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Whiplash
evidence base for clinical practice
9780729539463
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Description
Whiplash injury following a motor vehicle crash is one of the most controversial musculoskeletal pain conditions. In recent years there has been an increased research focus on whiplash associated disorders, particularly in relation to the physical and psychological aspects of the condition.
Whiplash:: Evidence base for clinical practice brings together contemporary evidence-base for whiplash including:: a) The epidemiology and magnitude of the problem of whiplash b) The current understanding of the injury mechanisms and evidence for a pathoanatomical lesion c) The rapidly expanding areas of the physiological and psychological manifestations of the condition d) The prediction of outcome in a clinically meaningful way e) The management of the condition including primary management, secondary and tertiary rehabilitation f) The controversial roles of compensation and litigation g) A series of case studies that will aid practitioners in clinical reasoning and decision making for both acute and chronic whiplash h) Future directions for management of this condition
Product Details
50498
9780729539463
9780729539463
Data sheet
- Publication date
- 2011
- Issue number
- 1
- Cover
- paperback
Contributor list
Reviewer list
Preface
Acknowledgments
Introduction
Structure of the book
Chapter 1 Epidemiology of whiplash associated disorders
Definitions
Cumulative incidence of and risk factors for WAD
Course and prognosis of WAD after a motor vehicle crash
An epidemiological approach to aetiology
The economic burden of WAD
Summary
Chapter 2 Clinical presentation of whiplash associated disorders
Patterns of recovery
Physical and psychological characteristics
Classification systems for WAD
Conclusions
Chapter 3 Mechanism of injury
Head-neck kinematics: global and segmental
Injury theories
Injury metrics
Influencing factors for injury potential
Summary
Chapter 4 The evidence for pathoanatomical lesions
Introduction
Pathomechanics of whiplash injury
Pathological lesions in whiplash injury
Conclusion
Chapter 5 Pain-processing mechanisms in whiplash associated disorders
Introduction
Mechanisms for post-injury central hyperexcitability
Evidence for central hyperexcitability in chronic WAD
Evidence for central hyperexcitability in acute WAD and in the transition to chronicity
Relationships between sensory hypersensitivity and psychological distress
Implications for clinical management of whiplash
Conclusion
Chapter 6 Neuromuscular dysfunction in whiplash associated disorders
Changes in the properties of the cervical muscles
Altered neuromuscular control in WAD
Implications for the management of the patient with whiplash
Conclusion
Chapter 7 Dizziness, visual and sensorimotor control disturbances following whiplash injury
Aetiology of dizziness, visual disturbances and sensorimotor control
Disturbances in whiplash associated disorders
Signs and symptoms of sensorimotor disturbance following a whiplash injury
Implications for assessment
Implications for management
Conclusion
Chapter 8 Psychological aspects of whiplash associated disorders
Accident-related psychological factors
Coping
Catastrophising and kinesiophobia
Attributions, beliefs and expectations
Conclusion
Chapter 9 Potential role of stress systems in the pathogenesis of whiplash associated disorders
Sympathetic nervous system
Neuropeptide Y
Serotonin
Clinical implications
Current research needs and future research directions
Chapter 10 Prognostic indicators of non-recovery following whiplash injury
Prognostic factors for non-recovery
Prediction of outcomes other than pain and disability
Clinical implications
Conclusion
Chapter 11 Primary care management of acute whiplash injury
Current evidence for the management of acute WAD
The provision of advice and education
Is pain control important?
Physical characteristics of acute WAD and implications for management
Psychological characteristics of acute WAD and implications for management
Early multidisciplinary management
Summary
Chapter 12 Evidence-based management of chronic whiplash associated disorders
Evidence base for management of chronic whiplash
Evidence for physical interventions
Evidence for psychological interventions
Evidence for medical interventions
Implementation of evidence in clinical practice
Summary
Chapter 13 Psychological management of chronic whiplash associated disorders
Theory-derived psychological interventions
Evidence-based practice
Remaining issues and future prospects
Conclusion
Chapter 14 Compensation and health outcomes
Introduction
Compensation and related concepts
Compensation: empirical considerations
Health: the concept and its measurement
Conclusions
Chapter 15 Whiplash and the law
The test for compensability
Canadian Transport Accident
Compensation
Conclusions
Chapter 16 Malingering and symptom magnification in whiplash
Associated disorders
Why study malingering in the area of whiplash?
What is meant by malingering?
Approaches to detection of malingering
Differential diagnosis of psychological disorders where symptom production or magnification is a feature
Empirical studies of malingering and symptom magnification in pain
A decision-making template for possible and probable malingering
Chapter 17 Case descriptions
Case description 1: acute whiplash
Case description 2: acute whiplash
Summary of cases 1 and 2
Case description 3: chronic whiplash
Conclusion
Chapter 18 Future directions
Intervention trials
Do some patients have a pre-existing risk of developing chronic pain after whiplash injury?
Improving prognostic models
Identification of a peripheral lesion
Conclusion
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