From the *Practices for Kinesiology Zürich and Boppelsen and †Oberrohrdorf and the ‡State School of Physiotherapy, Schinznach, Switzerland
Correspondence should be addressed to Dr. M. Althaus
Running Head: NOT-therapy in whiplash patients
Keywords: Whiplash injury, neck sprain, applied kinesiology, complementary medicine, alternative health care
Abstract
Background There is no known cure for patients with chronic whiplash-associated disorders (WAD). In this prospective, longitudinal, multicenter, controlled outcome study we examined short- and longterm efficacy and safety of a 5 months therapy with a novel, promising treatment protocol from complementary medicine, the Neural Organization Technique (NOT), in patients with WAD.
Methods
Thirteen patients with a diagnosis of WAD, 18 months or longer post injury, were treated with NOT over a time period of 5 months, after a control period of 1 month, and followed by 6 months without therapy. Frequency and intensity (by visual analog scale) of total and predominant main symptoms, general well-being, as measured by a standardized health questionnaire, drug consumption and adverse events were self-protocolled by the patients as a function of therapy and time. Additionally, patients gave their personal assessment on the benefit of the treatment. No other body oriented therapy was allowed.
Results
Seven out of eleven patients (64%), with two early drop-outs, improved considerably in at least 3 out of 4 efficacy parameters within 15-24 therapy sessions. Total symptoms and some of the main symptoms decreased as much as 80%, and stayed mostly stable over 6 months without therapy and care. Nine out of eleven patients (82%) judged the therapy as beneficial. No evidence for causally related adverse events could be observed.
Conclusions
NOT-treatment improves the condition in a greater part of patients with chronic WAD in a cost-effective and safe way and should be considered for use and testing on a larger scale.
Gesamtsymptome (in %)
Hauptsymptome (in %)
STUDIE NOT
Prospective, Longitudinal, Multicenter Study on the Efficacy and Safety of a Therapy with the Neural Organisation Technique in Patients with Chronic Whiplash-Associated Disorders
Marianne Althaus-Salzmann, PhD*, Silvia Karer†, Bruno Baviera, MD‡