Last Test Flashcards
Foreman and Croft classification grade one
No limitation of motion
No ligament injury
No neurological findings
Foreman and craft classification grade 2
Limited of motion
No ligament injury
No neurological findings
Foreman and craft classification grade 3
Limitation of motion
Some ligament injury
Possible neurological findings
Foreman and craft classification grade 4
Limit of motion
Ligament instability
Neurological findings
Fracture or disk irritation
Foreman and Croft classification grade 5
Injury requires surgical management or stabilization
Stage one whiplash
Acute inflammation phase
Up to 72 hours post accident
Stage two whiplash
Subacute repair phase
72 hours to 14 weeks
Stage three whiplash
Remodelling face
14 weeks to 12 months or more
Stage four whiplash
Chronic and permanent
Three collision types for whiplash
Type one is rear impact
Type two is side impact
Type three is front impact
For health history, questions for whiplash
What activities are difficult or painful to complete
What aggravates or relieves pain and symptoms
Which direction were you hit from front rear left or right?
Is this an insurance claim?
What are your activities of daily living?
Rear impact mechanism of injuries
Acceleration of head is much greater than the vehicle
More severe and long lasting symptoms arise from this vector of injury
Which impact is most researched
Rear impact is more researched because it is more severe and long lasting symptoms
Front impact mechanism of injury
Reverse mechanism of injury to rear impact collision
Might see it and brace
Torso accelerating backwards
Neck, hyper flexes, then hyperextends
May lead to more soft tissue damage
Absorbs impact stress
Seatbelts airbags headrest crumple zones may reduce injury
Side impact mechanism of injury
Mechanism of injury is initial lateral flexion of neck and torso towards side of striking vehicle then away
Little Protection except lap belt, which anchors pelvis
Severe sidebending in spine
Damage lumbar ligaments, disc muscles, as well as cervical and upper thoracic tissue
Side airbags introduced to help reduce these injuries
For legal implications for massage therapists regarding whiplash
The first 24 hours the client may be asymptomatic, refer to a physician if any acute injuries are suspected
Important to thoroughly document initial assessment, including all findings ( dysfunctional, or normal limits)
Pain and functional assessment questionnaires can be used to measure initial symptoms for medical insurance documentation
We can also request access records of other healthcare professionals treating the client
Three whiplash contraindications
One- avoid removing the protective muscle splinting of acute whiplash
Two - do not passively stretch a muscle that is in spasm
Three - joint play for the spine should not be painful
Stretch for whiplash
Client can simply move the neck through its range of motion, contracting antagonist muscles to create the stretch instead of using the hands to pull the neck into a stretch. Don’t overstretch.
Define torticollis
Abnormal positioning of the neck and head relative to the body
Latin and common term for torticollis
Derived from Latin “tortus” means twisted and “collum” means neck
Common term is Wry neck