Whiplash Injuries

Publication Title: 
The Spine Journal: Official Journal of the North American Spine Society

BACKGROUND CONTEXT: In 2008, the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders (Neck Pain Task Force) found limited evidence on the effectiveness of manual therapies, passive physical modalities, or acupuncture for the management of whiplash-associated disorders (WAD) or neck pain and associated disorders (NAD). PURPOSE: This review aimed to update the findings of the Neck Pain Task Force, which examined the effectiveness of manual therapies, passive physical modalities, and acupuncture for the management of WAD or NAD.

Author(s): 
Wong, Jessica J.
Shearer, Heather M.
Mior, Silvano
Jacobs, Craig
Côté, Pierre
Randhawa, Kristi
Yu, Hainan
Southerst, Danielle
Varatharajan, Sharanya
Sutton, Deborah
van der Velde, Gabrielle
Carroll, Linda J.
Ameis, Arthur
Ammendolia, Carlo
Brison, Robert
Nordin, Margareta
Stupar, Maja
Taylor-Vaisey, Anne
Publication Title: 
Journal of Rehabilitation Medicine

OBJECTIVE: To assess whether mechanical traction, either alone or in combination with other treatments, improves pain, function/disability, patient satisfaction and global perceived effect in adults with mechanical neck disorders. METHODS: We conducted a systematic review up to September 2004 of randomized controlled trials and used pre-defined levels of evidence for qualitative analysis. Two independent reviewers conducted study selection, data abstraction and methodological quality assessment. Using a random effects model, relative risk and standardized mean differences were calculated.

Author(s): 
Graham, Nadine
Gross, Anita R.
Goldsmith, Charlie
Cervical Overview Group
Publication Title: 
Spine

STUDY DESIGN: Questionnaire Survey. OBJECTIVE: The purpose of this study was to survey the whiplash management beliefs for practicing general practitioners, family physicians, and chiropractors. SUMMARY OF BACKGROUND DATA: Many treatments are prescribed by general practitioners, family physicians, and chiropractors for acute whiplash, but to date no survey of management beliefs for acute whiplash has been reported.

Author(s): 
Ferrari, Robert
Russell, Anthony Science
Publication Title: 
Journal of Bodywork and Movement Therapies

Neurogenic thoracic outlet syndrome (NTOS) is a neuromuscular condition affecting brachial plexus functionality. NTOS is characterized by paresthesia, pain, muscle fatigue, and restricted mobility in the upper extremity. This study quantified massage therapy's possible contribution to treatment of NTOS. A 24-year-old female with NTOS received eight treatments over 35 days. Treatment included myofascial release, trigger point therapy, cross fiber friction, muscle stripping, and gentle passive stretching.

Author(s): 
Streit, Robin S.
Publication Title: 
Annals of Emergency Medicine

Reported is a case of a 34-year-old man, previously in good health, who underwent chiropractic manipulation of the cervical spine for treatment of a recent whiplash injury. Immediately following manipulation, the patient became unresponsive and was found to have sustained a brain stem infarction resulting in the "Locked-In" syndrome. Ten months following the initial insult, he remained tetraplegic and mute but able to communicate by eye blinking and vertical eye movements.

Author(s): 
Horn, S. W.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The initial effectiveness as well as the temporal stability of the effect of cervical spinal manipulation with respect to the amelioration of goniometrically verified cervical lateral-flexion passive end-range asymmetry was examined. Responses of two groups of pain-free subjects were compared: a) those exhibiting end-range asymmetries of greater than 10 degrees who, in addition, had suffered previous neck trauma, and; b) those who happened to exhibit end-range asymmetries of greater than 10 degrees but who had no history of prior neck trauma.

Author(s): 
Nansel, D.
Peneff, A.
Cremata, E.
Carlson, J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A new method for assessing cervicogenic vertigo is presented. This method can quickly assess the origins of vertigo. Preliminary data on 235 patients found that 112, (47.6%), were positive to the tests. After 18 treatments, 101 of the patients (90.2%) were symptom free. The patients responding best suffered acute upper cervical joint problems, along with muscle trauma in that region. The neurophysiology of the area is reviewed so that the mechanisms and the tests are understood.

Author(s): 
Fitz-Ritson, D.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This case study reports on three cases of patients with documented cervical disk herniations, who responded to chiropractic management and manipulative therapy. CLINICAL FEATURES: Three patients complaining of neck pain with radiation of pain and tingling into the upper extremities had positive magnetic resonance imaging scans consistent with cervical disk herniations. They also had positive neurophysiologic testing with positive thermography scans and electrodiagnostic studies.

Author(s): 
BenEliyahu, D. J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To assess whether "phasic" exercises, including rapid eye-head-neck-arm movements, can benefit patients with chronic cervical injuries. DESIGN: A randomized, controlled, double blind study involving 30 chronic patients, who were allocated to either group 1 or group 2. The study period was for 8 wk. SETTING: The study was conducted in a private practice.

Author(s): 
Fitz-Ritson, D.
Publication Title: 
Injury

Forty-three per cent of patients will suffer long-term symptoms following 'whiplash' injury, for which no conventional treatment has proven to be effective. A retrospective study was undertaken to determine the effects of chiropractic in a group of 28 patients who had been referred with chronic 'whiplash' syndrome. The severity of patients' symptoms was assessed before and after treatment using the Gargan and Bannister (1990) classification. Twenty-six (93 per cent) patients improved following chiropractic treatment (U = 34, P < 0.001).

Author(s): 
Woodward, M. N.
Cook, J. C.
Gargan, M. F.
Bannister, G. C.

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