Whiplash Associated Disease

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Trauma and Orthopaedic Classifications

Abstract

Whiplash associated disorder is the name given to a collection of symptoms including pain in the neck, head, shoulder and arms following rear end collisions. The classic explanation is that the head is suddenly jerked back and forth beyond its normal limits after a collision or car crash, causing the muscles and ligaments supporting the neck to be injured. More precisely, an upward force on the cervical spine causes abnormal movements of the lower cervical spine with damage to the zygapophyseal and other joints between the vertebrae, at least in some cases. The injury may or may not cause acute symptoms. Those symptoms may be contrived; they may be mild; or they may be serious. The treatment may or may not be effective and many patients may develop chronic problems. The outcome of the natural history of this condition is not predictable and thus Whiplash disease may be the reason for many legal proceedings. The Quebec classification is the most common grading system of Whiplash disease and is based primarily on pathoanatomy.

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References

  1. Bogduk N. The anatomy and pathophysiology of neck pain. Phys Med Rehabil Clin N Am. 2003;14(3):455–72.

    Article  PubMed  Google Scholar 

  2. Bogduk N. An overview of the International Congress on whiplash associated disorders. Pain Res Manag. 2003;8(2):103–6.

    PubMed  Google Scholar 

  3. Hartling L, Brison RJ, Ardern C, Pickett W. Prognostic value of the Quebec classification of whiplash-associated disorders. Spine (Phila Pa 1976). 2001;26(1):36–41.

    Article  CAS  Google Scholar 

  4. Sommer HM. Quebec task force’s scientific monograph on Whiplash-Associated Disorders (WAD). Spine (Phila Pa 1976). 1997;22(8):928.

    Article  CAS  Google Scholar 

  5. Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, Zeiss E. Scientific monograph of the Quebec task force on Whiplash-Associated Disorders: redefining “whiplash” and its management. Spine (Phila Pa 1976). 1995;20(8 Suppl):1S–73.

    CAS  Google Scholar 

  6. Gross A, Forget M, St George K, Fraser MM, Graham N, Perry L, Burnie SJ, Goldsmith CH, Haines T, Brunarski D. Patient education for neck pain. Cochrane Database Syst Rev. 2012;(3):CD005106.

    Google Scholar 

  7. Kroeling P, Gross A, Goldsmith CH, Burnie SJ, Haines T, Graham N, Brant A. Electrotherapy for neck pain. Cochrane Database Syst Rev. 2009;(4):CD004251.

    Google Scholar 

  8. Langevin P, Peloso PM, Lowcock J, Nolan M, Weber J, Gross A, Roberts J, Goldsmith CH, Graham N, Burnie SJ, Haines T. Botulinum toxin for subacute/chronic neck pain. Cochrane Database Syst Rev. 2011;(7):CD008626.

    Google Scholar 

  9. Peloso P, Gross A, Haines T, Trinh K, Goldsmith CH, Burnie S, Cervical Overview G. Medicinal and injection therapies for mechanical neck disorders. Cochrane Database Syst Rev. 2007;(3):CD000319.

    Google Scholar 

  10. Verhagen AP, Scholten-Peeters GG, van Wijngaarden S, de Bie RA, Bierma-Zeinstra SM. Conservative treatments for whiplash. Cochrane Database Syst Rev. 2007;(2):CD003338.

    Google Scholar 

  11. Langevin P, Lowcock J, Weber J, Nolan M, Gross AR, Peloso PM, Roberts J, Graham N, Goldsmith CH, Burnie SJ, Haines T, Cervical Overview Group. Botulinum toxin intramuscular injections for neck pain: a systematic review and metaanalysis. J Rheumatol. 2011;38(2):203–14.

    Article  CAS  PubMed  Google Scholar 

  12. Zhang T, Adatia A, Zarin W, Moitri M, Vijenthira A, Chu R, Thabane L, Kean W. The efficacy of botulinum toxin type A in managing chronic musculoskeletal pain: a systematic review and meta analysis. Inflammopharmacology. 2011;19(1):21–34.

    Article  CAS  PubMed  Google Scholar 

  13. Conlin A, Bhogal S, Sequeira K, Teasell R. Treatment of whiplash-associated disorders–part I: non-invasive interventions. Pain Res Manag. 2005;10(1):21–32.

    PubMed  Google Scholar 

  14. Conlin A, Bhogal S, Sequeira K, Teasell R. Treatment of whiplash-associated disorders–part II: medical and surgical interventions. Pain Res Manag. 2005;10(1):33–40.

    PubMed  Google Scholar 

  15. Drescher K, Hardy S, Maclean J, Schindler M, Scott K, Harris SR. Efficacy of postural and neck-stabilization exercises for persons with acute whiplash-associated disorders: a systematic review. Physiother Can. 2008;60(3):215–23.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Hurwitz EL, Carragee EJ, van der Velde G, Carroll LJ, Nordin M, Guzman J, Peloso PM, Holm LW, Cote P, Hogg-Johnson S, Cassidy JD, Haldeman S, Bone, Joint Decade – Task Force on Neck Pain, Its Associated Disorders. Treatment of neck pain: noninvasive interventions: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine (Phila Pa 1976). 2008;33(4 Suppl):S123–52.

    Article  Google Scholar 

  17. Miller J, Gross A, D’Sylva J, Burnie SJ, Goldsmith CH, Graham N, Haines T, Bronfort G, Hoving JL. Manual therapy and exercise for neck pain: a systematic review. Man Ther. 2010;15(4):334–54.

    Article  PubMed  Google Scholar 

  18. Peeters GG, Verhagen AP, de Bie RA, Oostendorp RA. The efficacy of conservative treatment in patients with whiplash injury: a systematic review of clinical trials. Spine (Phila Pa 1976). 2001;26(4):E64–73.

    Article  CAS  Google Scholar 

  19. Seferiadis A, Rosenfeld M, Gunnarsson R. A review of treatment interventions in whiplash-associated disorders. Eur Spine J. 2004;13(5):387–97.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Teasell RW, McClure JA, Walton D, Pretty J, Salter K, Meyer M, Sequeira K, Death B. A research synthesis of therapeutic interventions for whiplash-associated disorder: part 1 – overview and summary. Pain Res Manag. 2010;15(5):287–94.

    PubMed Central  PubMed  Google Scholar 

  21. Teasell RW, McClure JA, Walton D, Pretty J, Salter K, Meyer M, Sequeira K, Death B. A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 5 – surgical and injection-based interventions for chronic WAD. Pain Res Manag. 2010;15(5):323–34.

    PubMed Central  PubMed  Google Scholar 

  22. Gross AR, Goldsmith C, Hoving JL, Haines T, Peloso P, Aker P, Santaguida P, Myers C, Cervical Overview Group. Conservative management of mechanical neck disorders: a systematic review. J Rheumatol. 2007;34(5):1083–102.

    PubMed  Google Scholar 

  23. Michaleff ZA, Ferreira ML. Physiotherapy rehabilitation for whiplash associated disorder II: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2012;46(9):662–3.

    Article  PubMed  Google Scholar 

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Correspondence to Spiros G. Pneumaticos MD, PhD .

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Pneumaticos, S.G., Triantafyllopoulos, G.K., Lasanianos, N.G. (2015). Whiplash Associated Disease. In: Lasanianos, N., Kanakaris, N., Giannoudis, P. (eds) Trauma and Orthopaedic Classifications. Springer, London. https://doi.org/10.1007/978-1-4471-6572-9_47

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  • DOI: https://doi.org/10.1007/978-1-4471-6572-9_47

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  • Print ISBN: 978-1-4471-6571-2

  • Online ISBN: 978-1-4471-6572-9

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