PT -期刊文章盟美国帕托非盟- g·迪斯蒂法诺盟n Fravi AU - m·阿诺德盟- m . Curatolo AU -安塞Radanov AU - p . Ballinari AU - m . Sturzenegger TI -比较的随机治疗晚期- 10.1212 / WNL鞭子的援助。0 b013e3181d8ffe0 DP - 2010年4月13日TA -神经首页病学第六PG - 1223 - 1230 - 74 IP - 15 4099 - //www.ez-admanager.com/content/74/15/1223.short 4100 - //www.ez-admanager.com/content/74/15/1223.full所以Neurology2010 4月13;74 AB -背景:比较4种不同治疗策略在晚期患者颈椎过度屈伸综合症。方法:患者被随机分配到治疗组:渗透,物理治疗或药物治疗。组分配分层根据性别、年龄、和教育。此外,每组的患者被随机分配1:1认知-行为疗法(CBT)或没有CBT。患者在基线评估,经过8周治疗期,3和6个月后。主要结果措施主观评级结果,疼痛强度,和工作能力。结果:91年招收患者,73年完成了研究;62%是女性。治疗后,47名患者(64%)主观改善(48%)、或无症状(16%),多数的女性(73%比50%,p = 0.047)。 There was no difference regarding outcomes among the 3 treatment groups in men and women. The most robust difference was achieved with CBT, associated with a higher rate of recovery (23% vs 9%), and improvement (53% vs 42%) (p = 0.024), and with a gender difference (p = 0.01). All treatments significantly improved pain intensity and working ability. Conclusion: Intensive therapy in late whiplash syndrome can achieve improvement of different outcome measures including working ability in two-thirds of patients, more effective in women, persisting beyond 6 months in half. Additional cognitive-behavioral therapy was the most effective treatment modality. Classification of evidence: This interventional study provides Class III evidence that CBT used as an adjunct to infiltration, medication, or physiotherapy increases improvement rates in persons with late whiplash syndrome. CBT=cognitive-behavioral therapy; SUVA=Swiss Accident Insurance Fund; VAS=visual analogue scale.

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