The role of educational and learning approaches in rehabilitation of whiplash-associated disorders in lessening the transition to chronicity
From: Spine (Phila Pa 1976). 2011 Dec 1;36(25 Suppl):S280-5.
The aim of this study was to illustrate and discuss educational and learning perspectives in the rehabilitation of patients with acute whiplash associated disorders. Whiplash associated disorders is a major problem for the individual and the society. Several treatment options have been studied without giving convincing results for lessening the transition to chronicity. Current management of acute whiplash associated disorders include among other things advice of exercise and educational activities.
A literature search on the PubMed database was conducted with additional topic discussions with the research colleagues at a symposium. These resulted the present state-of-the-art review. There are several possible cognitive factors and behavioral learning processes such as self-efficacy, fear of movement and (re)injury, and catastrophizing that are important to focus on in decreasing acute whiplash associated disorders to becoming a chronic condition. Learning based on behavioral medicine approach in physiotherapy framework has gained evidence in other musculoskeletal pain conditions.
Exercise, education, and learning with a behavioral medicine approach should be focused on in the future studies of acute whiplash associated disorders management.