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Controlled trial of treatment for cerebral concussion |
Relander M, Troupp H, af Bjorkesten G |
British Medical Journal 1972 Dec 30;4(5843):777-779 |
clinical trial |
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
In a study designed to compare two types of treatment of cerebral concussion, 178 patients were allocated to a routine treatment or to an active treatment group; in the latter a good prognosis was emphasized, the patient was mobilized early and given physiotherapy. In the routine treatment group the average time off work was 32 days compared with 18 days in the active treatment group. Physiotherapy seemed to be particularly valuable in old patients and in those with exaggerated fears about their condition. It is suggested that throughout thei illness and follow-up, patients with cerebral concussion should be under the care of one doctor, one who is particulary interested in the subject and that more propaganda is needed among hospital staff that concussion is not necessarily a dangerous condition.
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