PowerPoint Presentation
CADCervical Acceleration/Deceleration
WAD
Whiplash Assoc Disorder Neck StrainTeresa NezgodaNov 2016ATR
4933
OBJECTIVESConsensusIMPORTANCEWHOSYMPTOMSTREATMENT MOI Multiple
Pathologies Injury Terminologyof understanding anatomical
structures/tissuesis affectedat risk?
Options: Surgery? Neck Pain, Dizziness, Neuropraxia, Life
Threatening
Consensus?
eects of sudden acceleration deceleration forces FORCES Shear-
bending compressive
http://www.whiplashprevention.org/SiteCollectionDocuments/Research%20Articles/Medical%20-%20Whiplash/GuidelinesDiagnosingWhiplash.pdfQUEBEC
TASK FORCE CLASSIFICATION
IMPORTANCE OfUnderstanding
Starkeys OrthopedicEvaluation Cervical Injuries
PROTECT ATHLETE
Right Diagnosis 1st time
Avoid Catastrophic event later
Avoid Chronic injuries
TREATMENT
Treatments :
Focus on symptom alleviation
Which tissues implicated by symptoms
SYMPTOMS
NECK PAIN
DIZZINESS
NEUROPRAXIAACUTE AND/OR CHRONICCERVICOGENIC TRANSIENT
NECK PAIN
Most common complaint
Nociceptors
ACUTE TREATMENT: Ice, NSAIDS, Rest, Muscle Relaxers
CHRONIC TREATMENT: Physical Therapy and Meds
Overlooked Symptom:
DIZZINESSnon-specic sensation of altered orientation in space
and disequilibrium
1
2
3
Peripheral Sensory Apparatus neck proprioceptors mvmt &
vibration
Labyrinthe hair cellsCentral Processor- CNS vestibular nucleus
complex processes signals & cerebellum estimates head/body
position
Motor Output Mechanism
Ocular Muscles & Spinal Cord Serves 3 important reflexes VOR
VCR VSR
DIZZINESSVASCULAR ETIOLOGY
VERTEBROBASILAR DEFICIENCY
VERTEBRAL ARTERY DEFICIENCY
https://radiopaedia.org/cases/vertebral-artery-injury-in-cervical-spine-trauma
TREATMENT: Dizziness
Vestibular Rehabilitation Therapy VRT
Gaze Stabilization
Habituation
Balance Training
Focus: Soft Tissue ModalitiesRelieve spasms
NEUROPRAXIATransient
Parathesia
Paresis
Plegia
LIFE THREATENING
Prevertebral Swelling
Retropharangeal Hematoma Symptoms:Dysphonia, Dysphagia,
DroolingEcchymosis anterior neck
WHO is affected?
Singh A, Whiplash Injury of Cervical Spine. Boneandspine.com
ConclusionInjury Mechanism Cervical acceleration
deceleration
Pathology or MOI CAD- injury mechanism WAD- pathology
Symptoms Neck pain, dizziness, neuropraxia, life threatening
Treatment Self-limiting, conservative, medication, VRT, PT,
surgery
Whos at risk? Contact sports, racing, spinal stenosis
References
