neck pain Movement Coordination

Question 1

whiplash definition

Answer 1

Transfer of energy through cervical spine tissues that is often beyond the tissues ability to accommodate

resulting in tissue damage across a spectrum from low-grade sprain to a fracture, tear, neurological deficits of nerve roots or spinal cord

May also involve coup-countercoup traumatic brain injuries
Not only related to MVAs consider contact sports

Question 2

WAD 0

Answer 2

no physical signs of dysfunction
No complaints of pain

Question 3

WAD 1

Answer 3

no physical signs of dysfunction

Complaints of neck pain and tenderness

Question 4

WAD 2

Answer 4

Musculoskeletal signs and symptoms
Complaints of neck, pain, and tenderness

Question 5

WAD 3

Answer 5

neurological signs and symptoms
Musculoskeletal signs and symptoms
Complaints of pain often radiating into and down the arm

Question 6

WAD 4

Answer 6

fracture or dislocation
Complaints of pain

Question 7

pathoanatomical staging of whiplash

Answer 7

Quebec

Question 8

physical impairments associated with movement coordination disorders

Answer 8

Cervical muscular stabilizer weakness
-DNF, multifidus, semispinalis cervicis

Upper cervical ligamentous laxity
- alar, transverse

Joint position error

Neuromuscular dysfunctions
- central cord, nerve root, referred signs
- movement impairments

Question 9

Movement coordination, prognosis

Answer 9

recovery of pain intensity is slow, often six months or a 20% reduction

Disability score may take more than 12 months for MCID

First 6 to 12 weeks of care may give rapid recovery for disability post traumatic stress

Approximately 50% with WAD may recover within 12 months

Question 10

factors that influence the transition from acute to chronic symptoms

Answer 10

Female
Older age
Higher initial self rated disability and pain scores
Cognitive factors fear, catastrophize, low expectation for recovery

Factors that don’t influence
Speed impact direction, impending collision awareness, airbag deployment

Question 11

Acute recommendations

Answer 11

educate on returning to non-provocation activities
reassure recovery is expected within 2 to 3 months

Manual mobilization techniques
Strengthening, endurance, flexibility, posture, coordination, aerobic, functional

Question 12

Chronic recommendations

Answer 12

educate and advise focusing on reassurance, encouragement, prognosis, and pain management

Mobilization combined with individualized, progressive sub, maximal exercise program

Strengthening, endurance, flexibility, coordination
TENS

Question 13

acute wad

Answer 13

pain control
Gentle mobility

Question 14

chronic Wad

Answer 14

possible denervation
Fatty infiltrate
Muscle function
Pain control
Sensory motor retraining
Impact of events