2016, Number 4
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Rev Med Inst Mex Seguro Soc 2016; 54 (4)
Biofeedback treatment for Acute Whiplash Patients
Gálvez-Hernández CL, Rodríguez-Ortiz MD, del Río-Portilla Y
Language: Spanish
References: 31
Page: 480-489
PDF size: 131.41 Kb.
ABSTRACT
Background: The aim of this study is to evaluate the physiological and
psychological effect after an electromyographic biofeedback treatment
in combination with progressive muscular relaxation training in patients
with acute whiplash.
Methods: Twelve patients with acute whiplash volunteered to participate
in a quasi-experimental design and a control group. Inclusion criteria:
Two months maximum after car accident, severity levels II and I. Exclusion
criteria: previous history of persistent pain or serious previous injury.
The groups were randomly divided in two (treatment and waiting list
groups). We used electromyographic measures of the trapezius muscles
with psychometric tests: Beck Anxiety and Depression Inventory; Oswestry
Pain Disability Questionnaire; Visual Analog Scale of Pain; TAMPA
Scale for Kinesiophobia. The treatment consisted in electromyographic
biofeedback after progressive muscular relaxation training.
Results: There were signifi cant intra-group differences before and after
treatment in muscular symmetry and subjective pain perception in the
treatment group.
Conclusions: We achieved a signifi cant change (clinical and statistical)
in subjective pain perception and muscular symmetry. This study highlights
the importance of multidisciplinary work in acute pain patients and
the effectiveness of clinical psychophysiological strategies with acute
whiplash patients.
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