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Zur physikalischen diagnostik und physikalischer therapie der distorsio columnae vertebrailis cervicalis (Physical diagnosis and physical therapy of whiplash injury) [German]
Fialka V, Preisinger E, Bohler A
Zeitschrift fuer Physikalische Medizin, Balneologie, Medizinische Klimatologie 1989;18(6):390-397
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

60 patients with whiplash injury without neurologic and x-ray symptoms were investigated 5 to 10 days after the accident; the objective of the examination was to compare the different effects of various physical therapies, ie, iontophoresis with Mobilat-Gel, middle frequency therapy, individually adapted combination therapy consisting of traction, therapeutic exercise, massage (THGM), with an untreated group. Due to the lack of technical diagnosis facilities the functions of the cervical spine had to be tested manually. Mobility of the cervical spine was found restricted in almost all of the patients, paravertebral muscles were tense, and the atlanto-occipital joint was blocked in more than 50% of them. Examination after therapy revealed an improvement of clinical symptoms in all groups; yet, due to its multiple points of onset, a combination of traction, therapeutic exercise and massage proved the most efficient therapy.

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