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https://www.readbyqxmd.com/read/28801412/health-practitioners-perceptions-of-adopting-clinical-prediction-rules-in-the-management-of-musculoskeletal-pain-a-qualitative-study-in-australia
#1
Joan Kelly, Michele Sterling, Trudy Rebbeck, Aila Nica Bandong, Andrew Leaver, Martin Mackey, Carrie Ritchie
OBJECTIVES: To investigate health practitioners' understanding and practice behaviours with regards to clinical prediction rules (CPRs) and explore their perceptions of adopting a new whiplash CPR. DESIGN: Qualitative study using six semistructured focus groups. SETTING: Primary and secondary care in New South Wales and Queensland, Australia. PARTICIPANTS: Physiotherapists (n=19), chiropractors (n=6) and osteopaths (n=3) were purposively sampled to include health practitioners who provide routine treatment to people with whiplash-associated disorders...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28799973/cross-sectional-and-prospective-correlates-of-recovery-expectancies-in-the-rehabilitation-of-whiplash-injury
#2
Rachel A Elphinston, Pascal Thibault, Junie S Carriere, Pierre Rainville, Michael J L Sullivan
OBJECTIVES: Investigations have shown that expectancies are significant prognostic indicators of recovery outcomes following whiplash injury. However, little is currently known about the determinants of recovery expectancies following whiplash injury. The purpose of the present study was to examine the cross-sectional and prospective correlates of recovery expectancies in individuals admitted to a rehabilitation program for whiplash injury. METHODS: Participants (N=96) completed measures of recovery expectancies, psychosocial variables, symptom severity, symptom duration and disability at Time 0 (admission) and Time 1 (discharge)...
August 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28774580/advancing-imaging-technologies-for-patients-with-spinal-pain-with-a-focus-on-whiplash-injury
#3
James M Elliott, Mark J Hancock, Rebecca J Crawford, Andrew C Smith, David M Walton
BACKGROUND CONTEXT: Radiological observations of soft-tissue changes that may relate to clinical symptoms in patients with traumatic and non-traumatic spinal disorders are highly controversial. Studies are often of poor quality and findings inconsistent. A plethora of evidence suggests some pathoanatomical findings from traditional imaging applications are common in asymptomatic participants across the life span, which further questions the diagnostic, prognostic, and theranostic value of traditional imaging...
July 31, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28761857/the-whiplash-rash
#4
Ajay M Brahmnalkar, Balkrishna P Nikam, Harsimran Kaur
No abstract text is available yet for this article.
July 2017: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/28761029/isometric-muscle-fatigue-of-the-paravertebral-and-upper-extremity-muscles-after-whiplash-injury
#5
Pejana Rastovic, Marija Definis Gojanovic, Marina Berberovic, Marko Pavlovic, Josip Lesko, Gordan Galic, Maja Pandza
BACKGROUND: Whiplash-associated disorders (WAD) result from injury of neck structures that most often occur during traffic accidents as a result of rapid acceleration-deceleration. The dominant symptoms manifest in the musculoskeletal system and include increased fatigue. Because of the frequency of whiplash injuries, a simple, cheap and useful diagnostic tool is needed to differentiate whiplash injury from healthy patients or those faking symptoms. OBJECTIVES: To determine muscle fatigue in patients with whiplash injury in six body positions...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28759489/whiplash-injury-perspectives-on-the-development-of-chronic-pain
#6
David M Dickerson
No abstract text is available yet for this article.
July 27, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28714657/women-with-late-whiplash-syndrome-have-greatly-reduced-load-bearing-of-the-cervical-spine-in-vivo-biomechanical-cross-sectional-lateral-radiographic-study
#7
Eythor Kristjansson, Magnus K Gislason
BACKGROUND: No study has been conducted to ascertain whether the load-bearing capacity of the cervical spine is reduced in vivo in late whiplash syndrome (LWS). AIM: To compare the segmental cervical angular values across C0-C6, between two conditions: without versus with external axial load upon the head in three groups of women. DESIGN: A single-blind, age-Body Mass Index (BMI) matched, radiographic, cross-sectional study. SETTING: Radiographic Department at a University Hospital...
July 17, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28711376/motor-evoked-potentials-in-patients-with-chronic-whiplash-associated-disorder-grade-ii
#8
Jacques De Reuck
BACKGROUND AND PURPOSE: It is common belief that psychological problems influence the persistence of complains in patients with so-called mild whiplash-associated disorders (WADs). The usefulness of motor evoked potentials (MEPs) is investigated in patients with grade II WAD and remaining complains for more than 6 months. PATIENTS AND METHODS: Twenty consecutive patients, aged between 24 and 58 years, with persistent neck pain for months after a car accident were included...
July 8, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/28697186/whiplash-syndrome-a-disorder-of-the-brain
#9
EDITORIAL
Jennifer Biendara, Andreas Otte
In the past two decades much has been published on whiplash injury, yet both the confusion regarding the condition, and the medicolegal discussion about it have increased. In this paper, functional imaging research results are summarized using MRIcroGL 3D visualization software and assembled in an image comprising regions of cerebral activation and deactivation.
May 2017: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/28678060/association-between-clinical-and-neurophysiological-outcomes-in-patients-with-mechanical-neck-pain-and-whiplash-associated-disorders
#10
Matteo Castaldo, Antonella Catena, Alessandro Chiarotto, Jorge Hugo Villafañe, César Fernández-de-Las-Peñas, Lars Arendt-Nielsen
OBJECTIVES: To investigate the association between pain, disability, trigger points (TrPs) and pressure pain thresholds (PPTs) in patients with mechanical (MNP) or whiplash-associated disorders (WAD). METHODS: Forty-six MNP and fifty-one WAD patients underwent a physical examination consisting of cervical range of motion, PPTs in the upper trapezius and tibialis anterior muscles, TrPs examination in the upper trapezius, and collection of clinical data including disability, pain intensity and spontaneous symptomatic pain area...
July 3, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28670406/the-effect-of-soft-and-rigid-cervical-collars-on-head-and-neck-immobilization-in-healthy-subjects
#11
Kourosh Barati, Mokhtar Arazpour, Roshanak Vameghi, Ali Abdoli, Farzad Farmani
STUDY DESIGN: Whiplash injury is a prevalent and often destructive injury of the cervical column, which can lead to serious neck pain. Many approaches have been suggested for the treatment of whiplash injury, including anti-inflammatory drugs, manipulation, supervised exercise, and cervical collars. Cervical collars are generally divided into two groups: soft and rigid collars. PURPOSE: The present study aimed to compare the effect of soft and rigid cervical collars on immobilizing head and neck motion...
June 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28666401/practice-safe-driving
#12
(no author information available yet)
More than 30,000 people die in motor vehicle collisions each year in the United States. Distracted, drowsy, and drunk driving cause most motor vehicle collision injuries and deaths. An editorial published in the October 2016 issue of JOSPT identified the global need for effective strategies to reduce, if not eliminate, preventable injuries, including whiplash-associated disorders and deaths from distracted driving. This is a call to action for everyone who gets behind the wheel of a car. J Orthop Sports Phys Ther 2017;47(7):449...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666399/toward-improving-outcomes-in-whiplash-implementing-new-directions-of-care
#13
Julie Fritz
This special issue of JOSPT is the second of a 2-part series on whiplash-associated disorders (WADs). Part 1 was published in the October 2016 issue of the Journal. The articles in these 2 special issues highlight that, while we know a great deal about WAD, there are profound gaps in our understanding of how to more effectively work with patients to limit the consequences of this disorder. The information provided in the special-issue articles can help move physical therapy practice and research toward pragmatic and effective solutions for the perplexing condition of WAD...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666398/how-do-we-meet-the-challenge-of-whiplash
#14
EDITORIAL
James M Elliott, David M Walton
A previous special issue of JOSPT (October 2016) discussed whiplash in terms of the clinical problems and current research surrounding prevention, biomechanics of injury, emergent care, imaging advancements, recovery pathways and prognosis, pathogenesis of posttrauma pain, acute and chronic management, and new predictive clinical tools. While great strides have been made in the field of whiplash and are continuing in earnest, a key group of clinicians and academics have recognized that inconsistent outcomes in published literature hamper our ability to meaningfully synthesize research findings, leading to results of systematic reviews that provide very few concrete clinical recommendations...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28662932/dynamic-in-vivo-3d-atlantoaxial-spine-kinematics-during-upright-rotation
#15
William Anderst, Bryan Rynearson, Tyler West, William Donaldson, Joon Lee
Diagnosing dysfunctional atlantoaxial motion is challenging given limitations of current diagnostic imaging techniques. Three-dimensional imaging during upright functional motion may be useful in identifying dynamic instability not apparent on static imaging. Abnormal atlantoaxial motion has been linked to numerous pathologies including whiplash, cervicogenic headaches, C2 fractures, and rheumatoid arthritis. However, normal C1/C2 rotational kinematics under dynamic physiologic loading have not been previously reported owing to imaging difficulties...
June 20, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28640657/retinal-findings-on-oct-in-systemic-conditions
#16
Preeti Patil Chhablani, Vikas Ambiya, Akshay G Nair, Sailaja Bondalapati, Jay Chhablani
PURPOSE: Imaging technology has advanced by leaps and bounds in the recent past and has resulted in a much greater understanding of ocular diseases. The aim of this review article is to summarize optical coherence tomography (OCT) findings of various systemic conditions. METHOD: A systematic literature search of the Medline/PubMed database was performed. English articles up to April 2015 were included. Terms used for search included: Alzheimer's Disease; Multiple Sclerosis; Parkinson's Disease; Behçet's Disease; Schizophrenia; Migraine; Obstructive Sleep Apnea Syndrome; Neurofibromatosis; Sickle Cell Disease; Renal diseases; Lupus Retinopathy; Valsalva Retinopathy; Whiplash Retinopathy; Shaken-Baby Syndrome; Choroidal metastases; Intracranial Hypertension; Drug toxicity; Deferoxamine; Sildenafil; Tamoxifen; Hydroxychloroquine; Chloroquine; Ethambutol; Lead; Sickle Cell Disease; and Thalassemia along with OCT...
June 22, 2017: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/28640136/cost-effectiveness-of-neck-specific-exercise-with-or-without-a-behavioral-approach-versus-physical-activity-prescription-in-the-treatment-of-chronic-whiplash-associated-disorders-analyses-of-a-randomized-clinical-trial
#17
RANDOMIZED CONTROLLED TRIAL
Maria Landén Ludvigsson, Anneli Peolsson, Gunnel Peterson, Åsa Dedering, Gun Johansson, Lars Bernfort
BACKGROUND: Fifty percent of people injured by whiplash still report neck pain after 1 year and costs associated with whiplash associated disorders (WAD) are mostly attributed to health service and sick-leave costs in chronic conditions. With increasing health care expenditures the economic impact of interventions needs to be considered. OBJECTIVE: To analyze the cost-effectiveness of physiotherapist-led neck-specific exercise without (NSE) or with a behavioral approach (NSEB), or prescription of physical activity (PPA) in chronic WAD, grade 2 to 3...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28637144/what-information-do-patients-need-following-a-whiplash-injury-the-perspectives-of-patients-and-physiotherapists
#18
Annick Maujean, Joanna Sterling, Michele Sterling
PURPOSE: The aims of the present study were to identify information that individuals with whiplash associated disorders (WAD) need to know in the early stages of recovery and to establish whether there is a difference between what physiotherapists and whiplash-injured patients perceive as important information. METHOD: Forty-one participants were recruited (20 whiplash-injured patients, 21 physiotherapists). Participants were asked to provide five statements to one open-ended question about what they believe is the most important information individuals with WAD need to know in the early stages of recovery...
February 23, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28622848/average-male-and-female-virtual-dummy-model-biorid-and-evarid-simulations-with-two-seat-concepts-in-the-euro-ncap-low-severity-rear-impact-test-configuration
#19
Astrid Linder, Kristian Holmqvist, Mats Y Svensson
Soft tissue neck injuries, also referred to as whiplash injuries, which can lead to long term suffering accounts for more than 60% of the cost of all injuries leading to permanent medical impairment for the insurance companies, with respect to injuries sustained in vehicle crashes. These injuries are sustained in all impact directions, however they are most common in rear impacts. Injury statistics have since the mid-1960s consistently shown that females are subject to a higher risk of sustaining this type of injury than males, on average twice the risk of injury...
June 13, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28622749/general-exercise-does-not-improve-long-term-pain-and-disability-in-individuals-with-whiplash-associated-disorders-a-systematic-review
#20
REVIEW
Alexandra Griffin, Andrew Leaver, Niamh Moloney
Study Design Systematic review of randomized controlled trials. Background General exercise, defined as purposeful physical activity involving repetitive exercises and incorporating multiple muscle groups, is frequently used in the management of whiplash-associated disorders (WADs). Evidence supporting its efficacy is not well established. Objectives To determine whether general exercise is effective in reducing pain and disability in people with WAD. Methods Studies published in English in peer-reviewed journals between January 1990 and May 2015 were eligible if they evaluated a general exercise intervention compared with a different intervention or control...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
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