Albert Edi, Francis Hilton, Elkerton Andrew
University of Tasmania.
Aust Fam Physician. 2003 Mar;32(3):152-7.
Whiplash is a common problem, particularly following motor vehicle accidents and may have significant sequelae in terms of disability and financial compensation. Recent research has demonstrated that a number of commonplace medical practices as well as the compensation system may lead to unfavourable outcomes.
This article discusses recent research into whiplash and its implications for clinical practice.
A full assessment of biopsychosocial factors in the acute phase of the injury is essential to predict those at risk of chronicity. Simple therapeutic and educational measures should be employed and early referral to a psychologist or pain specialist considered for those at high risk.
挥鞭样损伤是一个常见问题,尤其是在机动车事故之后,并且在残疾和经济赔偿方面可能会产生重大后遗症。最近的研究表明,一些常见的医疗行为以及赔偿制度可能会导致不良后果。
本文讨论了关于挥鞭样损伤的最新研究及其对临床实践的影响。
在损伤急性期对生物心理社会因素进行全面评估对于预测有慢性化风险的患者至关重要。应采用简单的治疗和教育措施,并考虑将高危患者尽早转诊给心理医生或疼痛专家。