Abstract
Objective: A review of scientific literature on whiplash associated disorders was conducted to inform appropriate messages for an evidenced-based patient educational booklet – The Whiplash Book. The booklet has been developed for use as both a clinical tool and general health intervention.
Design and Results: A systematic literature search was conducted, using MEDLINE and psychINFO, together with hand searches, reference tracking, and the Internet. The Quebec Task Force report and the British Columbia Whiplash Initiative were taken as the starting point. The new evidence covered the period May 1994 through March 2001 (163 articles). All relevant articles were included, with a particular focus on management and treatment of whiplash associated disorders. The quantity, consistency and relevance of all retrieved articles was evaluated, and rated as:
*** consistent findings in multiple reports
** consensus based on balance of various findings
* limited information (single report)
Conclusions: The main messages from the literature suggest: serious physical injury is rare, reassurance about good prognosis is important, over-medication is detrimental, fastest recovery occurs with early return to normal pre-accident activities; self-exercise/manual therapy and positive attitudes/beliefs are helpful to regain activity levels; collars/rest and negative attitudes/beliefs delay recovery and contribute to chronicity.
Abstracts prepared by Mr. A. J. Stirling, FRCS, and Miss A. Weaver. Correspondence should be addressed to Miss A. Weaver at the Research and Teaching Centre, Royal Orthopaedic Hospital, Northfield, Birmingham, B31 2AP, UK
BritSpine 2002, the second combined meeting of the British Association of Spinal Surgeons, the British Cervical Spine Society, The British Scoliosis Society and the Society for Back Pain Research, took place at the International Convention Centre in Birmingham UK between 27th February and 1st March 2002. The following presentations and posters were given and displayed.
