What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for people with acute whiplash associated disorder? A randomized controlled trial

Bring, Annika; Åsenlöf, Pernilla; Söderlund, Anne

doi:10.1177/0269215515581503

Cited by 31 publications

(44 citation statements)

References 27 publications

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“…Furthermore, some of these studies also encouraged patients to participate in the decision making regarding goal settings and treatment. One of these studies included patients with WAD [52], with the other being of patients with low back pain [53].…”

Section: Combined Treatments—physical and Psychological Treatmentsmentioning

confidence: 99%

Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain

Sterling

Zoete

Coppieters

et al. 2019

JCM

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Neck pain, whether from a traumatic event such as a motor vehicle crash or of a non-traumatic nature, is a leading cause of worldwide disability. This narrative review evaluated the evidence from systematic reviews, recent randomised controlled trials, clinical practice guidelines, and other relevant studies for the effects of rehabilitation approaches for chronic neck pain. Rehabilitation was defined as the aim to restore a person to health or normal life through training and therapy and as such, passive interventions applied in isolation were not considered. The results of this review found that the strongest treatment effects to date are those associated with exercise. Strengthening exercises of the neck and upper quadrant have a moderate effect on neck pain in the short-term. The evidence was of moderate quality at best, indicating that future research will likely change these conclusions. Lower quality evidence and smaller effects were found for other exercise approaches. Other treatments, including education/advice and psychological treatment, showed only very small to small effects, based on low to moderate quality evidence. The review also provided suggestions for promising future directions for clinical practice and research.

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Section: Combined Treatments—physical and Psychological Treatmentsmentioning

confidence: 99%

Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain

Sterling

Zoete

Coppieters

et al. 2019

JCM

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“…Support for including behavioral medicine content and competencies into entry-level professional education (in turn, practice) comes from the growing evidence for an integrated behavioral medicine approach in physiotherapist practice, mainly from the area of pain research (Johansson, 1999;Sandborgh, 2008;Söderlund, 2001). Such an approach has superior short-term (Åsenlöf, Denison, and Lindberg, 2005;Cederbom et al, 2014) and long-term effects on functional recovery and pain control (Åsenlöf, Denison, and Lindberg, 2009;Bring, Åsenlöf, and Söderlund, 2016;Friedrich, Gittler, Arendasy, and Friedrich, 2005), compared with standard physiotherapy interventions alone. Two systematic reviews support a behavioral medicine approach to rehabilitation (Janssen, Gucht, Dusseldorp, and Maes, 2013;Morris, MacGillivray, and Mcfarlane, 2014).…”

Section: Behavioral Medicine Practice Within the Physiotherapy Contextmentioning

confidence: 99%

Integration of behavioral medicine competencies into physiotherapy curriculum in an exemplary Swedish program: rationale, process, and review

Sandborgh

Dean

Denison

et al. 2018

Physiotherapy Theory and Practice

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In 2004, Mälardalen University, Sweden, introduced a new undergraduate entry-level physiotherapy program. Program developers constructed the curriculum with behavioral medicine content that reflected the contemporary definition and values of the physiotherapy profession aligning it with current best practices, evidence, and the International Classification of Functioning, Disability, and Health (ICF). The new curriculum conceptualized movement and function as modifiable behaviors in that they reflect behavioral contingencies, perceptions, beliefs, and lifestyle factors as well as pathophysiology and environmental factors. The purpose of this article is to describe how one university accordingly structured its new curriculum and its review. We describe the rationale for the curriculum's behavioral medicine content and competencies, its development and implementation, challenges, long-term outcomes, and its related research enterprise. We conclude that physiotherapy practiced by our graduates augments that taught in other programs based on accreditation reviews. With their expanded practice scope, graduates are systematically practicing within the constructs of health and function conceptualized within the ICF. Our intent in sharing our experience is to exemplify one university's initiative to best prepare students with respect to maximizing physiotherapy outcomes as well as establish a dialogue regarding minimum standards of behavioral medicine competencies in physiotherapy education and practice.

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“…[8] In a recent study of acute whiplash-associated disorders, an individually tailored intervention based on behavioral medicine and learning perspectives was evaluated through a small but successful RCT. [30] Interventions that involve stressorspecific problem solving may help further develop the treatment rationale.…”

Section: Acutementioning

confidence: 99%

Stressful events and coping related to acute and sub-acute whiplash-associated disorders

Pettersson

Bring

Åsenlöf

2016

Disability and Rehabilitation

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Purpose To describe daily stressors affecting and coping strategies employed by individuals with whiplash-associated disorders (WAD) immediately to one month (acute) and three to four months (sub-acute) after injury events using a daily coping assessment. Levels of pain, anxiety, depressed mood and activity are also compared between phases. Method A descriptive prospective design with a content analysis approach was used. Participants completed daily coping assessments for one week during both acute and sub-acute phases. Main measure was whiplash-associated disorders-daily coping assessment (WAD-DCA). Results Nine participants used words describing recovery in the sub-acute phase; 31 described stressful events during both phases. Most frequently reported stressors were related to "symptoms", "emotions" and "occupations/studies". These were equally reported during both phases. Cognitive coping strategies were employed more often during the sub-acute phase (p = 0.008). The only behavioral strategy that increased in prevalence over time was the "relaxed" strategy (p = 0.001). Anxiety levels declined over time (p = 0.022). Conclusion The reported stressors were largely uniform across both acute and sub-acute phases; however, the use of cognitive coping strategies increased over time. The WAD-DCA captures individual stressors and coping strategies employed during a vulnerable phase of rehabilitation and can thus provide information that is useful to clinical practice. Implications for rehabilitation The WAD-DCA provides valuable information for clinical practice when employed during early phases of whiplash-associated disorder development. Reported stressors during the acute and sub-acute phases are essentially the same, whereas cognitive coping strategies grow in prevalence over time. Tailored treatments in early phases of whip-lash associated disorders may benefit from strategies aimed at matching patient-specific stressors with contextually adapted coping strategies.

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What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for people with acute whiplash associated disorder? A randomized controlled trial

Abstract: An individually tailored behavioural programme improved biopsychosocial factors in patients with whiplash associated disorders up to 12 months after treatment. Internet-delivered intervention was as effective as clinic-based face-to-face therapy sessions.

Cited by 31 publications

References 27 publications

Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain

Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain

Integration of behavioral medicine competencies into physiotherapy curriculum in an exemplary Swedish program: rationale, process, and review

Stressful events and coping related to acute and sub-acute whiplash-associated disorders

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