Emergency department treatments and physiotherapy for acute whiplash: a pragmatic, two-step, randomised controlled trial

This report has been verified by one or more authors of the original publication.

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

This study was conducted to examine the effectiveness of treatments for acute whiplash injury. First, this study examined whether providing active management consultations was more effective than usual care (step 1) in the emergency department. Secondly, the study evaluated whether a physiotherapy package was more effective than one additional physiotherapy advice session in patients with persisting symptoms (step 2). For step 1, 3851 patients were randomized to either usual care of active management. For step two, 599 patients were allocated to either advice or a physiotherapy package. Assessment at 12 months revealed that the provision of active management consultation did not lead to additional benefit. Furthermore, a physiotherapy package gave a modest acceleration to early recovery of persisting symptoms but was not considered cost-effective.