Sling-Training vs traditionelle Physiotherapie bei Störungen durch Schleudertrauma
http://www.medicaljournals.se/jrm/content/download.php?doi=10.2340/16501977-0049
Background: Many patients with chronic whiplash-associated
disorders have reduced neuromuscular control of the
neck and head. It has been proposed that a new sling exercise
therapy may promote neuromuscular control of the neck.
Objectives: To compare the effects of traditional physiotherapy
vs traditional physiotherapy combined with a new
sling exercise therapy on discomfort and function in patients
with chronic whiplash-associated disorders who have unsettled
compensation claims; and to investigate possible additional
effects of guided, long-term home training.
Design: A randomized multi-centre trial with 4 parallel
groups.
Methods: A total of 214 patients were assigned randomly to 4
treatment groups, and received either traditional physiotherapy
with or without home training, or new sling exercise therapy
with or without home training. Outcome measures were pain,
disability, psychological distress, sick leave and physical tests.
Results: A total of 171 patients (80%) completed the study.
There were no important statistical or clinical differences
between the groups after 4 months of treatment. There was a
small statistically significant effect at 12-month follow-up in
both groups with home training regarding pain during rest
(p = 0.05) and reported fatigue in the final week (p = 0.02).
Conclusion: No statistically significant differences were
found between the traditional physiotherapy group and the
new sling exercise group, with or without home training.
Since the groups were not compared with a control group
without treatment, we cannot conclude that the studied treatments
are effective for patients with whiplash-associated disorder,
only that they did not differ in our study.
