RSS-Feed abonnieren
DOI: 10.1055/s-2008-1027973
© Georg Thieme Verlag KG Stuttgart · New York
Vergleich der Wirkungen physiotherapeutischer und alternativer Behandlungsansätze bei durch Schleudertrauma bedingten chronischen Problemen
Comparison of the Effects of Physiotherapeutic and Alternative Treatment Modalities in the Case of Whiplash-Associated Chronic ProblemsPublikationsverlauf
Manuskript eingetroffen: 16.10.2007
Manuskript akzeptiert: 8.2.2008
Publikationsdatum:
11. Dezember 2008 (online)

Zusammenfassung
Von den in der physiotherapeutischen Praxis häufig vorkommenden Schleudertrauma-Verletzten entwickeln 19 – 60 % chronische Probleme. Die vorliegende systematische Literaturauswertung suchte nach wissenschaftlichen Nachweisen für die Wirksamkeit verschiedener Behandlungsansätze. Es fand sich mäßige bis starke Evidenz, dass multidisziplinäre Rehabilitation und multimodale Ansätze zur Behandlung wirksam und kostengünstig sind.
Abstract
Of the whiplash injuries often found in physiotherapeutic practice 19 – 60 % develop chronic disorders. This systematic literature review examined the scientific evidence of the effectiveness of different treatment modalities. The results showed moderate to high evidence that multidisciplinary rehabilitation and multimodal approaches are effective and cost-saving.
Schlüsselwörter
Schleudertrauma - Halsverletzungen - zervikales Trauma - Verkehrsunfälle - chronische Erkrankung - Behandlungsparameter
Key words
whiplash-associated disorders - neck injuries - cervical trauma - traffic accidents - chronic diseases - therapy parameters
Literatur
- 1
Alpass L.
Chiropractic management of „intractable” chronic whiplash syndrome.
Clinical Chiropractic.
2004;
7
16-23
MissingFormLabel
- 2 Anderson R, Gibson T J, Cox M. et al .Whiplash-associated disorders: a comprehensive review. Adelaide; Centre for Automotive Safety Research/The University of South Australia 2005
MissingFormLabel
- 3
BenEliyahu D.
Chiropractic Care for Spinal Whiplash Injuries.
Dynamic Chiropractic.
1999;
17
MissingFormLabel
- 4
Carette S.
Whiplash injury and chronic neck pain.
The New England Journal of Medicine.
1994;
330
1083-1084
MissingFormLabel
- 5
.
CASR.
2006 [2];
MissingFormLabel
- 6
Eck J, Scott M S, Hodges D. et al .
Whiplash: a review of a commonly misunderstood injury.
American Journal of Medicine.
2001;
110
651-656
MissingFormLabel
- 7 Elster E. Whiplash: information for drivers, pedestrians, and athletes. 7.4.2007 www.erinelster.com
MissingFormLabel
- 8
Ferrantelli J, Harrison D E, Harrison D D. et al .
Conservative treatment of a patient with previously unresponsive whiplash-associated
disorders using clinical biomechanics of posture rehabilitation methods.
Journal of Manipulative and Physiological Therapeutics.
2005;
28
205e1-205e8
MissingFormLabel
- 9
Ferrari R, Schrader H.
The late whiplash syndrome: a biopsychosocial approach.
Journal of Neurology, Neurosurgery and Psychiatry.
2001;
70
722-726
MissingFormLabel
- 10
Fitz-Ritson D.
Phasic Exercises for cervical rehabilitation after ‘whiplash’ trauma.
Journal of Manipulative and Physiological Therapeutics.
1995;
18
21-24
MissingFormLabel
- 11
Gosnold J.
The impact of rehabilitation on chronic whiplash.
Clinical Chiropractic.
2003;
6
129-136
MissingFormLabel
- 12
Gouzd B K.
Emergency: whiplash injury.
American Journal of Nursing.
2000;
100
41-42
MissingFormLabel
- 13
Heikkilae H, Heikkilae E, Eisemann M.
Predictive factors for the outcome of a multidisciplinary pain rehabilitation programme
on sick-leave and life satisfaction in patients with whiplash trauma and other myofascial
pain: a follow up study.
Clinical Rehabilitation.
1998;
12
487-496
MissingFormLabel
- 14
Jaspers J.
Whiplash and post-traumatic stress disorder.
Disability and Rehabilitation.
1998;
20
397-404
MissingFormLabel
- 15
Jull G, Sterling M, Kenardy J. et al .
Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation
for chronic whiplash? A preliminary RCT.
Pain.
2007;
129
28-34
MissingFormLabel
- 16
Magee D, Oborn-Barett E, Turner S. et al .
A systematic overview of the effectiveness of physical therapy intervention on soft
tissue neck injury following trauma.
Physiotherapy Canada.
2000;
52
111-130
MissingFormLabel
- 17
Olson V.
Whiplash-associated chronic headache treated with home cervical traction.
Physical Therapy.
1997;
77
417-424
MissingFormLabel
- 18
Panjabi M, Cholewicki J, Nibu K. et al .
Mechanism of whiplash injury.
Clinical Biomechanics.
1998;
13
239-249
MissingFormLabel
- 19
Peeters G, Verhagen A P, Bie R A. et al .
The efficacy of conservative treatment in patients with whiplash injury – a systematic
review of clinical trials.
Spine.
2001;
26
E64-E73
MissingFormLabel
- 20
Prushansky de T, Pevzner E, Gordon C. et al .
Performance of cervical motion in chronic whiplash patients and healthy subjects.
Spine.
2006;
31
37-43
MissingFormLabel
- 21
Scholten-Peeters G, Bekkering G E, Verhagen A P. et al .
Clinical practice guideline for the physiotherapy of patients with whiplash-associated
disorders.
Spine.
2002;
27
412-422
MissingFormLabel
- 22
Seferardis A, Rosenfeld M, Gunnarsson R.
A review of treatment interventions in whiplash-associated disorders.
European Spine Journal.
2004;
13
387-397
MissingFormLabel
- 23
Soederlund A, Lindberg P.
An integrated physiotherapy-/cognitive-behavioural approach to the analysis and treatment
of chronic whiplash associated disorders, WAD.
Disability and Rehabilitation.
2001;
23
436-447
MissingFormLabel
- 24
Soederlund A, Lindberg P.
Cognitive behavioural components in physiotherapy management of chronic whiplash associated
disorder (WAD). A randomised group study.
Physiotherapy Theory and Practice.
2001;
17
229-238
MissingFormLabel
- 25
Soederlund A, Denison E.
Classification of patients with whiplash-associated disorders (WAD): reliable and
valid subgroups based on the multidimensional pain inventory (MPI-S).
European Journal of Pain.
2006;
10
113-119
MissingFormLabel
- 26
Sterling M.
A proposed new classification system for whiplash associated disorders-implications
for assessment and management.
Manual Therapy.
2004;
9
60-70
MissingFormLabel
- 27
Sterner Y, Gerdle B.
Acute and chronic whiplash disorders – a review.
Journal of Rehabilitative Medicine.
2004;
36
193-210
MissingFormLabel
- 28
Stewart M J, Maher C G, Refshauge K M. et al .
Randomized controlled trial of exercise for chronic whiplash-associated disorders.
Pain.
2006;
128
59-68
MissingFormLabel
- 29
Tenenbaum A, Rivano-Fischer M, Tjell C. et al .
The Quebec Classification and a new Swedish classification for whiplash-associated
disorders in relation to life satisfaction in patients at high risk of chronic functional
impairment and disability.
Journal of Rehabilitative Medicine.
2002;
34
114-118
MissingFormLabel
- 30
Vangronsveld K, Damme van S, Peters M. et al .
An experimental investigation on attentional interference by threatening fixations
of the neck in patients with chronic whiplash syndrome.
Pain.
2006;
127
121-128
MissingFormLabel
- 31
Vendrig A, Akkerveeken P F, McWorther K R.
Results of a multimodal treatment program for patients with chronic symptoms after
a whiplash injury of the neck.
Spine.
2000;
25
238-244
MissingFormLabel
- 32
Ventegodt van S, Merrick J, Andersen N J. et al .
A combination of gestalt therapy, rosen body work, and craniosacral therapy did not
help in chronic whiplash-associated disorders (WAD). Results of a randomized controlled
trial.
The Scientific World Journal.
2003;
4
1055-1068
MissingFormLabel
- 33
Verhagen A, Scholten-Peeters G GM, Bie R A. et al .
Conservative treatments for whiplash.
Cochrane Database of Systematic Reviews.
2004;
2. CD 003 338
, 10.1002 / 14 651 858.CD 003 338.pub3 2004
MissingFormLabel
- 34
Voerman G E, Vollenbroek-Hutten M MR, Hermens H J.
Changes in pain, disability and muscle activation patterns in chronic whiplash patients
after ambulant myofeedback training.
Clinical Journal of Pain.
2006;
22
656-663
MissingFormLabel
- 35
White de P, Lewith G, Prescott P. et al .
Acupuncture versus placebo for the treatment of chronic mechanical neck pain.
Annals of Internal Medicine.
2004;
141
911-919
MissingFormLabel
- 36
Woodward M, Cook C H, Gargan M F. et al .
Chiropractic treatment of chronic ‘whiplash’ injuries.
Injury.
1996;
27
643-645
MissingFormLabel
Nora Kabisch
Medica Klinik
Käthe-Kollwitz-Str. 8
04109 Leipzig
eMail: erna1994@yahoo.com