Peolsson A (2016) The effect of neck-specific exercise with or without a behavioral approach on psychological factors in chronic whiplash-associated disorders: a randomized controlled trial with a 2-year follow-up. Med (Baltim) 95:e4430. https://doi.org/10.1097/MD.0000000000004430 CrossRef

Chen H, Yang KH, Wang Z (2009) Biomechanics of whiplash injury. Chin J Traumatol Zhonghua Chuang Shang Za Zhi 12:305–314PubMed

Björnstig U, Hildingsson C, Toolanen G (1990) Soft-tissue injury of the neck in a hospital based material. Scand J Soc Med 18:263–267CrossRefPubMed

Cassidy JD, Carroll LJ, Côté P, Frank J (2007) Does multidisciplinary rehabilitation benefit whiplash recovery?: results of a population-based incidence cohort study. Spine 32:126–131. https://doi.org/10.1097/01.brs.0000249526.76788.e8 CrossRefPubMed

Sterner Y, Gerdle B (2004) Acute and chronic whiplash disorders—a review. J Rehabil Med 36:193–209 quiz 210 CrossRefPubMed

Carroll LJ, Hogg-Johnson S, Côté P et al (2008) Course and prognostic factors for neck pain in workers: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine 33:S93–100. https://doi.org/10.1097/BRS.0b013e31816445d4 CrossRefPubMed

Kamper SJ, Rebbeck TJ, Maher CG et al (2008) Course and prognostic factors of whiplash: a systematic review and meta-analysis. Pain 138:617–629. https://doi.org/10.1016/j.pain.2008.02.019 CrossRefPubMed

Kim K-H, Choi S-H, Kim T-K et al (2005) Cervical facet joint injections in the neck and shoulder pain. J Korean Med Sci 20:659–662. https://doi.org/10.3346/jkms.2005.20.4.659 CrossRefPubMedPubMedCentral

10.

Lord SM, Barnsley L, Wallis BJ, Bogduk N (1996) Chronic cervical zygapophysial joint pain after whiplash a placebo-controlled prevalence study. Spine 21:1737–1744 discussion 1744-1745 CrossRefPubMed

11.

Freeman MD, Croft AC, Rossignol AM (1998) Whiplash associated disorders: redefining whiplash and its management” by the Quebec Task Force. A critical evaluation. Spine 23:1043–1049CrossRefPubMed

12.

Rydman E, Ponzer S, Brisson R et al (2018) Long-term follow-up of whiplash injuries reported to insurance companies: a cohort study on patient-reported outcomes and impact of financial compensation. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 27:1255–1261. https://doi.org/10.1007/s00586-018-5507-2 CrossRef

13.

Teasell RW, McClure JA, Walton D et al (2010) A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 2—interventions for acute WAD. Pain Res Manag 15:295–304CrossRefPubMedPubMedCentral

14.

Griffin A, Leaver A, Moloney N (2017) General exercise does not improve long-term pain and disability in individuals with whiplash-associated disorders: a systematic review. J Orthop Sports Phys Ther 47:472–480. https://doi.org/10.2519/jospt.2017.7081 CrossRefPubMed

15.

Holla M, Hannink G, Eggen TGE et al (2017) Restriction of cervical intervertebral movement with different types of external immobilizers: a cadaveric 3D analysis study. Spine 42:E1182–E1189. https://doi.org/10.1097/BRS.0000000000002107 CrossRefPubMed

16.

Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6:e1000097. https://doi.org/10.1371/journal.pmed.1000097 CrossRefPubMedPubMedCentral

17.

McKinney LA (1989) Early mobilisation and outcome in acute sprains of the neck. BMJ 299:1006–1008CrossRefPubMedPubMedCentral

18.

McKinney LA, Dornan JO, Ryan M (1989) The role of physiotherapy in the management of acute neck sprains following road-traffic accidents. Arch Emerg Med 6:27–33CrossRefPubMedPubMedCentral

19.

Wan X, Wang W, Liu J, Tong T (2014) Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol 14:135. https://doi.org/10.1186/1471-2288-14-135 CrossRefPubMedPubMedCentral

20.

DerSimonian R, Kacker R (2007) Random-effects model for meta-analysis of clinical trials: an update. Contemp Clin Trials 28:105–114. https://doi.org/10.1016/j.cct.2006.04.004 CrossRefPubMed

21.

Borchgrevink GE, Kaasa A, McDonagh D et al (1998) Acute treatment of whiplash neck sprain injuries. A randomized trial of treatment during the first 14 days after a car accident. Spine 23:25–31CrossRefPubMed

22.

Kongsted A, Qerama E, Kasch H et al (2007) Neck collar, “act-as-usual” or active mobilization for whiplash injury? A randomized parallel-group trial. Spine 32:618–626. https://doi.org/10.1097/01.brs.0000257535.77691.bd CrossRefPubMed

23.

Mealy K, Brennan H, Fenelon GC (1986) Early mobilization of acute whiplash injuries. Br Med J Clin Res Ed 292:656–657CrossRefPubMedPubMedCentral

24.

Schnabel M, Ferrari R, Vassiliou T, Kaluza G (2004) Randomised, controlled outcome study of active mobilisation compared with collar therapy for whiplash injury. Emerg Med J EMJ 21:306–310CrossRefPubMed

25.

Vassiliou T, Kaluza G, Putzke C et al (2006) Physical therapy and active exercises—an adequate treatment for prevention of late whiplash syndrome? Randomized controlled trial in 200 patients. Pain 124:69–76. https://doi.org/10.1016/j.pain.2006.03.017 CrossRefPubMed

26.

Wiangkham T, Duda J, Haque S et al (2015) The effectiveness of conservative management for acute whiplash associated disorder (WAD) II: a systematic review and meta-analysis of randomised controlled trials. PLoS ONE 10:e0133415. https://doi.org/10.1371/journal.pone.0133415 CrossRefPubMedPubMedCentral

27.

Rushton A, Wright C, Heneghan N et al (2011) Physiotherapy rehabilitation for whiplash associated disorder II: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 1:e000265. https://doi.org/10.1136/bmjopen-2011-000265 CrossRefPubMedPubMedCentral

Titel: The role of non-rigid cervical collar in pain relief and functional restoration after whiplash injury: a systematic review and a pooled analysis of randomized controlled trials
verfasst von: Luca Ricciardi
Vito Stifano
Sonia D’Arrigo
Filippo Maria Polli
Alessandro Olivi
Carmelo Lucio Sturiale
Publikationsdatum: 18.06.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 8/2019
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-019-06035-9

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Springer Medizin

The role of non-rigid cervical collar in pain relief and functional restoration after whiplash injury: a systematic review and a pooled analysis of randomized controlled trials

Abstract

Purpose

Methods

Results

Conclusions

Graphic abstract

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Ärztliche Empathie hilft gegen Rückenschmerzen

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Graphic abstract

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