The effect of steroid treatment on whiplash associated syndrome: a controlled randomized prospective trial

Shaked, Gad; Shaked, Daniela; Sebbag, Gilbert; Czeiger, David

doi:10.1007/s00068-019-01282-3

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…Several reports suggest that individuals with higher pain sensitivity have a higher risk of altered central pain modulation (34) and that patients with a low pain threshold have a worsened prognosis after whiplash trauma [59,62]. These links have also been associated with the stress response that an MVA can represent [61], particularly for individuals with low serum concentrations of cortisol [63]. Further, it has been suggested that a high initial level of pain could be modified by chronic pain and be an opportunity to depress the chronic component [64].…”

Section: Initial Level Of Painmentioning

confidence: 99%

The significance of cervical sagittal alignment for nonrecovery after whiplash injury

et al. 2020

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Section: Initial Level Of Painmentioning

confidence: 99%

The significance of cervical sagittal alignment for nonrecovery after whiplash injury

et al. 2020

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“…Kim et al 4 reported that 57% of patients involved in traffic accidents present with neck and back pain. Several conservative therapies can be used to relieve pain and discomfort in the cervical region, such as nerve block on the dysfunctional spinal articular process5 6; however, it is difficult to predict the course and sequelae of WAD owing to its unique mechanism 7 8…”

Section: Introductionmentioning

confidence: 99%

Efficacy of acupuncture for whiplash injury: a systematic review and meta-analysis

Lee,

Park,

Heo

et al. 2024

BMJ Open

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ObjectivesThis study aimed to establish clinical evidence for acupuncture by analysing data from trials that demonstrated the efficacy of acupuncture for whiplash-associated disorder (WAD) with the following research question: Is acupuncture treatment effective for symptom alleviation in patients with WAD compared with other usual care?DesignA systematic review and meta-analysis.Data sourcesPubMed, Ovid Medline, Embase, The Cochrane Library, China National Knowledge Infrastructure, ScienceOn, KMBASE, Korean Studies Information Service System, Korea Med, Oriental Medicine Advanced Searching Integrated System and Research Information Sharing Service were searched from their inception to 1 October 2023.Eligibility criteriaWe included randomised controlled trials (RCTs) using acupuncture on patients with WAD. The outcomes were the pain visual analogue scale (VAS) score or numerical rating scale score for neck pain, the range of motion (ROM) of the neck, the Neck Disability Index and safety.Data extraction and synthesisTwo independent researchers analysed and extracted data from the selected literatures. The risk of bias and the quality of evidence were assessed according to the Cochrane Handbook for Systematic Reviews of Interventions and the Grading of Recommendations Assessment, Development, and Evaluation method, respectively.ResultsA total of 525 patients with WAD from eight RCTs were included in this study. The meta-analysis revealed that the outcomes showed significant differences in the pain VAS score (standard mean difference (SMD): −0.57 (–0.86 to –0.28), p<0.001) and ROM-extension (SMD: 0.47 (0.05 to 0.89), p=0.03). The risk of bias assessment revealed that four studies published after 2012 (50%, 4 out of 8 studies) showed low bias in most domains. The pain VAS score was graded as having moderate certainty.ConclusionAcupuncture may have clinical value in pain reduction and increasing the ROM for patients with WAD. High-quality RCTs must be conducted to confirm the efficacy of acupuncture in patients with WAD.Trial registration numberPROSPERO CRD42021261595.

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Early pharmacological interventions for universal prevention of post-traumatic stress disorder (PTSD)

Bertolini

Robertson

Bisson

et al. 2022

Cochrane Database of Systematic Reviews

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The effect of steroid treatment on whiplash associated syndrome: a controlled randomized prospective trial

Cited by 6 publications

References 29 publications

The significance of cervical sagittal alignment for nonrecovery after whiplash injury

The significance of cervical sagittal alignment for nonrecovery after whiplash injury

Efficacy of acupuncture for whiplash injury: a systematic review and meta-analysis

Early pharmacological interventions for universal prevention of post-traumatic stress disorder (PTSD)

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