Trauma-focused cognitive behaviour therapy and exercise for chronic whiplash: protocol of a randomised, controlled trial

Journal of Physiotherapy
Letitia CampbellMichele Sterling

Abstract

As a consequence of a road traffic crash, persistent pain and disability following whiplash injury are common and incur substantial personal and economic costs. Up to 50% of people who experience a whiplash injury will never fully recover and up to 30% will remain moderately to severely disabled by the condition. The reason as to why symptoms persist past the acute to sub-acute stage and become chronic is unclear, but likely results from complex interactions between structural injury, physical impairments, and psychological and psychosocial factors. Psychological responses related to the traumatic event itself are becoming an increasingly recognised factor in the whiplash condition. Despite this recognition, there is limited knowledge regarding the effectiveness of psychological interventions, either delivered alone or in combination with physiotherapy, in reducing the physical and pain-related psychological factors of chronic whiplash. Pilot study results have shown positive results for the use of trauma-focused cognitive behaviour therapy to treat psychological factors, pain and disability in individuals with chronic whiplash. The results have indicated that a combined approach could not only reduce psychological symptoms, bu...Continue Reading

Citations

Feb 27, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sophie Lykkegaard RavnTonny Elmose Andersen
Jan 27, 2019·Journal of Orthopaedic Trauma·Joseph R HsuUNKNOWN Orthopaedic Trauma Association Musculoskeletal Pain Task Force

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