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Guidelines for the Management of Whiplash-Associated …

January 2001 Guidelines for the Management ofWhiplash-Associated DisorderscontentsPreface4 Flow chart of guidelines6 Notes to accompany flow chart7 Summary of recommendations for clinical practice8 Diagnosis8 Prognosis10 Treatment11 Purpose of the guidelines14 Definition of condition and scope of the guidelines14 Methodology16 Recommendations for clinical practice18 Diagnosis 18 History taking18 Physical examination20 Plain radiographs21 Specialised imaging techniques22 Specialised examinations23 Prognosis 24 Symptoms24 Radiological findings24 Psychosocial factors25 Socio-demographic factors25 Treatment 26 Recommended 26 Reassure26 Act as usual26 Miscellaneous interventions - prescribed function, work alteration, acupuncture and relaxation techniques27 Manual and physical therapies- exercise27 Pharmacology28 Recommended under certaincircumstances30 Manual and physical therapies - postural advice30- mobilisation30- manipulation31- traction31 Multimodal32 Acupuncture33 Passive modalities/electrotherapies - heat, ice, massage, TENS, PEMT,electric

5 The MAA is aware that the work of the QTF has been criticised,2 with major criticisms being: • the work is largely consensus based rather than evidence based (due to lack of

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