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Titre : | Soft-collar use in rehabilitation of whiplash-associated disorders - A systematic review and meta-analysis (2021) |
Auteurs : | Steffan W. Christensen ; Michael Bo Rasmussen ; Christoffer Lund Jespersen ; Michele Sterling ; Søren Thorgaard Skou |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 55, October 2021) |
Article en page(s) : | p. 1-10 |
Note générale : | doi:doi.org/10.1016/j.msksp.2021.102426 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cervicalgie ; Traumatismes cervicaux en coup de fouet |
Résumé : |
Background:
Active rehabilitation of Whiplash Associated Disorders (WAD) is favoured over passive modalities such as soft-collars. However, the effectiveness of soft-collar use remains unclear. Objective: To investigate the effectiveness of soft-collar use on pain and disability in WAD. Design: Systematic review. Method: Databases (AMED, CINAHL Complete, Cochrane Library, Embase, Medline, PEDro, PsycINFO, PubMed, SPORTDiscus) were searched for guidelines, reviews and RCTs on soft-collar use as part of WAD treatment. Reference lists of reviews and guidelines were screened for additional RCTs. Study quality was rated using the PEDro-scale and overall quality of evidence with GRADE. Results: Four RCTs (n = 409) of fair-good quality (PEDro-scores) were included with three using a soft collar in addition to other conservative treatment while one study compared soft-collar use to act-as-usual. All studies found that an active or act-as-usual approach was more effective in reducing pain intensity compared to soft-collar use, confirmed by meta-analysis (two RCTs with data: SMD of −0.80 (−1.20, −0.41)). No studies reported disability outcomes while contrasting results were found between groups regarding total cervical range of motion (two RCTs with data: SMD of 0.16 (−0.21, 0.54)) or rotation (two RCTs with data: SMD of 0.54 (−0.19, 1.27)). Overall quality of the evidence was low to very low. Conclusion: All four RCTs favoured an active approach/act-as-usual over soft-collar treatment. However, due to methodological concerns and low certainty of evidence, future studies investigating soft collar use in combination with an active rehabilitation strategy for acute/subacute WAD are needed. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781221001107#! |