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https://www.readbyqxmd.com/read/28178073/return-to-work-helps-maintain-treatment-gains-in-the-rehabilitation-of-whiplash-injury
#1
Michael Sullivan, Heather Adams, Pascal Thibault, Emily Moore, Junie S Carrière, Christian Lariviere
The present study examined the relation between return-to-work and the maintenance of treatment gains made over the course of a rehabilitation intervention. The study sample consisted of 110 individuals who had sustained whiplash injuries in rear collision motor vehicle accidents and were work-disabled at the time of enrolment in the study. Participants completed pre- and post-treatment measures of pain severity, disability, cervical range of motion, depression, post-traumatic stress symptoms and catastrophizing...
February 7, 2017: Pain
https://www.readbyqxmd.com/read/28158959/the-effect-of-visual-feedback-of-the-neck-during-movement-in-people-with-chronic-whiplash-associated-disorders-an-experimental-study
#2
Sanneke Don, Margot De Kooning, Lennard Voogt, Kelly Ickmans, Liesbeth Daenen, Jo Nijs
Study Design Controlled laboratory study. Background Chronic whiplash-associated disorder (WAD) is an important health issue associated with poor recovery outcomes. Sensorimotor incongruence (SMI), defined as a mismatch between the efference copy in the brain and afferent sensory feedback from the body, is proposed as a possible underlying cause of chronic pain. Objectives To determine whether SMI causes sensory disturbances or pain in people with chronic WAD and healthy controls. Methods Study participants (30 participants with chronic WAD and 34 healthy controls) participated in a visual feedback experiment involving the neck and a bimanual coordination experiment involving the arms...
February 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28129548/a-preliminary-randomised-control-trial-of-the-effects-of-dru-yoga-on-psychological-well-being-in-northern-irish-first-time-mothers
#3
Deirdre Timlin, Ellen Elizabeth Anne Simpson
BACKGROUND: the transition to motherhood can be stressful, especially for first time mothers. Recent research has shown that yoga can be effective for enhancing psychological well-being. OBJECTIVES: the purpose of this study was to establish if a postpartum Dru yoga intervention improves psychological well-being in first time mothers. DESIGN: a randomised controlled study was conducted. SETTING AND PARTICIPANTS: first time mothers were recruited from a Sure Start Community Centre and included in the study if they had a baby aged between 6 weeks to one-year-old...
January 13, 2017: Midwifery
https://www.readbyqxmd.com/read/28102492/persistent-cognitive-deficits-after-whiplash-injury-a-comparative-study-with-mild-traumatic-brain-injury-patients-and-healthy-volunteers
#4
Kurt Beeckmans, Cleo Crunelle, Silke Van Ingelgom, Karla Michiels, Eva Dierckx, Patrick Vancoillie, Henri Hauman, Bernard Sabbe
In this study, we evaluated persistent cognitive deficits in whiplash injury (WI) patients and compared these to cognitive functioning in mild traumatic brain injury (MTBI) patients and healthy controls (HC). Sixty-one patients suffering from a WI were compared with 57 patients suffering from a MTBI and with 30 HC. They were examined with an extensive neuropsychological test battery assessing attention, memory, and visuospatial and executive functions. In both patient groups, participants showed persistent cognitive symptoms (more than 6 months post-injury)...
January 19, 2017: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/28081582/-expert-evidence-in-whiplash-injury
#5
Florin M Bucur, Martin Schwarze, Marcus Schiltenwolf
The assessment of cervical spine injuries is not a problem - provided full evidence of primary physical damage can be ensured. MRI examinations of the cervical spine carried out soon after the accident provide the best evidence. The assessment is more difficult if only clinical abnormalities are documented by the doctors after the accident in the diagnosis of cervical spine distortion, as functional results of this type are not specific and are also common in the general population. The legal rules of evidence must be taken into account in the summary assessment of the consequences of cervical spine injuries...
January 12, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28034987/do-subjects-with-whiplash-associated-disorders-respond-differently-in-the-short-term-to-manual-therapy-and-exercise-than-those-with-mechanical-neck-pain
#6
Matteo Castaldo, Antonella Catena, Alessandro Chiarotto, César Fernández-de-Las-Peñas, Lars Arendt-Nielsen
OBJECTIVE : To compare the short-term effects of manual therapy and exercise on pain, related disability, range of motion, and pressure pain thresholds between subjects with mechanical neck pain and whiplash-associated disorders. METHODS : Twenty-two subjects with mechanical neck pain and 28 with whiplash-associated disorders participated. Clinical and physical outcomes including neck pain intensity, neck-related disability, and pain area, as well as cervical range of motion and pressure pain thresholds over the upper trapezius and tibialis anterior muscles, were obtained at baseline and after the intervention by a blinded assessor...
December 29, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28025352/chronic-whiplash-associated-disorders-wad-responses-to-nerve-blocks-of-cervical-zygapophyseal-joints
#7
Mats Persson, Jan Sörensen, Björn Gerdle
OBJECTIVE: This study explores the prevalence of facet joint pain in chronic Whiplash Associated Disorder (WAD). DESIGN: Forty-seven patients with chronic WAD were scheduled for medial branch blocks of the cervical spine. METHODS: The patient's localization of the pain together with established pain maps guided to the first level of zygapophyseal joint to be tested. The joint was anesthetized by injecting bupivacaine (0.5 ml; 5 mg/ml) to the medial branches of the cervical dorsal rami above and below the joint...
December 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27999473/the-relation-between-the-fear-avoidance-model-and-constructs-from-the-social-cognitive-theory-in-acute-wad
#8
Maria Sandborgh, Ann-Christin Johansson, Anne Söderlund
In the fear-avoidance (FA) model social cognitive constructs could add to explaining the disabling process in whiplash associated disorder (WAD). The aim was to exemplify the possible input from Social Cognitive Theory on the FA model. Specifically the role of functional self-efficacy and perceived responses from a spouse/intimate partner was studied. A cross-sectional and correlational design was used. Data from 64 patients with acute WAD were used. Measures were pain intensity measured with a numerical rating scale, the Pain Disability Index, support, punishing responses, solicitous responses, and distracting responses subscales from the Multidimensional Pain Inventory, the Catastrophizing subscale from the Coping Strategies Questionnaire, the Tampa Scale of Kinesiophobia, and the Self-Efficacy Scale...
2016: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/27988036/a-female-head-neck-model-for-rear-impact-simulations
#9
Jonas Östh, Manuel Mendoza-Vazquez, Fusako Sato, Mats Y Svensson, Astrid Linder, Karin Brolin
Several mathematical cervical models of the 50th percentile male have been developed and used for impact biomechanics research. However, for the 50th percentile female no similar modelling efforts have been made, despite females being subject to a higher risk of soft tissue neck injuries. This is a limitation for the development of automotive protective systems addressing Whiplash Associated Disorders (WADs), most commonly caused in rear impacts, as the risk for females sustaining WAD symptoms is double that of males...
January 25, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/27984030/to-which-degree-differs-active-cervical-range-of-motion-between-patients-with-neck-pain-whiplash-and-healthy-controls-a-systematic-review-and-meta-analysis
#10
REVIEW
Martijn S Stenneberg, Michiel Rood, Rob de Bie, Maarten A Schmitt, Erik Cattrysse, Gwendolijne Gm Scholten-Peeters
OBJECTIVE: To quantify differences in aCROM between patients with neck pain and healthy controls, in whiplash-associated disorders (WAD) and non-traumatic neck pain, and in patients with acute complaints versus those with chronic complaints. DATA SOURCES: Seven bibliographic databases were searched from inception to April 2015. In addition a manual search was performed. STUDY SELECTION: Full papers on a numerical comparison of aCROM in patients with neck pain and healthy controls of similar ages were included...
October 27, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27906742/is-preexisting-cervical-disk-degeneration-a-prognostic-factor-in-whiplash-associated-disorders
#11
Nam-Su Chung, Chang-Hoon Jeon, Yu-Sang Lee, Jang-Ho Park, Han-Dong Lee
STUDY DESIGN: This is a retrospective control study. OBJECTIVE: We aimed to determine whether preexisting cervical disk degeneration is a prognostic factor in Whiplash-associated disorder (WAD). SUMMARY OF BACKGROUND DATA: WAD is a common injury of traffic accident and has a broad range of prognoses. Although numerous studies have investigated prognostic factors in WAD, few have evaluated the effect of preexisting disk degeneration. MATERIALS AND METHODS: This study involved 45 consecutive patients with grade I or II WAD having advanced disk degeneration (at least 1 disk of Miyazaki grade≥III on magnetic resonance imaging) and a control cohort of 52 patients with no or mild disk degeneration (all disks having Miyazaki grades≤II)...
November 30, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27904721/usefulness-of-k-point-injection-for-the-nonspecific-neck-pain-in-so-called-k-point-syndrome
#12
Jeong Jae Moon, Myun Whan Ahn, Hyo Sae Ahn, Sung Jun Lee, Dong Yeol Lee
BACKGROUND: Shoichi Kokubun introduced his successful experience with local anesthetic injection at the occipital insertion of the sternocleidomastoid muscle in K-point syndrome. The purpose of this study was to evaluate the short-term and long-term effectiveness of K-point injection and investigate factors affecting treatment results. METHODS: K-point injection was performed in 58 patients with K-point syndrome at Yeungnam University Medical Center. The syndrome was associated with cervical whiplash injury in 10 patients and was of nonspecific origin in the rest...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27903159/recognition-and-treatment-of-central-sensitization-in-chronic-pain-patients-not-limited-to-specialized-care
#13
Jo Nijs, Dorien Goubert, Kelly Ickmans
Modern pain neuroscience has substantially improved our understanding of the (development of) chronic musculoskeletal pain. The time has come for orthopaedic and sports physical therapists to implement modern pain neuroscience in specialized, but definitely also in primary, care settings, including the role of central sensitization (CS) in amplifying and explaining the presence of the pain experience. Central sensitization dominates the clinical picture in a subgroup of the musculoskeletal pain population, ranging from tennis elbow over shoulder pain to osteoarthritis and whiplash...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27852530/clinical-prediction-rules-for-prognosis-and-treatment-prescription-in-neck-pain-a-systematic-review
#14
REVIEW
Joan Kelly, Carrie Ritchie, Michele Sterling
Clinical prediction rules (CPRs) developed to identify sub-groups of people with neck pain for different prognoses (i.e. prognostic) or response to treatments (i.e. prescriptive) have been recommended as a research priority to improve health outcomes for these conditions. A systematic review was undertaken to identify prognostic and prescriptive CPRs relevant to the conservative management of adults with neck pain and to appraise stage of development, quality and readiness for clinical application. Six databases were systematically searched from inception until 4th July 2016...
October 31, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27852100/withdrawn-acupuncture-for-neck-disorders
#15
REVIEW
Kien Trinh, Nadine Graham, Dominik Irnich, Ian D Cameron, Mario Forget
BACKGROUND: Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are perceptions of benefit. Acupuncture has been used as an alternative to more conventional treatment for musculoskeletal pain. This review summarises the most current scientific evidence on the effectiveness of acupuncture for acute, subacute and chronic neck pain. This update replaces our 2006 Cochrane review update on this topic. OBJECTIVES: To determine the effects of acupuncture for adults with neck pain, with focus on pain relief, disability or functional measures, patient satisfaction and global perceived effect...
17, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27836071/the-treatment-of-neck-pain-associated-disorders-and-whiplash-associated-disorders-a-clinical-practice-guideline
#16
André E Bussières, Gregory Stewart, Fadi Al-Zoubi, Philip Decina, Martin Descarreaux, Jill Hayden, Brenda Hendrickson, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph Ornelas
OBJECTIVE: The objective was to develop a clinical practice guideline on the management of neck pain-associated disorders (NADs) and whiplash-associated disorders (WADs). This guideline replaces 2 prior chiropractic guidelines on NADs and WADs. METHODS: Pertinent systematic reviews on 6 topic areas (education, multimodal care, exercise, work disability, manual therapy, passive modalities) were assessed using A Measurement Tool to Assess Systematic Reviews (AMSTAR) and data extracted from admissible randomized controlled trials...
October 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27822776/acute-headache-attributed-to-whiplash-in-arcuate-foramen-and-non-arcuate-foramen-subjects
#17
Luis Ríos, Federico Mata-Escolano, Esther Blanco-Pérez, Susanna Llidó, Markus Bastir, Juan A Sanchis-Gimeno
PURPOSE: To test the association between arcuate foramen (AF) in the first cervical vertebra with acute headache attributed to whiplash. METHODS: Retrospective study of 128 patients that suffered a whiplash. The presence or absence of AF was recorded after a radiographic study, as well as the presence or absence of acute headache after the whiplash. RESULTS: The frequency of AF was 17.2%. Patients with bilateral AF presented a significant (p = 0...
November 7, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27812348/an-attempt-of-early-detection-of-poor-outcome-after-whiplash
#18
Sebastien Laporte, Danping Wang, Jennyfer Lecompte, Sophie Blancho, Baptiste Sandoz, Antoine Feydy, Pavel Lindberg, Julien Adrian, Elodie Chiarovano, Catherine de Waele, Pierre-Paul Vidal
The main concern with whiplash is that a large proportion of whiplash patients experience disabling symptoms or whiplash-associated disorders (WAD) for months if not years following the accident. Therefore, identifying early prognostic factors of WAD development is important as WAD have widespread clinical and economic consequences. In order to tackle that question, our study was specifically aimed at combining several methods of investigation in the same WAD patients at the acute stage and 6 months later...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27769215/eye-movements-in-patients-with-whiplash-associated-disorders-a-systematic-review
#19
Britta Kristina Ischebeck, Jurryt de Vries, Jos N Van der Geest, Malou Janssen, Jan Paul Van Wingerden, Gert Jan Kleinrensink, Maarten A Frens
BACKGROUND: Many people with Whiplash Associated Disorders (WAD) report problems with vision, some of which may be due to impaired eye movements. Better understanding of such impaired eye movements could improve diagnostics and treatment strategies. This systematic review surveys the current evidence on changes in eye movements of patients with WAD and explains how the oculomotor system is tested. METHODS: Nine electronic data bases were searched for relevant articles from inception until September 2015...
October 21, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27744640/sensitivity-to-movement-evoked-pain-and-multi-site-pain-are-associated-with-work-disability-following-whiplash-injury-a-cross-sectional-study
#20
Tsipora Mankovsky-Arnold, Timothy H Wideman, Pascal Thibault, Christian Larivière, Pierre Rainville, Michael J L Sullivan
Objectives Previous research has shown that sensitivity to movement-evoked pain is associated with higher scores on self-report measures of disability in individuals who have sustained whiplash injuries. However, it remains unclear whether sensitivity to movement-evoked pain is associated with work-disability. The aim of the present study was to examine the relation between sensitivity to movement-evoked pain and occupational status in individuals receiving treatment for whiplash injury. Methods A sample of 105 individuals with whiplash injuries participated in a testing session where different measures of pain (i...
October 15, 2016: Journal of Occupational Rehabilitation
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