Whiplash Injuries

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the case of a patient who received upper cervical chiropractic care after trauma-induced arcual kyphosis in the cervical spine. A practical application of conservative management for posttrauma cervical spine injury in the private office setting is described. CLINICAL FEATURES: A 17-year-old female patient suffered an unstable C3/C4 motor segment after a lateral-impact motor vehicle collision. Additional symptoms on presentation included vertigo, tinnitus, neck and shoulder pain, and confusion.

Author(s): 
Kessinger, R. C.
Boneva, D. V.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVES: To review current knowledge and recent concepts of the causes of injuries after minor impact automobile collisions and to acquaint those who treat these types of injuries with possible injury thresholds and mechanisms that may contribute to symptoms. DATA SOURCES: A review of literature involving mechanisms of injury, tissue tensile threshold, and neurologic considerations was undertaken. A hand-search of relevant engineering, medical/chiropractic, and computer Index Medicus sources in disciplines that cover the variety of symptoms was gathered.

Author(s): 
Davis, C. G.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To describe the chiropractic management of a patient with whiplash-associated disorder and a covert, concomitant dissecting aneurysm of the thoracic aorta caused by Marfan syndrome or a related variant. CLINICAL FEATURES: A 25-year-old man was referred by his family physician for chiropractic assessment and treatment of neck injuries received in a motor vehicle accident. After history, physical examination, and plain film radiographic investigation, a diagnosis of whiplash-associated disorder grade I was generated.

Author(s): 
Tuling, J. R.
Crowther, E. T.
McCord, P.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The purposes of this article are (1) to review current knowledge of and recent concepts pertaining to the causes of chronic pain and/or dysfunction following whiplash-type injuries and (2) to acquaint those who treat these types of injuries with possible mechanisms of continued pain and or dysfunction following whiplash. DATA COLLECTION: A review of the literature on mechanisms of injury and neurologic considerations was undertaken.

Author(s): 
Davis, C.
Publication Title: 
European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

A retrospective analysis of insurance data was made of 600 individuals claiming compensation for whiplash following motor vehicle accidents. Three hundred randomly selected claimants who had settled their injury claims within 9 months of the accident were compared with 300 who had settled more than 24 months after the accident. We compared the two groups to identify possible risk factors for prolonged recovery, for which settlement time greater than 24 months was a marker.

Author(s): 
Osti, Orso L.
Gun, Richard T.
Abraham, George
Pratt, Nicole L.
Eckerwall, Goran
Nakamura, Hiroaki
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 Manipulative and Physiological Therapeutics

OBJECTIVE: To examine the similarities and dissimilarities between cervical chiropractic manipulative therapy and whiplash, and their respective relation to cervical artery dissection. DATA SOURCES: A literature synthesis used MEDLINE-PubMed and MANTIS literature searches. A total list of 99 relevant articles was generated. Additional references were collected from citations incorporated within the included articles. RESULTS: Both neck manipulation and motor vehicle collision events apply loads to the spinal column rapidly.

Author(s): 
Haneline, Michael
Triano, John
Publication Title: 
Pain Research & Management: The Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur

BACKGROUND: A whiplash-associated disorder (WAD) is an injury due to an acceleration-deceleration mechanism at the neck. WAD represents a very common and costly condition, both economically and socially. In 1995, the Quebec Task Force published a report that contained evidence-based recommendations regarding the treatment of WAD based on studies completed before 1993 and consensus-based recommendations.

Author(s): 
Conlin, Anne
Bhogal, Sanjit
Sequeira, Keith
Teasell, Robert
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To describe the treatment of a patient with chronic whiplash-associated disorders (WADs) previously unresponsive to multiple physical therapy and chiropractic treatments, which resolved following Clinical Biomechanics of Posture (CBP) rehabilitation methods. CLINICAL FEATURES: A 40-year-old man involved in a high-speed rear-impact collision developed chronic WADs including cervicothoracic, shoulder, and arm pain and headache. The patient was diagnosed with a confirmed chip fracture of the C5 vertebra and cervical and thoracic disk herniations.

Author(s): 
Ferrantelli, Joseph R.
Harrison, Deed E.
Harrison, Donald D.
Stewart, Denis
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Neck disorders are common, limit function, and are costly to individuals and society. Exercise therapy is a commonly used treatment for neck pain. The effectiveness of exercise therapy remains unclear. OBJECTIVES: To assess the effectiveness of exercise therapy to relieve pain, or improve function, disability, patient satisfaction, and global perceived effect in adults with mechanical neck disorders (MND).

Author(s): 
Kay, T. M.
Gross, A.
Goldsmith, C.
Santaguida, P. L.
Hoving, J.
Bronfort, G.
Cervical Overview Group

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