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Whiplash Injury: Orthopaedic and Rehabilitative Approach to Neck Pathology

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Whiplash Injuries

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Abstract

The term whiplash classically has been applied to a variable set of clinical circumstances where a non-severe rear-end collision is involved. Nowadays [73–75] this definition has changed, because this term also includes other types of accidents with different mechanisms: lateral collisions, frontal ones, as well as falls with direct trauma to the head and hypermovement in one direction of the neck. The common point between these different types of pathologic conditions is that this trauma causes a damage to the cervical soft tissues without engagement of bones.

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References

  1. Algers G, Pettersson K, Hildingsson C, Toolanen G (1993) Surgery for chronic symptoms after whiplash injury. Follow up of 20 cases. Acta Orthop Scand 64(6):654–656

    Article  PubMed  CAS  Google Scholar 

  2. Allen ME, Weir Jones I, Motiuk DR Flewin KR Goring RD, Kobetitch R Broadhurst A (1994) Acceleration perturbations of daily living. A comparison to “whiplash”. Spine 19( 11 ): 1285–1290

    PubMed  CAS  Google Scholar 

  3. Alpini D, Cesarani A, Sibilla P (1990) Dal piede alia corteccia. II controllo ex-tra-labirintico del sistema vestibuläre. In: Dufour A (ed). 10 anni di ENG. Formend Ed

    Google Scholar 

  4. Barnsley L, Lord S, Bogduk N (1993) Comparative local anaesthetic blocks in the diagnosis of cervical zygapophysial joint pain. Pain 55(1):99–106

    Article  PubMed  CAS  Google Scholar 

  5. Barnsley L, Lord S, Bogduk N (1994) Whiplash injury. Pain 58(3): 283–307

    Article  PubMed  CAS  Google Scholar 

  6. Barnsley L, Lord SM, Wallis BJ, Bogduk N (1994) Lack of effect of intraarticular corticosteroids for chronic pain in the cervical zygapophyseal joints. N Engl J Med 330(15): 1047–1050

    Article  PubMed  CAS  Google Scholar 

  7. Barry M (1992) Whiplash injuries. Br J Rheumatol 31(9):579–581

    Article  PubMed  CAS  Google Scholar 

  8. Bovim G, Schrader H, Sand T ( 1994) Neck pain in the general population. Spine 19(12):1307–1309

    Article  PubMed  CAS  Google Scholar 

  9. Bowen J, Patz J, Bailey J, Hansen K (1992) Dissection of vertebral artery after cervical trauma. Lancet 339(8790):435–436

    Article  PubMed  CAS  Google Scholar 

  10. Brodin H (1984) Cervical Pain and Mobilisation. Int J Rehabil Res 7:190–191

    Article  PubMed  CAS  Google Scholar 

  11. Byrn C, Olsson I, Falkheden L, Lindh M, Hosterey U, Fogelberg M, Linder LE, Bunketorp O (1993) Subcutaneous sterile water injections for chronic neck and shoulder pain following whiplash injuries. Lancet 341(8843):449–452

    Article  PubMed  CAS  Google Scholar 

  12. Carette S ( 1994) Whiplash injury and chronic neck pain. N Engl J Med, Apr 14, 330(15):1083–1084

    Article  PubMed  CAS  Google Scholar 

  13. Cassidy JD, Lopes AA, Yong-Hing K ( 1992) The immediate effect of manipulation on pain and range of motion in the cervical spine: a randomized controlle trial. J Manipulative Physiol Ther 15:570–575

    PubMed  CAS  Google Scholar 

  14. Chester JB Jr (1991) Whiplash, postural control, and the inner ear. Spine 16(7):716–720

    Article  PubMed  Google Scholar 

  15. Colachis SC, Strohm BR, Ganter EL (1973) Cervical spine motion in normal women: radiographic study on effect of cervical collars. Arch Phys Med Rehabil 54:161–169

    PubMed  Google Scholar 

  16. Da Cunha HM, Cesarani A, Ciancaglini R, Lazzari E, Ruyu A, Sibilla P ( 1994) Postura, Occlusione, Rachide. Edizioni CPA, Milano

    Google Scholar 

  17. Davis SJ, Teresi LM, Bradley WG Jr, Ziemba MA, Bloze AE (1991) Cervical spine hyperextension injuries: MR findings. Radiology 180(1):245–251

    PubMed  CAS  Google Scholar 

  18. Dvorak J, Herdmann J, Janssen B, Theiler R, Grob D (1990) Motor evoked potentials in patients with cervical spine disorders. Spine 15(10): 1013–1013

    Article  PubMed  CAS  Google Scholar 

  19. Dvorak J, Panjabi MM, Grob D, Novotny JE, Antinnes JA (1993) Clinical validation of functional flexion/extension radiographs of the cervical spine. Spine 18(1):120–127

    Article  PubMed  CAS  Google Scholar 

  20. Fischer AA ( 1993) Sterile water for whiplash syndrome. Lancet 341(8843):470

    Article  PubMed  CAS  Google Scholar 

  21. Fisher SV, Bowar JF, Awad EA, Gullikson G ( 1977) Cervical orthoses effect on cervical spine motion: roengenographic and goniometric method of study. Arch Phys Med Rehabil 58:109–115

    PubMed  CAS  Google Scholar 

  22. Foley Nolan D, Barry C, Coughlan R, O’Comnor P (1990) Pulsed high frequency (27 Mhz) electromagnetic therapy for persistent neck pain. A double blind placebo controlled study of 20 patients. Orthopedics 13:445–451

    PubMed  CAS  Google Scholar 

  23. Foley Nolan D, Moore K, Codd M, Barry C, O’Connor P, Coughlan RJ (1992) Low energy high frequency pulsed electromagnetic therapy for acute whiplash injuries. A double blind randomized controlled study. Scand J Rehabil Med 24(l):51–59

    PubMed  CAS  Google Scholar 

  24. Galasko CS, Murray PM, Pitcher M, Chambers H, Mansfield S, Madden M, Jordon C, Kinsella A, Hodson M (1993) Neck sprains after road traffic accidents: a modern epidemic. Injury 24(3): 155–157

    Article  PubMed  CAS  Google Scholar 

  25. Gargan M, Bannister G (1991) Soft tissue injuries to the neck. BMJ 303(6805):786

    Article  PubMed  CAS  Google Scholar 

  26. Gargan MF, Bannister GC (1990) Long term prognosis of soft tissue injuries of the neck. J Bone Joint Surg Br 72(5):901–903

    PubMed  CAS  Google Scholar 

  27. Gebhard JS, Donaldson DH, Brown CW (1994) Soft tissue injuries the cervical spine. Orthop Rev, May, S:9–17

    Google Scholar 

  28. Hamer AJ, Gargan MF, Bannister GC, Nelson RJ (1993) Whiplash injury and surgically treated cervical disc disease. Injury 24(8):549–550

    Article  PubMed  CAS  Google Scholar 

  29. Harris JH, Yeakley JW (1992) Hyperextension dislocation of the cervical spine. Ligament injuries demonstrated by magnetic resonance imaging. J Bone Joint Surg Br 74(4):567–570

    PubMed  CAS  Google Scholar 

  30. Hodgson SP, Grundy M (1989) Neck sprains after car accidents. BMJ 298(6685): 1452

    Article  PubMed  CAS  Google Scholar 

  31. Home G (1989) Neck sprains after car accidents. BMJ 299(6690):53

    Google Scholar 

  32. Johnson RM, Hart DL, Simmons EF, Ramsby GR, Southwick WO (1977) Cervical orthoses. A study comparing their effectiveness in restricting cervical motion in normal subjects. J Bone Joint Surg Am 59:332–339

    PubMed  CAS  Google Scholar 

  33. Luo ZP, Goldsmith W (1991) Reaction of a human head/neck/torso system to shock. J Biomech 24(7):499–510

    Article  PubMed  CAS  Google Scholar 

  34. Magnusson T ( 1994) Extracervical symptoms after whiplash trauma. Cephalalgia 14(3):223–227

    Article  PubMed  CAS  Google Scholar 

  35. Maimaris C (1989) Neck sprains after car accidents. BMJ 299(6691):123

    Article  PubMed  CAS  Google Scholar 

  36. McKinney LA (1989) Early mobilisation and outcome in acute sprains of the neck. BMJ 299:1006–1008

    Article  PubMed  CAS  Google Scholar 

  37. McKinney LA, Dornan JO, Ryan M (1989) The role of physiotherapy in the management of acute neck sprains following road traffic accidents. Arch Emerg Med6(l):27–33

    Google Scholar 

  38. Mealy K, Brennan H, Fenelon GC (1986) Early mobilisation of acute whiplash injuries. BMJ 292:656–657

    Article  PubMed  CAS  Google Scholar 

  39. Negrini A, Negrini S (1989) Il trattamento chinesiologico délie algie vertebrali. Chinesiologia Scientifica 3:51–57

    Google Scholar 

  40. Negrini A, Negrini S (1994) La cinesiterapia secondo Charrière. In: Negrini S (ed). La cinesiterapia nel trattamento délie lombalgie: metodi a confronto. Vigevano, Gruppo di Studio della Scoliosi delle patologie vertebrali, 51–61

    Google Scholar 

  41. Negrini A jr, Negrini S, Santambrogio GC (1994) Data variability in the analysis of spinal deformity: a study performed by means of the Auscan System. In: D’Amico M, Merolli A, Santambrogio GC (eds). Three-dimensional analysis of spinal deformities. Amsterdam, IOS, 101–106

    Google Scholar 

  42. Negrini S, Negrini A jr, Rainero G, Sibilla P, Santambrogio GC (1994) Correlation between trunk gibbosity and the spinal torsion measured by the Auscan System. In: D’Amico M, Merolli A, Santambrogio GC (eds). Three-dimensional analysis of spinal deformities. Amsterdam, IOS, 279–283

    Google Scholar 

  43. Negrini S, Negrini A jr, Santambrogio GC, Sibilla P (1994) Relation between static angles of the spine and a dynamic eventi like posture: approach to the problem. In: D’Amico M, Merolli A, Santambrogio GC (eds). Three dimensional analysis of spinal deformities. Amsterdam, IOS, 209–214

    Google Scholar 

  44. Negrini S, Negrini A jr ( 1992) Algie vertebrali croniche e disturbi dell’equilibrio: risultati preliminari dell’esame con “Balance Platform”. La Ginnastica Medica 40(l/2/3):29–35

    Google Scholar 

  45. Negrini S (1994) La cinesiterapia nel trattamento délie lombalgie: metodi a confronto. Vigevano, Gruppo di Studio della Scoliosi e delle patologie vertebrali

    Google Scholar 

  46. Negrini S (1994) Metodologia nella cinesiterapia per il paziente lombalgico. In: Negrini S (ed). La cinesiterapia nel trattamento delle lombalgie: metodi a confronto. Vigevano, Gruppo di Studio della Scoliosi e delle patologie vertebrali, 3–21

    Google Scholar 

  47. Negrini S (1994) La terapia meccanica di McKenzie. In: Negrini S (ed). La cinesiterapia nel trattamento delle lombalgie: metodi a confronto. Vigevano, Gruppo di Studio della Scoliosi e delle patologie vertebrali, 83–97

    Google Scholar 

  48. Newman PK (1990) Whiplash injury. BMJ 301(6749):395–396

    Article  PubMed  CAS  Google Scholar 

  49. Pearce JM (1989) Whiplash injury: a reappraisal. J Neurol Neurosurg Psychiatry 52(12):1329–1331

    Article  PubMed  CAS  Google Scholar 

  50. Pearce JM (1990) Whiplash injury. BMJ 301(6752):610

    Article  PubMed  CAS  Google Scholar 

  51. Pearce JM (1993) Pain relief by water injections. Lancet 341(8849):905

    PubMed  CAS  Google Scholar 

  52. Pearce JM (1993) Subtle cerebral lesions in “chronic whiplash syndrome”? J Neurol Neurosurg Psychiatry 56(12): 1328–1329

    Article  PubMed  CAS  Google Scholar 

  53. Pearce JM (1993) Polemics of chronic whiplash injury. Neurology 44(11): 1993–1997

    Article  Google Scholar 

  54. Pennie B, Agambar L (1991) Patterns of injury and recovery in whiplash. Injury 22(l):57–59

    Article  PubMed  CAS  Google Scholar 

  55. Pennie BH, Agambar LJ ( 1990) Whiplash injuries. A trial of early management. J Bone Joint Surg Br 72(2):277–279

    PubMed  CAS  Google Scholar 

  56. Pettersson K, Hildingsson C, Toolanen G, Fagerlund M, Bjornebrink J (1994) MRI and neurology in acute whiplash trauma. No correlation in prospective examination of 39 cases. Acta Orthop Scand 65(5):525–528

    Article  PubMed  CAS  Google Scholar 

  57. Porter KM (1989) Neck sprains after car accidents. BMJ 298(6679):973–974

    Article  PubMed  CAS  Google Scholar 

  58. Radanov BP, Di Stefano G, Schnidrig A, Sturzenegger M ( 1994) Common whiplash: psychosomatic or somatopsychic’? J Neurol Neurosurg Psychiatry 57(4):486–490

    Article  PubMed  CAS  Google Scholar 

  59. Radanov BP, Di Stefano G, Schnidrig A, Sturzenegger M, Augustiny KF ( 1993) Cognitive functioning after common whiplash. A controlled follow-up study. Arch Neurol 50(1):87–91

    Article  PubMed  CAS  Google Scholar 

  60. Radanov BP, Dvorak J, Valach L (1992) Cognitive deficits in patients after soft tissue injury of the cervical spine. Spine 17(2): 127–131

    Article  PubMed  CAS  Google Scholar 

  61. Radanov BP, Schnidrig A, Di Stefano G, Sturzenegger M (1992) Illness behaviour after common whiplash. Lancet 339(8795):749–750

    Article  PubMed  CAS  Google Scholar 

  62. Radanov BP, Sturzenegger M, De Stefano G, Schnidrig A (1994) Relationship between early somatic, radiological, cognitive and psychosocial findings and outcome during a one year follow up in 117 patients suffering from common whiplash. Br J Rheumatol 33(5):442–448

    Article  PubMed  CAS  Google Scholar 

  63. Redmond AD (1992) Prognostic factors in soft tissue injuries of the cervical spine. Injury 23(4):285

    Article  PubMed  CAS  Google Scholar 

  64. Shea M, Wittenberg RH, Edwards WT, White AA 3d, Hayes WC ( 1992) In vitro hyperextension injuries in the human cadaveric cervical spine. J Orthop Res 10(6):911–916

    Article  PubMed  CAS  Google Scholar 

  65. Sibilla P (1990) Scoliosi, modello d’interazione spino-vertebrale. In: Cesarani A, Alpini D (eds). Diagnosi e trattamento dei disturbi dell’equilibrio. Mediamix, Milano, 19–28

    Google Scholar 

  66. Sibilla P, Cesarani A, Barozzi S, Alpini D, Rainero G (1990) Scoliosis: a model to evaluate spino-vestibular interactions. In: Claussen CF (ed). NES Congress Proceedings, Bad Kissingen

    Google Scholar 

  67. Sibilla P, Cesarani A, Barozzi S, Alpini D, Rainero G (1991) Scoliosis: a model to evaluate spino-vestibular interactions”. In: Claussen CF (ed). Vertigo, nausea, tinnitus and hypoacusia due to head and neck trauma. Elsevier Science, 225–228

    Google Scholar 

  68. Sibilla P, Cesarani A, Negrini S, Atanasio S, Alpini D, Romano M, Barozzi S (1994) Stepping coordination in scoliosis evaluated by the mean of cranio-corpography. In: Taguchi K, Igarashi M, Mori S (eds). Vestibular and neural front. Amsterdam, Elsevier Science BV, 39–42

    Google Scholar 

  69. Sibilla P, Atanasio S, Fronte F, Santambrogio GC (1994) Three dimensional evaluation of scoliosis progression during pregnancy: a non ionising study. In: D’Amico M, Merolli A, Santambrogio GC (eds). Three dimensional analysis of spinal deformities. Amsterdam, IOS, 293–296

    Google Scholar 

  70. Simons DG (1989) Myofascial trigger points and the whiplash syndrome. Clin J Pain 5(3):279

    Article  PubMed  CAS  Google Scholar 

  71. Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, Zeiss E (1995) Scientific Monograph of the Quebec Task Force on Whiplash-Associated Disorders. Redefining “Whiplash” and its management. Spine (8S):20

    Google Scholar 

  72. Sturzenegger M, Di Stefano G, Radanov BP, Schnidrig A (1994) Presenting symptoms and signs after whiplash injury: the influence of accident mechanisms. Neurology 44(4):688–693

    Article  PubMed  CAS  Google Scholar 

  73. Taylor JR, Kakulas BA (1991) Neck injuries. Lancet 338(8778): 1343

    Google Scholar 

  74. Watkinson AF (1990) Whiplash injury. BMJ 301(6758):983

    Article  PubMed  CAS  Google Scholar 

  75. Watkinson A, Gargan MF, Bannister GC (1991) Prognostic factors in soft tissue injuries of the cervical spine. Injury 22(4):307–309

    Article  PubMed  CAS  Google Scholar 

  76. Winters JM, Peles JD, Osterbauer PJ, Derickson K, Deboer KF, Fuhr AW (1993) Three-dimensional head axis of rotation during tracking movements. A tool for assessing neck neuromechanical function. Spine 18(9): 1178–1185

    Article  PubMed  CAS  Google Scholar 

  77. Woltring HJ, Long K, Osterbauer PJ, Fuhr AW (1994) Instantaneous helical axis estimation from 3D video data in neck kinematics for whiplash diagnostics. J Biomech27(12):1415–1432

    Google Scholar 

  78. Zylbergold RS, Piper MC (1985) Cervical spine disorders. A comparison of three types of traction. Spine 10:867–871

    Article  PubMed  CAS  Google Scholar 

  79. Whiplash injury. Lancet 338(8776): 1207–1208

    Google Scholar 

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Authors and Affiliations

  1. Reparto Scoliosi e Patologia Vertebrale, IRCCS, Fondazione Pro-Juventute, Don Carlo Gnocchi, Milan, Italy

    P. Sibilla, S. Negrini & S. Atanasio

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  1. P. Sibilla
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  2. S. Negrini
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  3. S. Atanasio
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Editor information

Editors and Affiliations

  1. Ospedale Maggiore Policlinico, Istituto di Audiologia, Università degli Studi di Milano, Via Sforza 35, Milan, Italy

    A. Cesarani

  2. ENT, Otoneurological Service Scientific Institute S. Maria N.te, F.ne don Gnocchi, via Capecelatro 66, 20148, Milan, Italy

    D. Alpini

  3. Maître de Conférences, Université de Liège, Rue de Bruxelles 21, B-4800, Verviers, Belgium

    R. Boniver

  4. Neurototologic and Equilibriometry Society (NES), Bad Kissingen, Germany

    C. F. Claussen

  5. Institut de Posturologie, Av. de Corbera 4, Paris, France

    P. M. Gagey

  6. Dept of Otorhinolaryngology, University Hospital, Lund, Sweden

    L. Magnusson

  7. Department of Otolaryngology, University Hospital, S-58185, Linköping, Sweden

    L. M. Ödkvist

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© 1996 Springer-Verlag Italia

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Sibilla, P., Negrini, S., Atanasio, S. (1996). Whiplash Injury: Orthopaedic and Rehabilitative Approach to Neck Pathology. In: Cesarani, A., et al. Whiplash Injuries. Springer, Milano. https://doi.org/10.1007/978-88-470-2293-5_21

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  • DOI: https://doi.org/10.1007/978-88-470-2293-5_21

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2295-9

  • Online ISBN: 978-88-470-2293-5

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