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[挥鞭样损伤的定义、分类及流行病学]

[Definition, classification and epidemiology of whiplash].

作者信息

Jensen Troels Staehelin, Kasch Helge, Bach Flemming Winther, Bendix Tom, Kongsted Alice

机构信息

Dansk Smerteforskningscenter, Arhus Universitetshospital, Arhus Sygehus, 8000 Arhus C, Denmark.

出版信息

Ugeskr Laeger. 2010 Jun 14;172(24):1812-4.

PMID:20566152
Abstract

A whiplash trauma is caused by an acceleration-deceleration force transferring its energy to the cervical spine. Whiplash-associated disorder (WAD) refers to the symptoms that develop after a whiplash injury. The prognosis is favorable with recovery in over 90% of the injured subjects. In a fraction of patients, long-term symptoms with pain and cognitive and emotional symptoms may occur, causing long-term disability. The pathophysiology is unclear. Most research groups favor a multifactorial pathophysiology similar to that observed for other chronic pain conditions without a clear nociceptive or neuropathic component.

摘要

挥鞭样创伤是由加速-减速力将其能量传递至颈椎所引起的。挥鞭样损伤相关疾病(WAD)是指在挥鞭样损伤后出现的症状。超过90%的受伤患者预后良好并可康复。一小部分患者可能会出现伴有疼痛以及认知和情绪症状的长期症状,导致长期残疾。其病理生理学尚不清楚。大多数研究团队倾向于一种多因素病理生理学,类似于在其他无明确伤害性或神经性成分的慢性疼痛病症中所观察到的情况。

相似文献

1
[Definition, classification and epidemiology of whiplash].[挥鞭样损伤的定义、分类及流行病学]
Ugeskr Laeger. 2010 Jun 14;172(24):1812-4.
2
Some observations on whiplash injuries.关于挥鞭伤的一些观察
Neurol Clin. 1992 Nov;10(4):975-97.
3
Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.挥鞭样损伤相关疾病(WAD)中颈部疼痛的病程及预后因素:2000 - 2010年骨与关节十年颈部疼痛及其相关疾病特别工作组的结果
Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S83-92. doi: 10.1097/BRS.0b013e3181643eb8.
4
[Whiplash-associated disorders].[挥鞭样损伤相关疾病]
Schweiz Med Wochenschr. 1999 Sep 25;129(38):1368-80.
5
[Whiplash. Epidemiology, diagnosis and treatment].[鞭打损伤。流行病学、诊断与治疗]
Ugeskr Laeger. 2001 Apr 16;163(16):2231-6.
6
Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining "whiplash" and its management.魁北克鞭打相关疾病特别工作组科学专著:重新定义“鞭打损伤”及其管理。
Spine (Phila Pa 1976). 1995 Apr 15;20(8 Suppl):1S-73S.
7
No cash no whiplash?: Influence of the legal system on the incidence of whiplash injury.无现金就无挥鞭伤?法律制度对挥鞭伤发生率的影响
J Forensic Leg Med. 2008 Aug;15(6):353-5. doi: 10.1016/j.jflm.2007.12.016. Epub 2008 Apr 14.
8
A neuropathic pain component is common in acute whiplash and associated with a more complex clinical presentation.神经性疼痛成分在急性挥鞭样损伤中很常见,并与更复杂的临床表现相关。
Man Ther. 2009 Apr;14(2):173-9. doi: 10.1016/j.math.2008.01.009. Epub 2008 Mar 20.
9
Soft-tissue injuries of the cervical spine.颈椎软组织损伤
Orthop Rev. 1994 May;Suppl:9-17.
10
[Clinical aspects and neurologic expert assessment in sequelae of whiplash injury to the cervical spine].[颈椎挥鞭伤后遗症的临床情况及神经学专家评估]
Nervenarzt. 1995 Oct;66(10):730-5.

引用本文的文献

1
Measuring the impact of the French version of The Whiplash Book on both treatment approach and fear-avoidance beliefs among emergency physicians. A cluster randomized controlled trial.测量《挥鞭样损伤手册》法译本对急诊医师治疗方法和规避恐惧信念的影响。一项整群随机对照试验。
PLoS One. 2020 Mar 18;15(3):e0229849. doi: 10.1371/journal.pone.0229849. eCollection 2020.
2
Gender differences in care-seeking behavior and healthcare consumption immediately after whiplash trauma.挥鞭样损伤后即刻寻求医疗行为和医疗保健消费中的性别差异。
PLoS One. 2017 Apr 25;12(4):e0176328. doi: 10.1371/journal.pone.0176328. eCollection 2017.
3
Confirmatory factor analysis of the neck disability index, comparing patients with whiplash associated disorders to a control group with non-specific neck pain.
颈部功能障碍指数的验证性因素分析,比较挥鞭样损伤相关疾病患者与非特异性颈部疼痛对照组。
Eur Spine J. 2016 Jul;25(7):2078-86. doi: 10.1007/s00586-016-4543-z. Epub 2016 Apr 4.
4
Use of gamma correction pinhole bone scans in trauma.
Nucl Med Mol Imaging. 2012 Mar;46(1):10-9. doi: 10.1007/s13139-011-0121-9. Epub 2012 Jan 5.
5
The return-to-work process of individuals sick-listed because of whiplash-associated disorder: a three-year follow-up study in a Danish cohort of long-term sickness absentees.因挥鞭样损伤相关障碍而被列入病假的个体的重返工作岗位过程:对丹麦一组长期病假缺勤者的三年随访研究。
BMC Public Health. 2014 Feb 4;14:113. doi: 10.1186/1471-2458-14-113.