WHIPLASH Flashcards
1
Q
WHIPLASH classic presentation
A
- person visits after being in a low impact collision with neck and shoulder pain
- they have memory loss and trouble sleeping
- soft tissues may be damaged (lig. facet capsules and muscles)
2
Q
WAD 0 means…
A
no complaints or physical signs
3
Q
WAD 1 means…
A
neck complaints but no physical signs
4
Q
WAD 2 means…
A
neck complaints with musculoskeletal signs
5
Q
WAD 3 means…
A
neck complaints with neurological signs
6
Q
WAD 4 means…
A
neck complaints with fracture/dislocation
7
Q
similar DDX’S
A
- Mild TBI
- CERV. sprain strain
8
Q
supporting factors
A
- injury in low impact collision
- delay in symptoms for several hours
- neck pain, stiffness and headache
- blurred vision and tinnitus
- radiates from cerv. spine to shoulder
- dec. ROM
9
Q
refuting
A
- non-traumatic injury
- insidious onset
- no neck/shoulder pain (100%)
- regular ROM
10
Q
what are 3 questions to find out if they have a MTBI
A
- did you hit your head?
- did you fall unconscious? 3. if so for how long?
11
Q
relevant orthos
A
- o’donoghues
- shoulder depression test (incidental)
12
Q
referrals
A
- physical therapist
- surgery
13
Q
contraindications
A
- NO MANUAL in cerv. spine
- if they also have a sprain/strain grade 2+ then AVOID HVLA for 3 weeks
14
Q
techniques
A
- manual below cerv. spine
- check cerebellar function
- take concussion paperwork/tests
15
Q
recommendations
A
- rest
- NSAIDS
- muscle relaxants
- soft collar
