School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
Spine (Phila Pa 1976). 2011 Dec 1;36(25 Suppl):S280-5. doi: 10.1097/BRS.0b013e3182388220.
The study design was descriptive.
The aim of this chapter was to illustrate and discuss educational and learning perspectives in the rehabilitation of patients with acute whiplash-associated disorders (WAD).
WAD is a major problem for the individual and the society. Several treatment options have been studied without giving convincing results for lessening the transition to chronicity. Current management of acute WAD include among other things advice of exercise and educational activities.
A literature search on the PubMed database was conducted with additional topic discussions with the research colleagues at a symposium. These resulted the present state-of-the-art review.
There are several possible cognitive factors and behavioral learning processes such as self-efficacy, fear of movement and (re)injury, and catastrophizing that are important to focus on in decreasing acute WAD to becoming a chronic condition. Learning based on behavioral medicine approach in physiotherapy framework has gained evidence in other musculoskeletal pain conditions.
Exercise, education, and learning with a behavioral medicine approach should be focused on in the future studies of acute WAD management.
研究设计为描述性设计。
本章旨在阐述和讨论急性颈挥鞭伤相关障碍（WAD）患者康复中的教育和学习观点。
WAD 是个人和社会的主要问题。已经研究了几种治疗方法，但对于减轻向慢性过渡的效果并不令人信服。急性 WAD 的当前治疗包括运动和教育活动等建议。
在 PubMed 数据库上进行了文献检索，并在专题研讨会上与研究同事进行了额外的主题讨论，从而得出了目前的最新综述。
有几个可能的认知因素和行为学习过程，如自我效能感、运动和（再）损伤恐惧以及灾难化，对于减少急性 WAD 发展为慢性疾病非常重要。基于行为医学方法的学习在其他肌肉骨骼疼痛疾病中的证据已经得到证实。
未来急性 WAD 管理的研究应重点关注运动、教育和基于行为医学方法的学习。
