Giebel G D, Edelmann M, Hüser R
Il. Lehrstuhl für Chirurgie, Universität zu Köln.
Zentralbl Chir. 1997;122(7):517-21.
Neck sprains are very common injuries often treated with immobilisation of different duration. The treatment with collars was tested against physiotherapy in a prospective randomised trial. Endpoints were defined as state of health, pain and costs. Ninety-seven patients with whiplash injuries were splitted by randomisation into two groups. One group was treated with a certain scheme of physiotherapy. Another group was treated with collar immobilisation for 3 weeks. Concerning symptoms at the time of admittance, age and sex distribution the groups were comparable. Fifty healthy persons with the same age and sex distribution served as a control group. Regarding to physical state of health and pain, which were examined by valid questionnaires, significant advantages of physiotherapy after two weeks were found. After 12 weeks the physical state of health corresponds to that of the control group. No influence on psychical state of health was seen. Physiotherapy for treatment of neck sprain is highly recommended. It has clear advantages over the treatment with collars with regard to state of health and pain, and it seems to be economically favourable.
颈部扭伤是非常常见的损伤，通常采用不同时长的固定治疗。在一项前瞻性随机试验中，对使用颈托治疗与物理治疗进行了对比。终点指标定义为健康状况、疼痛和费用。97名挥鞭样损伤患者通过随机分组分为两组。一组采用特定的物理治疗方案。另一组采用颈托固定3周。就入院时的症状、年龄和性别分布而言，两组具有可比性。50名年龄和性别分布相同的健康人作为对照组。通过有效的问卷调查对健康状况和疼痛进行检查后发现，两周后物理治疗具有显著优势。12周后，健康状况与对照组相当。未观察到对心理健康状况的影响。强烈推荐采用物理治疗来治疗颈部扭伤。在健康状况和疼痛方面，它比使用颈托治疗具有明显优势，而且在经济上似乎也更有利。
