J Orthop Sports Phys Ther. 2017 Jul;47(7):444-446. doi: 10.2519/jospt.2017.0106.
A previous special issue of JOSPT (October 2016) discussed whiplash in terms of the clinical problems and current research surrounding prevention, biomechanics of injury, emergent care, imaging advancements, recovery pathways and prognosis, pathogenesis of posttrauma pain, acute and chronic management, and new predictive clinical tools. While great strides have been made in the field of whiplash and are continuing in earnest, a key group of clinicians and academics have recognized that inconsistent outcomes in published literature hamper our ability to meaningfully synthesize research findings, leading to results of systematic reviews that provide very few concrete clinical recommendations. We are optimistic that improved outcomes for people with whiplash-associated disorder (WAD) are attainable in the near future, as interdisciplinary research efforts continue to align internationally, new mechanisms are identified and explored, and advanced statistical techniques allow complex questions to be answered in clinically meaningful ways. J Orthop Sports Phys Ther 2017;47(7):444-446. doi:10.2519/jospt.2017.0106.
一篇之前的 JOSPT 特刊（2016 年 10 月）讨论了挥鞭样损伤，涉及临床问题和当前研究，包括预防、损伤生物力学、急症护理、影像学进展、康复途径和预后、创伤后疼痛发病机制、急性和慢性管理，以及新的预测临床工具。虽然在挥鞭样损伤领域已经取得了很大的进展，并在继续认真进行，但一组重要的临床医生和学者已经认识到，发表文献中的不一致结果阻碍了我们有意义地综合研究结果的能力，导致系统评价的结果几乎没有提供具体的临床建议。我们乐观地认为，随着跨学科研究工作继续在国际上协调一致，新的机制被确定和探索，以及先进的统计技术允许以有临床意义的方式回答复杂的问题，与挥鞭样损伤相关障碍（WAD）相关的人的治疗结果在不久的将来可以得到改善。J Orthop Sports Phys Ther 2017;47(7):444-446. doi:10.2519/jospt.2017.0106.
