A review of the definitions of 'recovery' used in prognostic studies on whiplash using an ICF framework

Disability and Rehabilitation
David Walton

Abstract

The purpose of this article is to review the various definitions of recovery used in the prognostic whiplash literature to date, and to evaluate them from the framework of the International Classification of Functioning, Disability and Health (ICF). Reference lists of previous systematic reviews and meta-analyses on the topic were reviewed and citations were retrieved. An updated Medline search was performed. Recovery rates and the method for operationalising recovery were extracted and evaluated for their fit within the ICF model of health. Descriptive statistics were calculated and presented. Thirty-one independent cohorts were identified. In total, 30 different primary methods for defining recovery were described in the sample of literature. Eighty-three percent of the primary outcomes fit within the body structure and function domain of the ICF. Restricted participation was the second most common domain represented, followed by activity limitations. Even within each domain, there is wide variability in the cut-off values for dichotomising a group as recovered or not. The wide range of recovery rates reported in the literature can be at least partly accounted for by the lack of a standardised definition of recovery after acu...Continue Reading

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Citations

Jul 3, 2013·Health and Quality of Life Outcomes·David M Walton, Joy C MacDermid
Nov 16, 2010·Disability and Rehabilitation·Milda CerniauskaiteMatilde Leonardi
Oct 27, 2009·Disability and Rehabilitation·David Mark WaltonWarren Nielson
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Dec 12, 2020·Disability and Rehabilitation·Esther J SmitsVenerina Johnston

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