Their guidelines for ongoing care, with regard to treatment duration, are consensus-based. Thus, insurers and their experts are likely to supply their own definition of the term. And, as a final note, the QTF found no research either supporting or refuting chiropractic care as an effective treatment for whiplash injury. We simply don't know at the present time. Meanwhile, until the research is done, as clinicians, we have no choice but to rest our treatment decisions not on a consensus of statisticians or measures of central tendency, but on the patient's current clinical condition, and on the measure of perceived potential for clinical improvement with additional care.
Watchful clinicians can determine when a patient has reached a plateau.
This empirical-based approach is still the most widely used in medicine and chiropractic and we must never assume that academics have achieved a monopoly on wisdom. The rate of recovery following whiplash injury. Eur Spine J 162-164, 1994. All Rights Reserved, Dynamic Chiropractic, 2001.