CMT II: Whiplash Flashcards

1
Q

An acceleration/deceleration injury to the head and neck

A

Whiplash

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2
Q

Cause of Whiplash

A

Cervical Acceleration/Deceleration Injury (CAD)

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3
Q

Disorder Caused by Whiplash

A

Whiplash Associated Disorder (WAD)

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4
Q

80% of people who suffer whiplash experience neck pain and stiffness which resolves in less than _____.

A

4 Weeks

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5
Q

S/S of Whiplash

A
  • Pain
  • Stiffness
  • Dizziness
  • Headache
  • Paresthesia
  • Nausea
  • Low Back Pain
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6
Q

The most severe and long lasting symptoms of CAD result from _____

A

Rear Impact Collisions

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7
Q

Other Factors of CAD

A
  • Head Position (turned to the side)
  • Seat Belts
  • Head Rest (too low, too far back)
  • Seat Reclined Too Far Back
  • Height (taller = greater injury)
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8
Q

Impact in which neck hyperflexes and then hyperextends

A

Front (reverse action of rear)

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9
Q

Impact in which there’s greater risk of lumbar injuries and striking window

A

Side

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10
Q

CAD symptom that may result in dizziness when person rotates quickly

A

Trigger points in the clavicular division of the SCM

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11
Q

Duration post whiplash during which person my feel no pain or ROM restrictions

A

24 to 48 Hours

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12
Q

Duration post whiplash during which person my feel no pain or ROM restrictions

A

24 to 48 Hours

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13
Q

Muscles most likely injured as a result of whiplash

A

Upper Trapezius (most superficial)

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14
Q

Only ROM rest that should be performed during acute stage

A

AROM

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15
Q

Symptoms that require immediate referral for medical evaluation

A
  • Deafness
  • Headaches
  • Nausea
  • Tinnitus
  • Loss of Strength
  • Dizziness
  • Memory Loss
  • TOS Symptoms
  • Difficulty Swallowing
  • Neurological Symptoms
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16
Q

Symptoms During Chronic Stage (4+ weeks post)

A
  • deep, achy, vague pain
  • headaches
  • shortened muscles
  • fibrotic tissue
  • loss of normal cervical curvature
  • tenderness C4 to C7
  • TMJ problems
  • adhesions
  • decreased ROM
  • reduced strength
  • muscle atrophy
17
Q

Primary Focus of Whiplash Treatment

A
  • smooth scar tissue
  • trigger points
18
Q

Direct work that can be performed over injury site in the acute stage (up to 72 hours)

A
  • lymphatic drainage
  • cold pack
19
Q

Possible positions for treatment

A

All (depends on comfort)

20
Q

Whiplash Treatment Length

A

30 min Tx, 2x week, 3 weeks

21
Q

Whip General Protocol

A
  • Warming
  • Indirect MFR
  • Joint Mobilization (subacute)
  • Clearing (occipital ridge, SCP, trap, SPs)
  • Trigger Points
22
Q

Whiplash Treatment Modifications

A
  • no direct MFR
  • do not remove spasming in acute stage
  • no stripping
  • no firm traction or excessive mobilization
  • never work bilaterally
23
Q

Tx Goals

A
  • decrease pain
  • decrease guarding
  • increase ROM
  • mobilize
  • indirect MFR
  • treat affected muscles (SCM, upper trapezius, splenii, sub-occipitals)
  • little bit of traction in all cardinal planes before end of session (prevent spasms)