whiplash

Question 1

WAD Grade 0

Answer 1

no s/s

Question 2

WAD Grade 1

Answer 2

symptoms but no signs

Question 3

WAD Grade 2

Answer 3

symptoms and objectives signs
no neuro signs
no fracture

Question 4

WAD Grade 3

Answer 4

symptoms and peripheral neuro signs

no fracture

Question 5

WAD Grade 4

Answer 5

symptoms and fracture confirmed

Question 6

how much flexion/compression of spine significant

Answer 6

> 25% height loss

Question 7

where is weakest point of disc

Answer 7

endplate (attachment of annulus fibrosis to hyaline)

Question 8

T/F fracture essential to dislocation

Answer 8

F

Question 9

benefits of education in WAD

Answer 9

faster recover
reduce pain, meds, ER visits, fear
improve coping, function

Question 10

What education to give WAD patients

Answer 10

reassurance
MOI
stay active
home exercises
prognosis

Question 11

Quebec task force whiplash definition

Answer 11

acceleration - decelarion mechanism of energy transfer to the neck

Question 12

what do they need to be on Glasgow score to go through Canadian c spine rule

Answer 12

15

Question 13

Canadian c spine rule

Answer 13

any high risk factors that mandate radiography?
any low risk factors that allow assessment?
can they rotate neck?

Question 14

what are high risk factors that mandate radiography

Answer 14

> 65
dangerous mechanism
parenthesis in extremities

Question 15

what are low risk factors that allow assessment

Answer 15

ambulatory
in sitting position
DELAYED neck pain
absence of midline c spine tenderness

Question 16

how far do they need to rotate their neck

Answer 16

45

Question 17

c spine rule is not relevant if

Answer 17

non trauma case
unstable vitals
less than 16yr old
known vertebral disease
preg

Question 18

dangerous mechanism WAD

Answer 18

fall >1m or 5 stairs
axial load to head
MVA high speed
bike crash

Question 19

craniocervical flexion test

Answer 19

BP at 20 behind neck , chin nod
Hold for 10 seconds
add 2mm each time for total of 5 levels

Question 20

max score on craniocervical flexion test

Answer 20

100

Question 21

tips cervical rotators

Answer 21

need to recruit deep neck flexors not SCM

supine
seated
side lying
four point
resisted