Sterling Michele
Centre of National Research on Disability and Rehabilitation Medicine (CONROD), The University of Queensland, Mayne Medical School, Herston, QLD 4066, Australia.
Man Ther. 2009 Feb;14(1):e8-12. doi: 10.1016/j.math.2008.03.004. Epub 2008 May 27.
Whiplash is a heterogenous and in many, a complex condition involving both physical and psychological factors. Primary care practitioners are often the first health care contact for individuals with a whiplash injury and as such play an important role in gauging prognosis as well as providing appropriate management for whiplash injured patients. It is imperative that factors associated with poor outcome are recognized and managed in the primary care environment at the crucial early acute stage post-injury. This paper presents 2 case studies of individuals with acute whiplash pain. The case studies illustrate the heterogeneity of the whiplash condition and the importance of clinical assessment that includes consideration of both physical and psychological manifestations. They also demonstrate the important role physiotherapists' play in the management of people with whiplash, particularly in the early post-injury stage.
挥鞭伤是一种异质性的疾病，在许多情况下还很复杂，涉及身体和心理因素。初级保健医生通常是挥鞭伤患者的首个医疗接触对象，因此在评估预后以及为挥鞭伤患者提供适当治疗方面发挥着重要作用。在受伤后的关键早期急性期，必须在初级保健环境中识别并处理与不良预后相关的因素。本文介绍了2例急性挥鞭伤疼痛患者的案例研究。这些案例研究说明了挥鞭伤病情的异质性以及临床评估的重要性，临床评估包括对身体和心理表现的考量。它们还展示了物理治疗师在挥鞭伤患者治疗中所起的重要作用，尤其是在受伤后的早期阶段。
