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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 3 - interventions for subacute WAD.
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A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 3 - interventions for subacute WAD.

机译：鞭打相关疾病（WAD）的治疗干预措施的研究综述：第3部分-亚急性WAD干预措施。

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摘要

Whiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific evidence supporting their effectiveness is often lacking. A systematic review was conducted to evaluate the strength of evidence associated with various WAD therapies. Multiple databases (including Web of Science, EMBASE and PubMed) were searched to identify all studies published from January 1980 through March 2009 that evaluated the effectiveness of any clearly defined treatment for acute (less than two weeks), subacute (two to 12 weeks) or chronic (longer than 12 weeks) WAD. The present article, the third in a five-part series, evaluates the evidence for interventions initiated during the subacute phase of WAD. Thirteen studies that met the inclusion criteria were identified, six of which were randomized controlled trials with 'good' overall methodology (median Physiotherapy Evidence Database score of 6). Although some evidence was identified to support the use of interdisciplinary interventions and chiropractic manipulation, the evidence was not strong for any of the evaluated treatments. There is a clear need for further research to evaluate interventions aimed at treating patients with subacute WAD because there are currently no interventions satisfactorily supported by the research literature.
机译：鞭鞭相关疾病（WAD）代表着重大的公共卫生问题，在整个工业化世界中造成了巨大的社会和经济成本。虽然有人主张对WAD患者采取许多治疗方法，但通常缺乏支持其有效性的科学证据。进行了系统的评估，以评估与各种WAD疗法相关的证据的强度。搜索多个数据库（包括Web of Science，EMBASE和PubMed），以鉴定1980年1月至2009年3月发表的所有研究，这些研究评估了任何明确定义的治疗急性（少于两周），亚急性（两到12周）的有效性。或慢性（超过12周）WAD。本文是由五部分组成的系列文章中的第三篇，评估了WAD亚急性阶段期间采取干预措施的证据。确定了13项符合纳入标准的研究，其中6项是采用“良好”总体方法的随机对照试验（中位理疗证据数据库得分为6）。尽管确定了一些证据来支持跨学科干预和捏脊疗法的使用，但对于任何评估的治疗方法，该证据并不充分。显然有必要进行进一步的研究以评估旨在治疗亚急性WAD患者的干预措施，因为目前尚无令人满意的研究文献支持的干预措施。

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