{"id":5821,"date":"2021-11-30T13:41:43","date_gmt":"2021-11-30T18:41:43","guid":{"rendered":"https:\/\/sunsetchiropractor.com\/?p=5821"},"modified":"2023-10-19T12:55:40","modified_gmt":"2023-10-19T16:55:40","slug":"sunset-chiropractic-wellness-research-review-use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-a-propensity-score","status":"publish","type":"post","link":"https:\/\/sunsetchiropractor.com\/en\/sunset-chiropractic-wellness-research-review-use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-a-propensity-score\/","title":{"rendered":"Sunset Chiropractic &#038; Wellness Research Review: Use of Soft Cervical Collar among Whiplash Patients in Two Italian Emergency Departments Is Associated with Persistence of Symptoms: A Propensity Score Matching Analysis"},"content":{"rendered":"<p>Conclusions: Our study shows that the positioning of the soft collar in a cohort of patients with acute WAD, following a rear-end car collision, is an independent potential<\/p>\n<div id=\"attachment_5834\" style=\"width: 465px\" class=\"wp-caption alignright\"><a href=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5834\" class=\"wp-image-5834 size-full\" src=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1.jpg\" alt=\"Use of Soft Cervical Collar among Whiplash Patients in Two Italian Emergency Departments Is Associated with Persistence of Symptoms - Care rehabilitate the damaged spine and its damaged structures\" width=\"455\" height=\"367\" srcset=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1.jpg 455w, https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1-430x347.jpg 430w, https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1-150x121.jpg 150w, https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1-300x242.jpg 300w\" sizes=\"auto, (max-width: 455px) 100vw, 455px\" \/><\/a><p id=\"caption-attachment-5834\" class=\"wp-caption-text\">Use of Soft Cervical Collar among Whiplash Patients in Two Italian Emergency Departments Is Associated with Persistence of Symptoms &#8211; Care rehabilitate the damaged spine and its damaged structures<\/p><\/div>\n<p>risk factor to the return to the ED. Clinically, the use of the collar is a non-recommended practice and seems to be related to an increased risk of delayed recovery. There is a need to inform healthcare providers involved in the ED of the aim to limit the use of the soft cervical collar. A closer collaboration between clinicians (e.g., physicians, physical therapists, nurses) is suggested in the ED. Future primary studies should determine differences between having used or not having used the collar, and compare early physical therapy in the ED compared with the utilization of the collar.<\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34683043\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/34683043\/<\/a><\/p>\n<p>Purpose: Although the use of soft cervical collars in the emergency department (ED), for whiplash-associated disorders (WAD), is controversial, it is still widely adopted. The purpose of our study was to investigate the impact<\/p>\n<p>of the early use of soft cervical collars on the return to the ED, within three months of a road traffic collision.<\/p>\n<p>Methods: We conducted a retrospective observational study on WAD patients from two EDs in Verona (Italy). Patients in the earlier acute phase of WAD (within 48 h from the trauma) were included; those with serious conditions (WAD IV) were excluded. As an end point, we considered patients who returned to the ED complaining of WAD symptoms within three months as positive outcome for WAD persistence.<\/p>\n<div id=\"attachment_5834\" style=\"width: 465px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5834\" class=\"wp-image-5834 size-full\" src=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1.jpg\" alt=\"Use of Soft Cervical Collar among Whiplash Patients in Two Italian Emergency Departments Is Associated with Persistence of Symptoms - Care rehabilitate the damaged spine and its damaged structures\" width=\"455\" height=\"367\" srcset=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1.jpg 455w, https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1-430x347.jpg 430w, https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1-150x121.jpg 150w, https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2021\/11\/use-of-soft-cervical-collar-among-whiplash-patients-in-two-italian-emergency-departments-is-associated-with-persistence-of-symptoms-3-1-300x242.jpg 300w\" sizes=\"auto, (max-width: 455px) 100vw, 455px\" \/><\/a><p id=\"caption-attachment-5834\" class=\"wp-caption-text\">Use of Soft Cervical Collar among Whiplash Patients in Two Italian Emergency Departments Is Associated with Persistence of Symptoms &#8211; Care rehabilitate the damaged spine and its damaged structures<\/p><\/div>\n<p>Results: 2162 patients were included; of those, 85.4% (n = 1847\/2162) received a soft cervical collar prescription. Further, 8.4% (n = 156\/1847) of those with a soft cervical collar prescription, and 2.5% (n = 8\/315) of those without a soft cervical collar (p &lt; 0.001) returned to the ED within three months. The use of the soft cervical collar was an independent risk factor for ED return within three months, with an OR, adjusted for possible clinical confounders, equal to 3.418 (95% CI 1.653-7.069; p &lt; 0.001). After the propensity score matching, 25.5% of the patients (n = 25\/98) using the soft cervical collar returned to the ED at three months, compared to the 6.1% (n = 6\/98) that did not adopt the soft cervical collar. The use of a soft cervical collar was associated with ED return with an OR = 4.314 (95% CI 2.066-11.668; p = 0.001).<\/p>\n<p>Sunset Chiropractic and Wellness&#8217;s Structural Correction Chiropractic Care rehabilitate the damaged spine and its damaged structures (muscles, ligaments, fascia, discs, bone, and nerves) improving the structure and functions, reducing and removing the pain, and improving overall quality of life.<\/p>\n<p>For more information on our unique structural correction chiropractic treatment for spinal conditions and postural distortions please visit our treatment page on our website.<br \/>\n<a href=\"https:\/\/sunsetchiropractor.com\/en\/corrective-chiropractic-care\/\">www.sunsetchiropractor.com\/corrective-chiropractic-care\/<\/a><\/p>\n<p>If you have been experiencing spinal symptoms such as neck pain, back pain, headaches, migraines, mid back pain, rib pain, carpal tunnel, sciatica, disc herniations or protrusions, neuropathy, scoliosis, spinal stenosis, pain\/numbness\/weakness in your arms, hands, legs or feet\u2026\u2026..<br \/>\nCall our office Today <strong>(305) 275-7474 <\/strong>for a <strong>FREE Phone, Whatsapp, or Zoom consultation<\/strong> so we can determine the cause of your symptoms, identify the damage, and design an individualized treatment plan to get back to enjoying the thing you love doing!<\/p>\n<p><a href=\"https:\/\/sunsetchiropractor.com\/en\/appointment\/\">https:\/\/sunsetchiropractor.com\/appointment\/<\/a><\/p>\n<p>We look forward to meeting you and helping you recover your health. You can get better! We can help! There is still hope !<\/p>\n<p>Dr. Rodolfo Alfonso, D.C.<br \/>\nDr. Mark N. Berry, D.C.<br \/>\nSunset Chiropractic and Wellness<br \/>\n8585 Sunset Dr.<br \/>\nSTE 102<br \/>\nMiami, Florida 33143<br \/>\n305-275-7474<br \/>\n<a href=\"https:\/\/sunsetchiropractor.com\">www.sunsetchiropractor.com<\/a><\/p>\n<p><a href=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2023\/03\/neck-pain-symptoms-causes-and-treatment-1-300x172-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-10860\" src=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2023\/03\/neck-pain-symptoms-causes-and-treatment-1-300x172-1.jpeg\" alt=\"Sunset Chiropractic and Wellness. Neck Pain Symptoms, Causes, and Treatment. In this blog, we will discuss neck pain and how to manage it effectively. Neck pain can present differently in different individuals, and its severity can range from mild to severe. The symptoms of neck pain can include: Stiffness or aching in the neck Sharp or stabbing pain in the neck Pain that radiates down the arms or shoulders Headaches or migraines Difficulty moving the neck or turning the head Numbness or tingling in the arms or hands Common Causes of Neck Pain Several factors can contribute to neck pain, including: Sunset Chiropractic and Wellness. Neck Pain Symptoms, Causes, and Treatment. Neck pain can present differently in different individuals, and its severity can range from mild to severe. Poor posture Strained muscles or ligaments Injury, such as whiplash\" width=\"300\" height=\"172\" srcset=\"https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2023\/03\/neck-pain-symptoms-causes-and-treatment-1-300x172-1.jpeg 300w, https:\/\/sunsetchiropractor.com\/wp-content\/uploads\/2023\/03\/neck-pain-symptoms-causes-and-treatment-1-300x172-1-150x86.jpeg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Conclusions: Our study shows that the positioning of the soft collar in a cohort of patients with acute WAD, following<\/p>\n","protected":false},"author":3,"featured_media":5830,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19,24],"tags":[],"class_list":["post-5821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-back-pain","category-neck-pain"],"_links":{"self":[{"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/posts\/5821","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/comments?post=5821"}],"version-history":[{"count":4,"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/posts\/5821\/revisions"}],"predecessor-version":[{"id":11687,"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/posts\/5821\/revisions\/11687"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/media\/5830"}],"wp:attachment":[{"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/media?parent=5821"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/categories?post=5821"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sunsetchiropractor.com\/en\/wp-json\/wp\/v2\/tags?post=5821"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}