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https://www.readbyqxmd.com/read/29330341/biomechanics-of-coupled-motion-in-the-cervical-spine-during-simulated-whiplash-in-patients-with-pre-existing-cervical-or-lumbar-spinal-fusion-a-finite-element-study
#1
H Huang, R W Nightingale, A B C Dang
OBJECTIVES: Loss of motion following spine segment fusion results in increased strain in the adjacent motion segments. However, to date, studies on the biomechanics of the cervical spine have not assessed the role of coupled motions in the lumbar spine. Accordingly, we investigated the biomechanics of the cervical spine following cervical fusion and lumbar fusion during simulated whiplash using a whole-human finite element (FE) model to simulate coupled motions of the spine. METHODS: A previously validated FE model of the human body in the driver-occupant position was used to investigate cervical hyperextension injury...
January 2018: Bone & Joint Research
https://www.readbyqxmd.com/read/29327392/differences-in-white-matter-structure-and-cortical-thickness-between-patients-with-traumatic-and-idiopathic-chronic-neck-pain-associations-with-cognition-and-pain-modulation
#2
I Coppieters, R De Pauw, K Caeyenberghs, D Lenoir, K DeBlaere, E Genbrugge, M Meeus, B Cagnie
Brain alterations are hypothesized to be present in patients with chronic whiplash-associated disorders (CWAD). The aim of this case-control study was to examine alterations in cortical thickness and white matter (WM) structure, and the presence of brain microhemorrhages in a patient group encountering chronic neck pain of traumatic origin (i.e., CWAD) when compared with a patient group characterized by nontraumatic chronic neck pain [i.e., chronic idiopathic neck pain (CINP)], and healthy controls. Furthermore, we aimed to investigate associations between brain structure on one hand and cognitive performance and central sensitization (CS) on the other hand...
January 11, 2018: Human Brain Mapping
https://www.readbyqxmd.com/read/29289589/few-promising-multivariable-prognostic-models-exist-for-recovery-of-people-with-non-specific-neck-pain-in-musculoskeletal-primary-care-a-systematic-review
#3
Roel W Wingbermühle, Emiel van Trijffel, Paul M Nelissen, Bart Koes, Arianne P Verhagen
QUESTION: Which multivariable prognostic model(s) for recovery in people with neck pain can be used in primary care? DESIGN: Systematic review of studies evaluating multivariable prognostic models. PARTICIPANTS: People with non-specific neck pain presenting at primary care. DETERMINANTS: Baseline characteristics of the participants. OUTCOME MEASURES: Recovery measured as pain reduction, reduced disability, or perceived recovery at short-term and long-term follow-up...
December 27, 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29284446/management-of-whiplash-associated-disorders-in-australian-general-practice
#4
Jane Nikles, Michael Yelland, Clare Bayram, Graeme Miller, Michele Sterling
BACKGROUND: Whiplash Associated Disorders (WAD) are common and costly, and are usually managed initially by general practitioners (GPs). How GPs manage WAD is largely unstudied, though there are clinical guidelines. Our aim was to ascertain the rate of management (percentage of encounters) of WAD among patients attending Australian general practice, and to review management of these problems, including imaging, medications and other treatments. METHODS: We analysed data from 2013 to 2016 collected by different random samples of approximately 1000 general practitioners (GPs) per year...
December 29, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29260112/persistent-pseudomyopia-following-a-whiplash-injury-in-a-previously-emmetropic-woman
#5
Fintan E Hughes, Maxwell P Treacy, Emma S Duignan, Paul B Mullaney
Purpose: Accommodative spasm, which manifests as ciliary muscle spasm, convergent strabismus or miosis, is a recognised consequence of head trauma. In whiplash cases, cervical spine hyperextension poses a risk of contra-coup injury and brainstem trauma, and is known to affect the visual system. However, to date, no cases of accommodative spasm due to whiplash injury have been reported. Observations: We present the case of a 34-year-old female who developed sudden onset blurred distance vision after a rear impact car crash, having previously been emmetropic...
December 2017: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29246144/living-with-ongoing-whiplash-associated-disorders-a-qualitative-study-of-individual-perceptions-and-experiences
#6
Carrie Ritchie, Carolyn Ehrlich, Michele Sterling
BACKGROUND: Whiplash associated disorders (WAD) are the most common non-hospitalised injury resulting from a motor vehicle crash. Approximately 50% of individuals with WAD experience on-going pain and disability. Results from intervention trials for individuals with chronic WAD are equivocal and optimal treatment continues to be a challenge. It may be that traditional quantitative measures included in treatment trials have not captured the full benefits patients experience through participation in an intervention...
December 15, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29233141/neck-specific-exercises-with-internet-based-support-compared-to-neck-specific-exercises-at-a-physiotherapy-clinic-for-chronic-whiplash-associated-disorders-study-protocol-of-a-randomized-controlled-multicentre-trial
#7
Anneli Peolsson, Maria Landén Ludvigsson, Gunnel Peterson
BACKGROUND: Globally, neck pain is the fourth most common condition associated with longer periods of living with disability. Annually, approximately 0.3% of the population of Western countries undergo whiplash trauma, and half of those individuals will develop chronic problems with high costs for the individual and society. Evidence for chronic whiplash-associated disorders (WAD) treatment is scarce, though neck-specific training at a physiotherapy clinic twice a week for 12 weeks has demonstrated good results...
December 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29226792/posttraumatic-world-assumptions-among-treatment-seeking-refugees
#8
F Jackie June Ter Heide, Marieke Sleijpen, Niels van der Aa
The clinical relevance of negative changes in cognitions about oneself, others, and the world is reflected in the diagnostic criteria for posttraumatic stress disorder (PTSD) in the DSM-5 and complex posttraumatic stress disorder in the ICD-11. Although such changes in cognition have been posited to be especially relevant for traumatised refugees, few studies have examined this in refugee populations. The present study used a cross-sectional design to compare negative cognitions among 213 adult treatment-seeking refugees with those in previously published samples from the general population, veterans with combat-related PTSD, and whiplash victims...
October 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29220703/referral-to-specialist-physiotherapists-in-the-management-of-whiplash-associated-disorders-perspectives-of-healthcare-practitioners
#9
Aila Nica Bandong, Andrew Leaver, Martin Mackey, Michele Sterling, Joan Kelly, Carrie Ritchie, Trudy Rebbeck
BACKGROUND: Guidelines for whiplash associated disorders (WAD) recommend early referral to specialists (e.g. specialist physiotherapists) of people who are not recovering. This recommendation is a key component of a proposed clinical pathway of care for WAD. OBJECTIVE: To explore healthcare practitioners' opinions about referral to specialist physiotherapists of people with WAD at high risk of non-recovery. DESIGN: Qualitative descriptive study...
November 22, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29214988/anthropometric-characteristics-and-traffic-accident-circumstances-of-patients-with-isolated-whiplash-injury-in-university-clinical-hospital-mostar
#10
Pejana Rastović, Marija Definis Gojanović, Ines Perić, Marko Pavlović, Josip Lesko, Gordan Galić, Marko Ostojić
Aim To investigate anthropometric characteristics and traffic accident circumstances of subjects with isolated whiplash injury. Methods This cross sectional study involved 75 subjects from traffic accidents with isolated whiplash injury classified by Quebec Task Force (QTF). Anthropometric data were collected as well as claims about circumstances of traffic accidents. Results Distribution of 1st (28; 37.3%), 2nd (25; 33.3%) and 3rd (22; 29.3%) grade of whiplash injury was almost equal. Females had smaller anthropometric measurements than males; neck circumference was the most significant difference between males and females in the context of whiplash injury...
February 1, 2018: Medicinski Glasnik
https://www.readbyqxmd.com/read/29195501/comt-genotype-and-non-recovery-after-a-whiplash-injury-in-a-northern-european-population
#11
Eric Rydman, Erika Comasco, H Pettersson, L Oreland, S Ponzer, C Ottosson
BACKGROUND: The COMT (Catechol-O-Methyl Transferase) gene may influence a person's vulnerability to develop long-term pain and some COMT single nucleotide polymorphisms (SNPs) may associate with patterns of acute or chronic pain. Many patients with whiplash-associated disorders (WADs) suffer from long-term pain and other related symptoms, but it is less known if genetic factors play a role in the recovery process. The primary aim of this study was to evaluate whether self-reported non-recovery, including pain, was related to COMT genotype in patients with WAD...
December 1, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29181262/exercise-manual-therapy-and-postural-re-education-for-uncontrolled-ear-twitching-and-related-impairments-after-whiplash-injury-a-case-report
#12
Kelsey Flanders, Heather Feldner
Background and Purpose: Whiplash Associated Disorders and the interventions used to remediate them are well documented in physical therapy literature. However, specific interventions for spasms of the neck musculature that also involve constant ear twitching have yet to be addressed. The purpose of this case report is twofold. First, to describe comprehensive physical therapy management and outcomes for a subject with uncontrolled ear twitching and related musculoskeletal impairments, and second, to discuss the physical therapist's approach to evidence-based care when faced with a paucity of literature addressing physical therapy interventions for subjects with uncontrolled ear twitching...
October 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29180111/tactile-acuity-is-reduced-in-people-with-chronic-neck-pain
#13
Daniel S Harvie, Grace Edmond-Hank, Ashley D Smith
BACKGROUND: Tactile acuity deficits have been demonstrated in a range of persistent pain conditions and may reflect underlying cortical re-organisation. OBJECTIVE: This study aimed to determine whether tactile acuity is impaired in people with chronic neck pain relative to controls, and whether deficits relate to pain location, duration and intensity. METHODS: In this cross-sectional study, 20 people with chronic neck pain (5 idiopathic neck pain; 15 whiplash-associated disorder) and 20 pain-free controls underwent two-point discrimination (TPD) testing at the neck, back and arm, and point-to-point (PTP) and graphesthesia tests of tactile acuity at the neck and arm...
November 21, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29167092/dry-needling-for-patients-with-neck-pain-protocol-of-a-randomized-clinical-trial
#14
Eric Robert Gattie, Joshua A Cleland, Suzanne J Snodgrass
BACKGROUND: Neck pain is a costly and common problem. Current treatments are not adequately effective for a large proportion of patients who continue to experience recurrent pain. Therefore, new treatment strategies should be investigated in an attempt to reduce the disability and high costs associated with neck pain. Dry needling is a technique in which a fine needle is used to penetrate the skin, subcutaneous tissues, and muscle with the intent to mechanically disrupt tissue without the use of an anesthetic...
November 22, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29164328/metallosis-after-traumatic-loosening-of-bryan-cervical-disc-arthroplasty-a-case-report-and-literature-review
#15
Chih-Chan Yang, Chien-Lun Tang, Chung-Yuh Tzeng, Hsi-Kai Tsou
PURPOSE: Cervical disc arthroplasty has been a popular alternative to traditional arthrodesis treatment for maintaining postoperative cervical spine mobility. However, certain adverse reactions to cervical disc arthroplasty have emerged during the last few decades. METHODS: Metallosis or metalloma is a rarely reported complication after spinal fusion or spinal arthroplasty surgery. We report on the first metallosis case occurring in a patient who received Bryan Disc implantation approximately 8 years earlier...
November 21, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29155342/predictors-before-and-after-multimodal-rehabilitation-for-pain-acceptance-and-engagement-in-activities-at-a-one-year-follow-up-for-patients-with-whiplash-associated-disorders-wad-a-study-based-on-the-swedish-quality-registry-for-pain-rehabilitation-sqrp
#16
Anne Söderlund, Monika Löfgren, Britt-Marie Stålnacke
BACKGROUND: Studies have shown that pain acceptance strategies related to psychological flexibility are important in the presence of chronic musculoskeletal pain. However, the predictors of these strategies have not been studied extensively in patients with Whiplash Associated Disorders (WAD). PURPOSE: The purpose of this study was to predict chronic pain acceptance and engagement in activities at one-year follow-up with pain intensity, fear of movement, perceived responses from significant others, outcome expectancies, and demographic variables in patients with WAD before and after multimodal rehabilitation (MMR)...
November 16, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29153925/lateral-atlantoaxial-joint-meniscoid-volume-in-individuals-with-whiplash-associated-disorder-a-case-control-study
#17
Scott F Farrell, Subaat Khan, Peter G Osmotherly, Michele Sterling, Jon Cornwall, Darren A Rivett
BACKGROUND: Lateral atlantoaxial (LAA) joints are established sources of nociceptive input in chronic whiplash associated disorder (WAD). These joints contain intra-articular meniscoids that may be damaged in whiplash trauma. LAA joint meniscoid morphology has not been investigated comprehensively in a chronic WAD population, and it is unclear whether morphological differences exist compared to a pain-free population. OBJECTIVES: This study examined LAA joint meniscoid volume in individuals with chronic WAD who report pain in a distribution consistent with LAA joint pain...
November 10, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29149149/decreased-regional-grey-matter-volume-in-women-with-chronic-whiplash-associated-disorders-relationships-with-cognitive-deficits-and-disturbed-pain-processing
#18
Iris Coppieters, Robby De Pauw, Karen Caeyenberghs, Lieven Danneels, Jeroen Kregel, Astrid Pattyn, Mira Meeus, Barbara Cagnie
BACKGROUND: Patients with chronic whiplash-associated disorders (CWAD) are characterized by pain of traumatic origin, cognitive deficits, and central sensitization (CS). Previous neuroimaging studies revealed altered grey matter volume (GMV) in mild traumatic brain injury patients and chronic pain conditions also characterized by CS. It can therefore be hypothesized that GMV alterations also play a role in the persistent complaints of CWAD. However, brain alterations remain poorly investigated in these patients...
November 2017: Pain Physician
https://www.readbyqxmd.com/read/29126847/visualization-of-painful-inflammation-in-patients-with-pain-after-traumatic-ankle-sprain-using-11-c-d-deprenyl-pet-ct
#19
Mikko Aarnio, Lieuwe Appel, Mats Fredrikson, Torsten Gordh, Olof Wolf, Jens Sörensen, Måns Thulin, Magnus Peterson, Clas Linnman
BACKGROUND AND AIMS: Positron emission tomography (PET) with the radioligand [(11)C]-D-deprenyl has shown increased signal at location of pain in patients with rheumatoid arthritis and chronic whiplash injury. The binding site of [(11)C]-D-deprenyl in peripheral tissues is suggested to be mitochondrial monoamine oxidase in cells engaged in post-traumatic inflammation and tissue repair processes. The association between [(11)C]-D-deprenyl uptake and the transition from acute to chronic pain remain unknown...
November 7, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29092067/regarding-modulation-of-central-sensitization-following-trigger-point-anesthetization-in-patients-with-chronic-pain-from-whiplash-trauma
#20
Karyn Laursen, Nalini Sehgal, Michelle Poliak-Tunis, Nathan J Rudin, Peggy Kim
No abstract text is available yet for this article.
October 28, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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