Biomaterial Database

One-Year Follow-Up after Multimodal Rehabilitation for Patients with Whiplash-Associated Disorders. 2020

Viktor Björsenius, and Monika Löfgren, and Britt-Marie Stålnacke

Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, SE-905 87 Umeå, Sweden.

Long-term symptoms after whiplash injury often comprise neck pain, headache, anxiety, depression, functional impairment and low quality of life. In an observational cohort study, we examined physical and mental health effects in patients with subacute to chronic whiplash-associated disorders (WAD) after participation in a multimodal rehabilitation (MMR) program. MMR is a team-based multi-professional method based on a bio-psycho-social model with a cognitive focus to reach an individualized and common goal for the team and patient together. Standardized self-report questionnaires were filled in three times: before MMR, after MMR, and one year after MMR. A total of 322 participants completed the program, 161 of whom responded in full and were further analyzed. At one-year follow-up after MMR, a significant improvement was seen in the evaluation of the primary outcomes (physical and mental health) and secondary outcomes (anxiety, depression, pain intensity and interference with life). Women improved on all outcomes while men did not improve on the psychological measures (mental health, depression and anxiety). This study indicates that a MMR program could be beneficial for patients with subacute to chronic WAD, at least for women, since the outcomes at one-year follow-up were positive.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D011788	Quality of Life	A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease.	HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D005260	Female		Females
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014911	Whiplash Injuries	Hyperextension injury to the neck, often the result of being struck from behind by a fast-moving vehicle, in an automobile accident. (From Segen, The Dictionary of Modern Medicine, 1992)	Injuries, Whiplash,Injury, Whiplash,Whiplash Injury
D015331	Cohort Studies	Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.	Birth Cohort Studies,Birth Cohort Study,Closed Cohort Studies,Cohort Analysis,Concurrent Studies,Historical Cohort Studies,Incidence Studies,Analysis, Cohort,Cohort Studies, Closed,Cohort Studies, Historical,Studies, Closed Cohort,Studies, Concurrent,Studies, Historical Cohort,Analyses, Cohort,Closed Cohort Study,Cohort Analyses,Cohort Studies, Birth,Cohort Study,Cohort Study, Birth,Cohort Study, Closed,Cohort Study, Historical,Concurrent Study,Historical Cohort Study,Incidence Study,Studies, Birth Cohort,Studies, Cohort,Studies, Incidence,Study, Birth Cohort,Study, Closed Cohort,Study, Cohort,Study, Concurrent,Study, Historical Cohort,Study, Incidence
D019547	Neck Pain	Discomfort or more intense forms of pain that are localized to the cervical region. This term generally refers to pain in the posterior or lateral regions of the neck.	Cervical Pain,Neckache,Anterior Cervical Pain,Anterior Neck Pain,Cervicalgia,Cervicodynia,Neck Ache,Posterior Cervical Pain,Posterior Neck Pain,Ache, Neck,Aches, Neck,Anterior Cervical Pains,Anterior Neck Pains,Cervical Pain, Anterior,Cervical Pain, Posterior,Cervical Pains,Cervical Pains, Anterior,Cervical Pains, Posterior,Cervicalgias,Cervicodynias,Neck Aches,Neck Pain, Anterior,Neck Pain, Posterior,Neck Pains,Neck Pains, Anterior,Neck Pains, Posterior,Neckaches,Pain, Anterior Cervical,Pain, Anterior Neck,Pain, Cervical,Pain, Neck,Pain, Posterior Cervical,Pain, Posterior Neck,Pains, Anterior Cervical,Pains, Anterior Neck,Pains, Cervical,Pains, Neck,Pains, Posterior Cervical,Pains, Posterior Neck,Posterior Cervical Pains,Posterior Neck Pains

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