title: Outcomes of motor vehicle crashes with fracture: a pilot study of early rehabilitation interventions.
abstract: OBJECTIVE
  To determine the effects of early rehabilitation interventions on the physical, psychological and vocational outcomes of patients presenting to the Emergency Department with fracture resulting from a motor vehicle crash.
  
  
  METHODS
  Prospective non-randomized cohort controlled trial. Seventy-six subjects were enrolled and formed 2 groups. The control group received usual care, and the intervention group received a consultation with a rehabilitation physician and was offered pain management, physiotherapy, psychological treatment and further specialist referrals if indicated. The battery of outcome measures covering pain, psychological assessment, return to work and return to driving was performed at the same time intervals for both cohorts.
  
  
  RESULTS
  Significant (p < 0.05) improvement was seen in pain levels at 12 weeks in the intervention group compared to control group. The intervention group showed a significantly better rate of return to normal work compared to the control group.
  
  
  CONCLUSIONS
  Early proactive rehabilitation can benefit patients with fractures resulting from motor vehicle crashes. This pilot study suggests the need for further investigation of the recovery from fractures among such patients.
authors: Sacred Heart Rehabilitation Service, St Vincents's Hospital, 2010 Sydney, Australia. kbrooke@stvincents.com.au.
authors: Kathryn J
authors: KJ
authors: Brooke
authors: Steven G
authors: SG
authors: Faux
authors: Stephen F
authors: SF
authors: Wilson
authors: Winston
authors: W
authors: Liauw
authors: Malcolm
authors: M
authors: Bowman
authors: Linda
authors: L
authors: Klein
mesh_terms: D000063:Accidents, Traffic / Q000523:psychology / Q000706:statistics & numerical data; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001007:Anxiety / Q000453:epidemiology; D015331:Cohort Studies; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000453:epidemiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology; D059408:Pain Management / Q000379:methods / Q000706:statistics & numerical data; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult