Results of rounds 1 and 2 for treatment components of the ABPI
| Treatment components | Round 1 | Round 2 | ||||
|---|---|---|---|---|---|---|
| Median | IQR (Q1, Q3) | % (no) of agreement | Median | IQR (Q1, Q3) | % (no) of agreement | |
| 1. Behavioural treatment components | ||||||
| Cognitive–behavioural therapy | 4 | 1.00 (3.00, 4.00) | 62.50 | 4 | 1.00 (4.00, 5.00) | 85.71 |
| Whiplash education | 5 | 1.00 (4.00, 5.00) | 93.75 | 5 | 1.00 (4.00, 5.00) | 96.43 |
| Advice to act as usual | 5 | 1.00 (4.00, 5.00) | 90.62 | 5 | 1.00 (4.00, 5.00) | 89.29 |
| Reassurance | 5 | 1.00 (4.00, 5.00) | 96.88 | 5 | 1.00 (4.00, 5.00) | 100.00 |
| Postural control and education | 4 | 0.75 (4.00, 4.75) | 87.50 | 4.5 | 1.00 (4.00, 5.00) | 85.71 |
| Relaxation techniques | 4 | 1.00 (3.00, 4.00) | 65.62 | 4 | 0.75 (3.25, 4.00) | 75.00 |
| Self-management | 5 | 0.75 (4.25, 5.00) | 96.88 | 5 | 0.00 (5.00, 5.00) | 100.00 |
| Other please detail | No other treatment components were provided by participants | Mental imagery (a cognitive technique) (provided by n=1 participant) | ||||
| 2. Physiotherapy treatment components | ||||||
| Exercise and mobilisation therapy | ||||||
| Mobilisation with movement techniques (Mulligan) | 3 | 2.00 (2.00, 4.00) | 40.62* | |||
| Active mobilisation exercises including cervical protraction–retraction | 4 | 1.75 (3.25, 5.00) | 75.00 | 4 | 1.00 (4.00, 5.00) | 85.71 |
| Stabilisation exercises including deep neck flexor muscles | 4 | 1.00 (4.00, 5.00) | 87.50 | 4 | 1.00 (4.00, 5.00) | 82.14 |
| Stretching exercises | 4 | 2.00 (2.00, 4.00) | 62.50 | 4 | 1.00 (3.00, 4.00) | 67.86 |
| Mobility exercises | 4 | 1.00 (4.00, 5.00) | 100.00 | 4 | 1.00 (4.00, 5.00) | 100.00 |
| Progressive exercises for strengthening | 4 | 1.75 (3.25, 5.00) | 75.00 | 4 | 0.00 (4.00, 4.00) | 85.71 |
| Postural stabilisation | 4 | 0.75 (4.00, 4.75) | 81.25 | 4 | 1.75 (3.25, 5.00) | 75.00 |
| Sensorimotor exercises (kinaesthetic sense, balance and eye movement) | 4 | 2.00 (3.00, 5.00) | 62.50 | 4 | 1.00 (3.00, 4.00) | 71.43 |
| Breathing exercises | 3.5 | 1.00 (3.00, 4.00) | 50.00 | 3† | 1.00 (3.00, 4.00) | 46.43† |
| Other please detail | Stabilisation exercises including deep neck extensor muscles (provided by n=2 participants) | 4 | 1.00 (4.00, 5.00) | 82.14 | ||
| Manual therapy | ||||||
| Joint mobilisation | 4 | 2.75 (2.25, 5.00) | 65.62 | 4 | 1.75 (3.00, 4.75) | 71.43 |
| Massage or soft tissue mobilisation/manipulation | 4 | 1.00 (3.00, 4.00) | 62.50 | 4 | 2.00 (3.00, 5.00) | 71.43 |
| Joint manipulation | 3 | 1.00 (2.00, 3.00)* | 21.88* | |||
| Other please detail |
| 4 | 1.00 (3.00, 4.00) | 67.86 | ||
| 3† | 2.00 (2.00, 4.00) | 28.57† | |||
| Physical agents | ||||||
| TENS | 2* | 2.00 (1.00, 3.00)* | 12.50* | |||
| PENS | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| MENS | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| Electrical stimulation | 1* | 1.75 (1.00, 2.75)* | 3.13* | |||
| Interferential current | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| Diadynamic current | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| High voltage galvanic current | 1* | 0.75 (1.00, 1.75)* | 0.00* | |||
| Electromagnetic therapy | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| Laser therapy | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| Ultrasound | 1* | 1.00 (1.00, 2.00)* | 6.25* | |||
| Shortwave diathermy | 1* | 0.75 (1.00, 1.75)* | 0.00* | |||
| Shock wave diathermy | 1* | 0.75 (1.00, 1.75)* | 0.00* | |||
| Infared right | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| Microwave | 1* | 1.00 (1.00, 2.00)* | 0.00* | |||
| Cyrotherapy | 3.5 | 2.00 (2.00, 4.00) | 50.00 | 3† | 2.00 (2.00, 4.00) | 35.71† |
| Heat | 4 | 1.00 (3.00, 4.00) | 68.75 | 4 | 1.00 (3.00, 4.00) | 71.43 |
| Mechanical traction | 2* | 2.00 (1.00, 3.00)* | 12.50* | |||
| Other please detail | No other treatment components were provided by participants | |||||
| 3. Other | ||||||
| Multimodal therapy | 4 | 1.00 (3.00, 4.00) | 59.38 | 4 | 0.75 (3.25, 4.00) | 75.00 |
| Physical activity such as aerobic and fitness | 4 | 1.00 (4.00, 5.00) | 87.50 | 4 | 0.00 (4.00, 4.00) | 82.14 |
| Other please detail |
| 3† | 1.00 (2.00, 3.00)† | 14.29† | ||
| 2† | 1.00 (2.00, 3.00)† | 7.14† | |||
5=very important, 4=important, 3=no opinion, 2=not important, 1=not at all important.
*Not meet consensus criteria for round 1.
†Not meet consensus criteria for round 2.
ABPI, active behavioural physiotherapy intervention; MENS, microcurrent electrical nerve stimulation; PENS, percutaneous electrical nerve stimulation; TENS, transcutaneous electrical nerve stimulation.