Overall , as a therapeutic intervention , structured patient education was equal or less effective than other conservative treatments including massage , supervised exercise , and physiotherapy .
However , structured patient education may provide small benefits when combined with physiotherapy .
Either mode of delivery ( ie , oral or written education ) provides similar results in patients with recent WAD .
Results suggest that structured patient education alone can not be expected to yield large benefits in clinical effectiveness compared with other conservative interventions for patients with WAD or NAD .
Moreover , structured patient education may be of benefit during the recovery of patients with WAD when used as an adjunct therapy to physiotherapy or emergency room care .
These benefits are small and short lived
BACKGROUND CONTEXT In 2008 , the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders recommended patient education for the management of neck pain .
However , the effectiveness of education interventions has recently been challenged .
PURPOSE To up date the findings of the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders and evaluate the effectiveness of structured patient education for the management of patients with whiplash-associated disorders ( WAD ) or neck pain and associated disorders ( NAD ) .
OUTCOME MEASURES Self-rated recovery , functional recovery ( eg , disability , return to activities , work , or school ) , pain intensity , health-related quality of life , psychological outcomes such as depression or fear , or adverse effects .
A Psycho-Educational Video Used in the Emergency Department Provides Effective Treatment for Whiplash Injuries
Study Design . R and omized control trial conducted between June 2000 and September 2002 . Objective . To determine whether a short psycho-educational video shown in the Emergency Department shortly after the injury would produce follow-up pain reductions and reduced medical utilization . Summary of Background Data . Chronic pain following a whiplash injury is one example of the massive medical/legal problem of chronic muscular pain . Approaches using local pain sources ( trigger points ) have shown promise as treatment models for this type of pain . Methods . 1 ) Setting : Emergency Departments ( ED ) and urgent care ( UC ) facilities . 2 ) Patients : 126 patients entering EDs or UCs . 3 ) Intervention : Patients assigned to 12-minute video or care as usual . 4 ) Main Outcome Measures : Short Form Musculoskelatal Function Assessment ( SMFA ) , phone question naires assessing : narcotics use , ER use , UC use , surgical consultations , etc . Results and Conclusions . Patients viewing the video had dramatically lower pain ratings at a 1-month follow ( 6.09 [ 10.6 ] vs. 21.23 [ 17.4 ] , P < 0.001 ) and this pattern held for the 3- and 6-month follow-up period . Similarly , for 17 of 21 items asked at follow-up , the video group showed superior outcomes ( & khgr;2 ranged from 5 to 35 , P < 0.05 , all ) . For example , 4 % of video patients were using narcotics at 6 month post ED visit compared with 36 % of controls . The brief psycho-educational video had a profound effect on subsequent pain and medical utilization
Overall , as a therapeutic intervention , structured patient education was equal or less effective than other conservative treatments including massage , supervised exercise , and physiotherapy .
However , structured patient education may provide small benefits when combined with physiotherapy .
Either mode of delivery ( ie , oral or written education ) provides similar results in patients with recent WAD .
Results suggest that structured patient education alone can not be expected to yield large benefits in clinical effectiveness compared with other conservative interventions for patients with WAD or NAD .
Moreover , structured patient education may be of benefit during the recovery of patients with WAD when used as an adjunct therapy to physiotherapy or emergency room care .
These benefits are small and short lived
BACKGROUND CONTEXT In 2008 , the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders recommended patient education for the management of neck pain .
However , the effectiveness of education interventions has recently been challenged .
PURPOSE To up date the findings of the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders and evaluate the effectiveness of structured patient education for the management of patients with whiplash-associated disorders ( WAD ) or neck pain and associated disorders ( NAD ) .
OUTCOME MEASURES Self-rated recovery , functional recovery ( eg , disability , return to activities , work , or school ) , pain intensity , health-related quality of life , psychological outcomes such as depression or fear , or adverse effects .