evidence base for clinical practiceBy
- Michele Sterling, PhD MPhty BPhty Grad Dip Manip Physio FACP, Associate Director, Centre for National Research on Disability and Rehabilitation Medicine (CONROD) and Director of the Rehabilitation (Medical and Allied Health) Research Program (CONROD), Associate Professor in the Division of Physiotherapy, School of Health and Rehabilitation Sciences and the School of Medicine.
- Justin Kenardy, PhD, clinical health psychologist and Deputy Director of the Centre of National Research on Disability and Rehabilitation Medicine (CONROD), and Professor in Clinical Psychology a the School of Psychology
An exceptional medical resource for all professions involved in the management of whiplash patients
Whiplash is one of the most debated and controversial musculoskeletal conditions. This is, in part, due to the often compensable nature of whiplash injuries and the fact that a precise pathoanatomical diagnosis is not usually achievable.
Whiplash: Evidence base for clinical practice presents the evidence underpinning the complexity of whiplash associated disorders (WADs).
This ranges from the specifics of current physiological and psychological manifestations of whiplash to broader issues such as compensation and litigation.
This new medical textbook turns the spotlight on whiplash injuries and makes essential reading for anyone involved in the management whiplash patients.
This includes physiotherapy, chiropractic, osteopathy, occupational therapy and health psychology practitioners and postgraduate students, as well as practitioners in rehabilitation therapies and primary care.
Published: April 2011
Imprint: Churchill Livingstone
IntroductionStructure of the bookChapter 1 Epidemiology of whiplash associated disorders
DefinitionsCumulative incidence of and risk factors for WAD
Course and prognosis of WAD after a motor vehicle crashAn epidemiological approach to aetiology
The economic burden of WADSummary Chapter 2 Clinical presentation of whiplash associated disorders
Patterns of recoveryPhysical and psychological characteristics
Classification systems for WADConclusions Chapter 3 Mechanism of injury
Head-neck kinematics: global and segmentalInjury theories
Injury metricsInfluencing factors for injury potential
Chapter 4 The evidence for pathoanatomical lesionsIntroduction
Pathomechanics of whiplash injuryPathological lesions in whiplash injury
Chapter 5 Pain-processing mechanisms in whiplash associated disordersIntroduction
Mechanisms for post-injury central hyperexcitabilityEvidence for central hyperexcitability in chronic WAD
Evidence for central hyperexcitability in acute WAD and in the transition to chronicityRelationships between sensory hypersensitivity and psychological distress
Implications for clinical management of whiplashConclusion Chapter 6 Neuromuscular dysfunction in whiplash associated disorders
Changes in the properties of the cervical musclesAltered neuromuscular control in WAD
Implications for the management of the patient with whiplashConclusion Chapter 7 Dizziness, visual and sensorimotor control disturbances following whiplash injury
Aetiology of dizziness, visual disturbances and sensorimotor controlDisturbances in whiplash associated disorders
Signs and symptoms of sensorimotor disturbance following a whiplash injuryImplications for assessment
Implications for managementConclusion Chapter 8 Psychological aspects of whiplash associated disorders
Accident-related psychological factorsCoping
Catastrophising and kinesiophobiaAttributions, beliefs and expectations
Chapter 9 Potential role of stress systems in the pathogenesis of whiplash associated disordersSympathetic nervous system
Clinical implicationsCurrent research needs and future research directions Chapter 10 Prognostic indicators of non-recovery following whiplash injury
Prognostic factors for non-recoveryPrediction of outcomes other than pain and disability
Clinical implicationsConclusion Chapter 11 Primary care management of acute whiplash injury
Current evidence for the management of acute WADThe provision of advice and education
Is pain control important?Physical characteristics of acute WAD and implications for management
Psychological characteristics of acute WAD and implications for managementEarly multidisciplinary management
Chapter 12 Evidence-based management of chronic whiplash associated disordersEvidence base for management of chronic whiplash
Evidence for physical interventionsEvidence for psychological interventions
Evidence for medical interventionsImplementation of evidence in clinical practice
Chapter 13 Psychological management of chronic whiplash associated disordersTheory-derived psychological interventions
Evidence-based practiceRemaining issues and future prospects
Chapter 14 Compensation and health outcomesIntroduction
Compensation and related conceptsCompensation: empirical considerations
Health: the concept and its measurementConclusions Chapter 15 Whiplash and the law
The test for compensabilityCanadian Transport Accident
CompensationConclusions Chapter 16 Malingering and symptom magnification in whiplash
Associated disordersWhy study malingering in the area of whiplash?
What is meant by malingering?Approaches to detection of malingering
Differential diagnosis of psychological disorders where symptom production or magnification is a featureEmpirical studies of malingering and symptom magnification in pain
A decision-making template for possible and probable malingering
Chapter 17 Case descriptionsCase description 1: acute whiplash
Case description 2: acute whiplashSummary of cases 1 and 2
Case description 3: chronic whiplashConclusion Chapter 18 Future directions
Intervention trialsDo some patients have a pre-existing risk of developing chronic pain after whiplash injury?
Improving prognostic modelsIdentification of a peripheral lesion