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Recovery after minor traffic injuries: a randomized controlled trial.


ABSTRACT:

Objectives

To assess the efficacy of an acute multidisciplinary group intervention on self-perceived recovery following minor traffic-related musculoskeletal injuries.

Design

Open, randomized controlled trial.

Setting

A large inner-city hospital.

Participants

127 patients (> or = 15 y) with traffic-related acute minor musculoskeletal injuries and predicted to be at risk for delayed recovery were randomized into an intervention group (n = 65) or a control group (n = 62).

Intervention

Four 1 1/2-h sessions in open groups with the aim of providing information about injuries in general, calling attention to the importance of self-care and promoting physical activity. In addition, both groups received standard medical care by regular staff.

Outcome measures

The main outcome measure was self-reported recovery at 12 mo. Secondary outcome measures were ratings of functional health status (SF-36, SMFA), pain and mental distress on visual analog scales, and self-reported duration of sick leave.

Results

At 12 mo, there was a 21.9 percentage point difference: 52.4% of the patients in the intervention group and 30.5% in the control group reported self-perceived recovery (95% confidence interval for the difference 5%-38%; p = 0.03). There were no statistically significant differences between the groups regarding the secondary outcome measures.

Conclusion

A simple group intervention may accelerate the self-perceived recovery in selected patients. As we did not find evidence of improvements in the secondary outcome measures, the clinical significance of the treatment benefit remains to be defined.

SUBMITTER: Ottosson C 

PROVIDER: S-EPMC1829405 | biostudies-literature | 2007 Mar

REPOSITORIES: biostudies-literature

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Publications

Recovery after minor traffic injuries: a randomized controlled trial.

Ottosson Carin C   Pettersson Hans H   Johansson Sven-Erik SE   Nyrén Olof O   Ponzer Sari S  

PLoS clinical trials 20070323 3


<h4>Objectives</h4>To assess the efficacy of an acute multidisciplinary group intervention on self-perceived recovery following minor traffic-related musculoskeletal injuries.<h4>Design</h4>Open, randomized controlled trial.<h4>Setting</h4>A large inner-city hospital.<h4>Participants</h4>127 patients (> or = 15 y) with traffic-related acute minor musculoskeletal injuries and predicted to be at risk for delayed recovery were randomized into an intervention group (n = 65) or a control group (n = 6  ...[more]

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