Last updated:05-18-2010
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Road accidents with whiplash effect has in recent years been increasing, and it has serious health, economic and medical insurance implications.


Prevention of whiplash, also known as Whiplash Associated Disorder (WAD), through traffic and conduct regulation by the individual user and the construction of new cars with an increased passive and active safety.


When the injury happened, however, a question arises whether or not to order treatment, and if so, what treatment? The subject is very controversial, and there is a lack of robust scientific evidence for optimal treatment.


Different institutions (Health, Quebec report, Cochrane Library, the World Conference WAD) have all pointed out that treating the more chronic cases where the body of health and work related seems threatened, should be organized in an interdisciplinary framework.


This consensus that multidisciplinary treatment is necessary, supported to some degree of scientific data. Similarly, there seems scientific evidence of what treatments are ineffective and therefore should be omitted.


With multidisciplinary treatment meant an effort involving several therapists in close cooperation and intended to reduce the health nuisance which typically accompanies a whiplash injury: pain, impaired physical performance, depression and reduced self-esteem, dependency on drugs as well as social, professional and economic problems .


There is no doctor in the professional literature precise instructions on how multidisciplinary treatment exercised in terms of composition, dosage and duration, probably why interdisciplinary treatment is practiced in various ways.


Treatment of whiplash injuries in RygTeam
The former autonomous institution RygTeam ApS, now an integral part of the Center for Rygkirurgi, in the period 1998-2005 has treated more than 100 injured with whiplash after multidisciplinary principles. In the interdisciplinary treatment plan included the following:


Feasibility study
  • feasibility study by a specialist in rheumatology 1 ½ hours

  • before the pain psychologist 1 ½ hours

  • function examination by a physiotherapist

  • possibly. X-ray or MRI


Apart from the cross-feasibility conclusions planned the individual courses of treatment in consultation with the patient.

  • outpatient attendance 2 to 3 times per week by 1 hour in 8-10 weeks

  • physical education

  • 1 hot water tank once a week

  • détente

  • pain psychology (by psychologist)

  • ergonomic guidance (by occupational therapist)

  • possibly. social worker / job

  • possibly. dietician 
Final inspection
  • status by Rheumatologist, physiotherapist and psychologist

  • assessment of treatment efficacy

  • social medical plan (in consultation with the patient and possibly. municipal officer and insurance)
  • reading in RygTeam completed and the patient is transferred to selvtræning - by the needs agreed inspections after 3 and 6 months


Treatment Effect
In order to assess the overall effect is RygTeam treatment ApS in 2000 reviewed the results of 43 chronic whiplash cycle (3 / 4 women, average age 37 years, duration of whiplash injury 14 months, 46% of business, sick leave on average 5 months last year) after the above model.


Common to all these patients before treatment was a high level of pain, longer-lasting symptoms and sick l

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