1st Edition

A Patient Centered Approach to Management

Authors: Meridel Gatterman
Hardcover ISBN: 9780323045834
eBook ISBN: 9780323080262
Imprint: Mosby
Published Date: 31st March 2011
Page Count: 216


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.

Key Features

  • A patient-centered approach to care emphasizes working with patients as partners, with both preferring minimally invasive procedures and therapies where appropriate, in a way that promotes self-healing, a holistic approach to the patient, and a humanistic attitude with regard to the patient/practitioner relationship.
  • An easy-to-follow organization helps you to clearly identify whiplash and plan a course of treatment, beginning with an in-depth description of whiplash and the various approaches to treatment and moving on to cover the anatomy of the cervical spine, the mechanism of injury, physical examination, and imaging, then continuing with the management of whiplash injuries and complications such as headaches and joint injuries.
  • Full-color photos and illustrations clarify concepts and procedures.
  • Evidence-based content is based on findings in current literature, and cited in chapter references.
  • Coverage of both typical and less common types of whiplash injuries helps you accurately assess varied symptoms and avoid overlooking any related signs and symptoms.
  • Detailed coverage of the relationship between the cervical spine and the cervical distribution of the autonomic nervous system helps you recognize the potential complications of whiplash and how nerve anatomy informs these complications.
  • More than 20 tables and charts provide a quick reference to facilitate review of the material.
  • A glossary provides definitions and pronunciations of terms related to whiplash.
  • Expert author Meridel Gatterman, MA, DC, MEd, is one of the leading chiropractic academics in the U.S., has written several other chiropractic textbooks and many peer-reviewed journal articles, has served as both a Dean and Director for two different chiropracti

Table of Contents

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


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About the Author

Meridel Gatterman