Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, SE-905 87 Umeå, Sweden.
Department of Clinical Sciences, Division of Rehabilitation Medicine, Karolinska Institutet, Danderyd Hospital, SE-182 88 Stockholm, Sweden.
Int J Environ Res Public Health. 2020 Jul 3;17(13):4784. doi: 10.3390/ijerph17134784.
Long-term symptoms after whiplash injury often comprise neck pain, headache, anxiety, depression, functional impairment and low quality of life. In an observational cohort study, we examined physical and mental health effects in patients with subacute to chronic whiplash-associated disorders (WAD) after participation in a multimodal rehabilitation (MMR) program. MMR is a team-based multi-professional method based on a bio-psycho-social model with a cognitive focus to reach an individualized and common goal for the team and patient together. Standardized self-report questionnaires were filled in three times: before MMR, after MMR, and one year after MMR. A total of 322 participants completed the program, 161 of whom responded in full and were further analyzed. At one-year follow-up after MMR, a significant improvement was seen in the evaluation of the primary outcomes (physical and mental health) and secondary outcomes (anxiety, depression, pain intensity and interference with life). Women improved on all outcomes while men did not improve on the psychological measures (mental health, depression and anxiety). This study indicates that a MMR program could be beneficial for patients with subacute to chronic WAD, at least for women, since the outcomes at one-year follow-up were positive.
长期以来，挥鞭样损伤后的症状主要包括颈部疼痛、头痛、焦虑、抑郁、功能障碍和生活质量降低。在一项观察性队列研究中，我们研究了接受多模式康复（MMR）治疗后亚急性至慢性与挥鞭样损伤相关疾病（WAD）患者的身心健康影响。MMR 是一种基于生物-心理-社会模式的团队多专业方法，具有认知焦点，旨在为团队和患者共同实现个性化和共同目标。在三个时间点填写标准化的自我报告问卷：MMR 之前、MMR 之后和 MMR 之后一年。共有 322 名参与者完成了该计划，其中 161 名参与者完整回复并进一步进行了分析。在 MMR 后一年的随访中，主要结局（身心健康）和次要结局（焦虑、抑郁、疼痛强度和对生活的干扰）的评估显示出显著改善。女性在所有结局上均有改善，而男性在心理测量指标（心理健康、抑郁和焦虑）上则没有改善。这项研究表明，对于亚急性至慢性 WAD 患者，MMR 方案可能是有益的，至少对女性而言，因为一年后的结果是积极的。
