Parera-Turull Joan, Garolera Maite, Navarro Jose-Blas, Bech-Decareda Dolors Esteve, Gual-Beltran Josep, Toledo-Marhuenda Jose-Vicente, Poveda-Pagan Emilio-Jose
Clinical Research Centre d'Osteopatia Terrassa, Consorci Sanitari de Terrassa, 08221 Terrassa, Spain.
Clinical Research Group for Brain, Cognition and Behavior, Consorci Sanitari de Terrassa, 08221 Terrassa, Spain.
Healthcare (Basel). 2025 Mar 24;13(7):710. doi: 10.3390/healthcare13070710.
Whiplash injuries (WLs) are the most frequent cause of emergency room visits after motor vehicle collisions. In clinical practice, massage, electrotherapy, mobilization, or therapeutic exercise are used. As part of manual therapy, high-velocity, low-amplitude manipulative techniques can also be used. : To evaluate the effect of the cervical Specific Adjustment Technique (SAT) in adults affected by whiplash on pain, functionality, cervical mobility, and radiological changes in cervical curvature through a prospective, single-blind, randomized clinical trial. : One hundred and nineteen patients with grade II acute WL were randomly assigned to either the manipulation group (MAN group = 59) or the rehabilitation group (RHB group = 60) to receive 3 or 20 sessions of treatment, respectively. Both groups were measured at baseline and 15, 30, and 120 days after starting treatment. : Statistically significant differences were found in the MAN group in flexion ( = 0.041) and left-side bending ( = 0.022); similar statistical values were found in the other measures. According to the interaction treatment-time effect, statistical significance for the Cobb angle was obtained in the MAN group ( = 0.047). : the effects of SAT were comparable in terms of pain, functionality, and mobility of the cervical spine. Although further research is needed on its effects in the acute phase, due to its effectiveness and lower associated cost, SAT could be considered a useful technique, at least during the first 3 months after a traffic collision.
挥鞭样损伤（WLs）是机动车碰撞后急诊室就诊的最常见原因。在临床实践中，会使用按摩、电疗法、松动术或治疗性运动。作为手法治疗的一部分，也可使用高速低幅手法技术。：通过一项前瞻性、单盲、随机临床试验，评估颈椎特定调整技术（SAT）对受挥鞭样损伤的成年人在疼痛、功能、颈椎活动度以及颈椎曲度放射学变化方面的影响。：119例II级急性挥鞭样损伤患者被随机分为手法治疗组（手法治疗组=59例）和康复组（康复组=60例），分别接受3次或20次治疗。两组均在基线时以及开始治疗后的15天、30天和120天进行测量。：手法治疗组在屈曲（=0.041）和左侧弯曲（=0.022）方面发现有统计学显著差异；在其他测量中也发现了类似的统计值。根据治疗时间交互效应，手法治疗组在Cobb角方面获得了统计学显著性（=0.047）。：SAT在颈椎疼痛、功能和活动度方面的效果相当。尽管在急性期其效果还需要进一步研究，但由于其有效性和较低的相关成本，SAT至少在交通碰撞后的前3个月可被视为一种有用的技术。
