Marx P
Nervenarzt. 2011 Dec;82(12):1525-32. doi: 10.1007/s00115-011-3286-7.
Formulating an expert opinion on whiplash injuries requires that consideration be given to biomechanical, orthopedic, neurological, psychiatric and medicolegal aspects. The greatest difficulties are encountered in cases of mild whiplash where patients complain of constant pain without any physical correlative. Diverse assessments and principles for approving a claim are reflected in the fact that the prevalence of chronic spine pain after whiplash injuries (late whiplash syndrome) varies between 16% and 71% in different countries, and the proportion of whiplash injuries involved in petitions for compensation differs greatly across Europe (UK 75%, Germany 47%, Finland 8.5% and France 3% of all personal injuries).Important biomechanical, orthopedic, neurological, psychiatric and medicolegal aspects of expert testimony on whiplash associated disorders (WAD) are delineated.
形成关于挥鞭伤的专家意见需要考虑生物力学、骨科、神经学、精神病学和法医学等方面。在轻度挥鞭伤病例中会遇到最大的困难,即患者主诉持续疼痛但无任何身体相关症状。不同国家挥鞭伤后慢性脊柱疼痛(迟发性挥鞭综合征)的患病率在16%至71%之间,以及欧洲各国涉及赔偿申请的挥鞭伤比例差异很大(英国占所有人身伤害的75%,德国为47%,芬兰为8.5%,法国为3%),这反映出评估和索赔批准原则的多样性。文中阐述了关于挥鞭相关障碍(WAD)专家证词的重要生物力学、骨科、神经学、精神病学和法医学方面。