Whiplash book cover


A Patient Centered Approach to Management

Providing a balanced, evidence-based discussion of whiplash and its associated disorders, Whiplash: A Patient Centered Approach to Management compiles information from many sources into a single, definitive reference. It clearly delineates rationales and procedures, covering cervical spine anatomy, neurology, kinesiology, epidemiology, patient history and assessment, imaging, soft tissue injuries, articular lesions, rehabilitation, and prognosis. Using numerous full-color photos and illustrations, an expert author team led by Dr. Meridel Gatterman offers concrete guidelines for a patient-centered approach to care of whiplash and whiplash-related conditions -- one that recommends minimally invasive procedures and therapies whenever possible. A companion Evolve website includes video clips showing stretching exercises, printable patient handouts, and narrated PowerPoint slides.

Book, 320 Pages

Published: March 2011

Imprint: Mosby

ISBN: 978-0-323-09327-9


  • 1. Introduction

    "Whiplash" as an Entity

    Whiplash: What is it?

    The Epidemiology of "Whiplash" Injuries

    Patient-Centered Care

    The Characteristics of Patient-Centered Care

    Emphasis on Self Healing

    Holistic Approach to the Patient

    A Humanist Attitude

    Working with Patients as Partners

    Shared Decision Making

    Integrative Care

    The Paradigm Concept

    Clashing Paradigms

    What is Integrative Care?

    Evidence-Based Care

    History of Whiplash


    Mechanism of Injury

    2. Functional Anatomy of the Cervical Spine

    Embryological Development of the Spinal Motion Segments


    Components of the Lower Spinal Motion Segments

    The Autonomic Nervous System


    3. Patient History and Mechanism of Injury

    Brachial Plexus



    4. Physical Examination

    Listening to the Patient

    The Pain Drawing

    Chief Complaints and General Assessment

    Analysis of Cervical Motion

    Segmental Cervical Movement

    Neurological Evaluation

    Sensory Testing


    Testing for Muscle Strength

    Provocation Tests for Cervical Spine Disorders

    Compression Tests

    Foraminal Compression

    Assessment of Cervical Nerve Function Through Compression

    Disc Herniation


    Differentiation of Sprain from Sprain

    Assessment of Vertebral Artery Function

    Cervicobrachial Pain

    Outcome Evaluation

    Neck Disability Index

    5. Imaging

    Acute Injury

    Chronic Injury

    6. Management of Muscle Injury and Myofascial Pain Syndromes

    Historical Overview of Muscle Pain Literature

    Theoretical Models of Muscle and Myofascial pain

    7. Headache in Whiplash: A Comprehensive Overview

    Taking a Headache History

    Types of Headache That Might be Encountered

    Examining the Headache Patient

    Deciding What the Diagnoses are

    What are Possible Mechanisms of Whiplash-associated Headache?

    Managing Headache in the Whiplash Patient

    8. Whiplash Associated Disorders of Joints and Ligamentous Structures

    Stability of the Cervical Spine and Whiplash Injury

    Cervical Joint Sprain

    Whiplash Associated Joint Dysfunction

    Clinical Indicators of Cervical Subluxation

    Palpatory Findings Indicating Cervical Subluxation

    Reliability and Validity of Clinical Indicators of Subluxation

    Syndromes Associated with Subluxation of the Cervical Articulations

    Whiplash Associated Headache Related to Joint Subluxation

    Incidence of Post Whiplash Headache

    Headache Response to Manipulation

    Posterior Cervical Sympathetic Syndrome and the Vertebral Arteries

    Cervicogenic Dorsalgia

    Cervical-Brachial Syndrome

    Conservative Management of Cervicobrachial Pain

    Cervical Subluxation Syndromes

    9. Epidemiology of Whiplash Injuries

    Basic Epidemiological Terms

    Frequency of Whiplash

    Whiplash Risk Factors

    Societal Impact

    A Whiplash Culture


    10. The Safety and Effectiveness of Common Treatments for Whiplash

    Judging Safety and Effectiveness: An Evidence Based Approach

    The Quebec Whiplash Task Force

    The Bone & Joint Decade Task Force

    Comparing Safety and Effectiveness of Common Therapies

    Simple Analgesics

    Other Drugs

    Evidence for Pharmacological Therapies

    Conservative Physical Treatments

    Non-conservative Interventions

    Surgical Interventions

    11. Prognosis of Whiplash Associated Disorders

    Prognostic Factors

    Psychological and Psychosocial Factors That Delay Recovery

    In the Patient's Interest


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