Symptoms, activity and participation levels in patients with whiplash-associated disorders - a systematic review
Leino, Saara (2022-06-29)
Symptoms, activity and participation levels in patients with whiplash-associated disorders - a systematic review
(29.06.2022)
Julkaisu on tekijänoikeussäännösten alainen. Teosta voi lukea ja tulostaa henkilökohtaista käyttöä varten. Käyttö kaupallisiin tarkoituksiin on kielletty.
suljettu
Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2022063050653
https://urn.fi/URN:NBN:fi-fe2022063050653
Tiivistelmä
The results of rehabilitation in patients with whiplash-associated disorders (WAD) are poor. As concept of rehabilitation is versatile, patient should be seen in biopsychosocial framework, and assessed according to ICF-model (The International Classification of Functioning, Disability and Health). The objective of this study was to identify the symptom constellation, activity and participation levels in patients with WAD. A wide variety of symptom of patients with WAD has been reported in the literature, but no systematic review have been conducted of the symptom profile.
The data search was performed using Pubmed, Embase, PsycInfo, Cinahl, and Scopus databases. Furthermore we screened manually reference lists for additional studies. The incidence and severity of the symptoms and impairment were categorized according to ICF and analyzed.
Our review found 30 symptoms, dysfunctions, or participation restrictions, of which only three were included under the ICF main component ’Activities and Participation’. All remaining symptoms were included under the ICF ’Body functions’ -component. There were no factors reported from the third ICF main component ’Environmental factors’.
Although the literature described a wide range of symptoms, it does not describe how these symptoms effect on patients’ function, activity or participation levels, or how environmental factors affect the symptom profile.According to our review, there is not enough high-quality data to form a symptom constellation on WAD. Therefore, patients with WAD are currently assessed on the basis of tools that may lack validity. In the future, we should shift the focus of evaluation from body functions to disabilities in activities and participation.
The data search was performed using Pubmed, Embase, PsycInfo, Cinahl, and Scopus databases. Furthermore we screened manually reference lists for additional studies. The incidence and severity of the symptoms and impairment were categorized according to ICF and analyzed.
Our review found 30 symptoms, dysfunctions, or participation restrictions, of which only three were included under the ICF main component ’Activities and Participation’. All remaining symptoms were included under the ICF ’Body functions’ -component. There were no factors reported from the third ICF main component ’Environmental factors’.
Although the literature described a wide range of symptoms, it does not describe how these symptoms effect on patients’ function, activity or participation levels, or how environmental factors affect the symptom profile.According to our review, there is not enough high-quality data to form a symptom constellation on WAD. Therefore, patients with WAD are currently assessed on the basis of tools that may lack validity. In the future, we should shift the focus of evaluation from body functions to disabilities in activities and participation.