Sterling Michele
Centre for National Research on Disability and Rehabilitation Medicine (CONROD), The University of Queensland, Australia.
J Man Manip Ther. 2011 Nov;19(4):194-200. doi: 10.1179/106698111X13129729551949.
The aim of this paper was to review the physical and psychological processes associated with whiplash-associated disorders. There is now much scientific data available to indicate the presence of disturbed nociceptive processing, stress system responses, muscle and motor changes as well as psychological factors in both acute and chronic whiplash-associated disorders. Some of these factors seem to be associated with the transition from acute to chronic pain and have demonstrated prognostic capacity. Further investigation is required to determine if these processes can be modified and if modification will lead to improved outcomes for this condition. The burden of whiplash injuries, the high rate of transition to chronicity, and evidence of limited effects of current management on transition rates demand new directions in evaluation and management. The understanding of processes underlying this condition is improving and this lays the foundation for the development of more effective management approaches.
本文旨在综述与挥鞭样损伤相关疾病有关的生理和心理过程。现在有大量科学数据表明，在急性和慢性挥鞭样损伤相关疾病中，存在伤害性感受处理紊乱、应激系统反应、肌肉和运动变化以及心理因素。其中一些因素似乎与急性疼痛向慢性疼痛的转变有关，并已显示出具有预后能力。需要进一步研究以确定这些过程是否可以改变，以及改变是否会改善这种疾病的治疗效果。挥鞭样损伤的负担、向慢性转变的高发生率以及当前治疗对转变率影响有限的证据，都需要在评估和治疗方面探索新方向。对这种疾病潜在过程的理解正在不断加深，这为开发更有效的治疗方法奠定了基础。
