Abstract
A systematic review is performed to evaluate clinical effects of initial immobilisation by neck collar and physiotherapy in whiplash-neck injury. Computer aided Medline-research (1985-2003) of randomised clinical trials concerning both rehabilitation concepts was conducted. A rating system was used to assess the methodological score of each study. Their results were analysed and a final statement for evidence according to three main parameters (neck pain, range of motion, and patients comfort) was postulated. Nine randomised clinical trials were identified. Seven studies were determined as high-quality trials. For neck back immobilisation do not lead to improve patients conditions sufficiently. In comparison physiotherapy is strong evident for pain, range of motion and patients comfort in comparison to no treatment and soft collar. Principally a early active rehabilitation with physiotherapy without initial immobilisation is highly recommended in whiplash-neck injury.
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