Factors influencing clinical symptoms and treatment of patients with traffic accident injuries: A retrospective chart review with a questionnaire survey

Kim, Kwanghwi; Kwon, Oh-Hoon; Kim, Taeyeon; Lee, Tae Geol; Choi, Kihoon; Cho, Hyun Woo; Kim, Doo Ri; Park, Kyoung Sun; Lee, Jinho; Shin, Byung‐Cheul; Ha, In‐Hyuk

doi:10.1371/journal.pone.0252922

Cited by 6 publications

(5 citation statements)

References 39 publications

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“…Furthermore, a previous study reported that the TA-related settlement status and treatment completion status are associated with clinical symptoms after a TA. [ 30 ] This study lasted 12 weeks, including follow-up, to monitor clinical progress related to LBP, as well as the treatment completion status, accident settlement status, and return to work. However, no differences were observed between the 2 groups.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of motion-style acupuncture treatment using traction for inpatients with acute low back pain caused by a traffic accident: A randomized controlled trial

Park,

Han,

Park

et al. 2024

Medicine

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Background: Musculoskeletal symptoms, such as neck pain and low back pain (LBP) are common after a traffic accident (TA). While motion-style acupuncture treatment (MSAT) is effective in relieving pain, MSAT using traction (T-MSAT) has rarely been studied, and evidence for its efficacy and safety is lacking. To address this gap, this study aimed to assess the effectiveness and safety of T-MSAT for pain and functional disturbances in patients with acute LBP caused by a TA. Methods: This two-armed, parallel, assessor blinded randomized controlled trial, conducted at Jaseng Hospital of Korean Medicine, included 100 patients with acute LBP occurring within 1 week of a TA. The participants were randomly allocated (1:1 ratio) to receive either combined T-MSAT and integrative Korean medicine treatment (IKMT) or only conventional IKMT, applied for 3 consecutive days after admission. The primary outcome was the difference between numerical rating scale (NRS) scores for LBP at baseline and after treatment completion on day 4 after admission. Results: At the primary endpoint, the difference in NRS scores for LBP between the T-MSAT and control groups was 0.94 (95% confidence interval [CI] 0.40–1.48). The T-MSAT group showed a significantly lower NRS score for LBP than the control group. Differences in visual analogue scale (VAS) scores between the T-MSAT and control groups were significant at baseline and discharge. The area under the curve of the VAS score showed a significant difference (−46.86 [95% CI −85.13 to −8.59]), indicating faster pain reduction in the T-MSAT group than in the control group. Recovery (30% pain reduction) was achieved more rapidly in the T-MSAT group than in the control group (log-rank test P = .005). Meanwhile, the NRS, VAS, Oswestry disability index, and quality of life scores at discharge or at the 12-week follow-up showed no significant difference. The rates of mild adverse events (AEs) were comparable between the groups. No severe AEs were reported, and none of the AEs were associated with the clinical trial. Conclusions: T-MSAT combined with IKMT is a safe treatment that can effectively and quickly reduce initial pain in patients with LBP.

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Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of motion-style acupuncture treatment using traction for inpatients with acute low back pain caused by a traffic accident: A randomized controlled trial

Park,

Han,

Park

et al. 2024

Medicine

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“…According to many researchers, after upper limb injuries in road traffic accidents, there is a noticeable decrease in quality of life during the initial acute phase, usually within 1-2 weeks after the injury, with gradual improvement over the first year of recovery [15][16][17]. Previous studies have highlighted the disabling nature of upper limb and chest injuries.…”

Section: E Discussionmentioning

confidence: 99%

Telerehabilitation model in operated individuals with upper limb and chest trauma due to road traffic accidents

Babii

2023

bmbr

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Implementing telerehabilitation methods for individuals injured in road traffic accidents with upper limb and chest trauma is critically essential for improving patients' functional recovery, ensuring effective interaction between the patient and the rehabilitation specialist, and reducing overall time and costs associated with rehabilitation. The purpose of the study is to assess the effectiveness of applying telemedicine monitoring tools and the developed rehabilitation model in the functional recovery of operated patients with upper limb and chest trauma. The study included patients who underwent surgery due to upper limb and chest trauma resulting from road traffic accidents. Patients were divided into two groups: retrospective (186 patients) underwent standard rehabilitation, while the main group (62 patients) was involved in the developed telerehabilitation model programme. Functional outcomes were analysed using the qDASH scale, including the average time spent by patients on rehabilitation per day, the number of patient visits to the medical facility within 3 weeks, and the total time spent by the rehabilitation specialist per patient over 3 weeks. After rehabilitation, over 80% of patients in both groups demonstrated positive and satisfactory results, with a slight advantage of excellent results in the main group (12.90% versus 9.14%). Patients in the main group spent more time on their rehabilitation (41+3 minutes per day) and had access to progress monitoring functions and communication with the doctor, which increased their motivation and involvement. Telerehabilitation remarkably reduced the number of required doctor visits (5±2 versus 11±3 visits) and the time spent by the rehabilitation specialist on each patient over 3 weeks (132±12 minutes versus 243±17 minutes). The average time per day spent by the injured individuals on rehabilitation exercises in the main group was 41±3 minutes, while in the retrospective group, it was 31±7 minutes. The telerehabilitation model is an equivalent alternative and complement to standard rehabilitation methods. Its advantages include increased motivation for performing rehabilitation exercises and the ability to conduct training in a distance-controlled environment

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“…[7] Furthermore, patients frequently exaggerate their symptoms for financial rewards from insurance companies. [8] Owing to these characteristics, clinicians often do not actively conduct…”

Section: Introductionmentioning

confidence: 99%

“…[ 7 ] Furthermore, patients frequently exaggerate their symptoms for financial rewards from insurance companies. [ 8 ] Owing to these characteristics, clinicians often do not actively conduct examinations to determine the anatomical origin of patients pain and overlook the diagnosis of obvious damage to body structures. [ 9 ]…”

Section: Introductionmentioning

confidence: 99%

Partial isolated tear of the popliteus tendon following an in-car traffic accident: A rare cause of knee pain: A CARE-compliant case report

Choi,

Chang

2023

Medicine

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Rationale: Lesions caused by traffic accidents are often microscopic and minimal; therefore, their diagnosis can be easily overlooked. Moreover, when it is a rarely reported type of lesion, it can be even more easily undiagnosed. Isolated popliteal injuries are uncommon and have rarely been reported. Patient concerns: In this case study, we describe a right partially isolated popliteus tendon rupture that was undiagnosed for 2 years in a patient with posterior knee pain after an in-car traffic accident. A 49-year-old female patient presented with right knee pain that had persisted for 2 years and was initiated after an in-car traffic accident. The patient’s right knee pain aggravated while standing and walking. Six months after the accident, her pain was confined to the posterolateral aspect of the knee and subsequently spread throughout her right knee. The pain score was 4 on a numerical rating scale. Physical examination revealed tenderness in the posterolateral corner of the right knee. Additionally, right knee pain was reported in the terminal range of knee flexion during the passive range of motion test. Radiographs of the right knee showed normal findings. Diagnoses: A T2-weighted proton density sagittal and coronal knee magnetic resonance imaging revealed a partial-thickness tear with intrasubstance ganglion cysts at the musculotendinous junction of the popliteus tendon. No other abnormalities were observed in the patient. Intervention: Conservative treatment involved strengthening exercises and functional rehabilitation programs. Outcomes: Six months later, the knee pain almost completely subsided. Lessons: Musculoskeletal injuries caused by traffic accidents are frequently overlooked. Therefore, a detailed examination should be conducted for an accurate diagnosis. Clinicians should consider the possibility of popliteal tendon injuries in patients with posterior knee pain.

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Factors influencing clinical symptoms and treatment of patients with traffic accident injuries: A retrospective chart review with a questionnaire survey

Cited by 6 publications

References 39 publications

Effectiveness and safety of motion-style acupuncture treatment using traction for inpatients with acute low back pain caused by a traffic accident: A randomized controlled trial

Effectiveness and safety of motion-style acupuncture treatment using traction for inpatients with acute low back pain caused by a traffic accident: A randomized controlled trial

Telerehabilitation model in operated individuals with upper limb and chest trauma due to road traffic accidents

Partial isolated tear of the popliteus tendon following an in-car traffic accident: A rare cause of knee pain: A CARE-compliant case report

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