Whiplash Injuries: An Update

Whiplash injuries remain a significant public health problem throughout the developed industrialized world, with significant socioeconomic consequences. Studies looking at the natural history of whiplash injuries have suffered from problems of selection bias, retrospective reviewing and unclear outc...

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Main Authors: Robert W Teasell, Allan P Shapiro
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/1998/590985
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author Robert W Teasell
Allan P Shapiro
author_facet Robert W Teasell
Allan P Shapiro
author_sort Robert W Teasell
collection DOAJ
description Whiplash injuries remain a significant public health problem throughout the developed industrialized world, with significant socioeconomic consequences. Studies looking at the natural history of whiplash injuries have suffered from problems of selection bias, retrospective reviewing and unclear outcomes. Etiology continues to be controversial, largely because of the misconception that all soft tissue injuries heal within six weeks. Recent studies have implicated the cervical facet joint as a cause of whiplash injury pain. A recent treatment study that successfully eliminated whiplash-associated facet joint pain demonstrated abnormal psychological profiles secondary to pain which normalized with successful pain elimination. The impact of compensation on recovery remains controversial, while the concept that mild traumatic brain injury occurs in the absence of loss of consciousness has been largely refuted. The Quebec Task Force on Whiplash-Associated Disorders recently published a report in which the scientific literature was exhaustively reviewed and has made recommendations regarding the prevention and treatment of whiplash and its associated disorders. The Quebec Task Force highlighted the paucity of good scientific evidence; however, they still provided consensus treatment guidelines, which have not been validated. There continues to be a need for further research.
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spelling doaj-art-95f76cea52b746ceb36968965ff2c99e2025-02-03T05:43:55ZengWileyPain Research and Management1203-67651998-01-0132819010.1155/1998/590985Whiplash Injuries: An UpdateRobert W Teasell0Allan P Shapiro1Department of Physical Medicine and Rehabilitation, University of Western Ontario, London Health Sciences Centre, London, Ontario, CanadaPsychological Services, University of Western Ontario, London Health Sciences Centre, London, Ontario, CanadaWhiplash injuries remain a significant public health problem throughout the developed industrialized world, with significant socioeconomic consequences. Studies looking at the natural history of whiplash injuries have suffered from problems of selection bias, retrospective reviewing and unclear outcomes. Etiology continues to be controversial, largely because of the misconception that all soft tissue injuries heal within six weeks. Recent studies have implicated the cervical facet joint as a cause of whiplash injury pain. A recent treatment study that successfully eliminated whiplash-associated facet joint pain demonstrated abnormal psychological profiles secondary to pain which normalized with successful pain elimination. The impact of compensation on recovery remains controversial, while the concept that mild traumatic brain injury occurs in the absence of loss of consciousness has been largely refuted. The Quebec Task Force on Whiplash-Associated Disorders recently published a report in which the scientific literature was exhaustively reviewed and has made recommendations regarding the prevention and treatment of whiplash and its associated disorders. The Quebec Task Force highlighted the paucity of good scientific evidence; however, they still provided consensus treatment guidelines, which have not been validated. There continues to be a need for further research.http://dx.doi.org/10.1155/1998/590985
spellingShingle Robert W Teasell
Allan P Shapiro
Whiplash Injuries: An Update
Pain Research and Management
title Whiplash Injuries: An Update
title_full Whiplash Injuries: An Update
title_fullStr Whiplash Injuries: An Update
title_full_unstemmed Whiplash Injuries: An Update
title_short Whiplash Injuries: An Update
title_sort whiplash injuries an update
url http://dx.doi.org/10.1155/1998/590985
work_keys_str_mv AT robertwteasell whiplashinjuriesanupdate
AT allanpshapiro whiplashinjuriesanupdate