Greenfield J, Ilfeld F W
Clin Orthop Relat Res. 1977 Jan-Feb(122):196-200.
An independent examiner evaluated 179 consecutive private ambulatory litigant patients with soft tissue neck injuries (whiplash) from automobile injuries. Treatment of all patients consisted of neck and shoulder exercises with the exclusion of cervical collars, cervical traction and hospitalization. Forty-three patients had intermittent cervical traction in addition to the exercises. All patients were encouraged to resume their usual work and other activities. The presence of interscapular or upper back pain prognosticated a less favorable result. The average length of treatment was 7.4 weeks. Thirty-seven per cent of the patients with asymptomatic; 16 per cent showed no significant recovery. Older patients recovered as well as younger patients. There was no relation between X-ray findings of flattening or reversal of the cervical lordotic curve and the degree of recovery.
一位独立检查者对179例连续的因汽车事故导致颈部软组织损伤（挥鞭样损伤）的门诊诉讼患者进行了评估。所有患者的治疗包括颈部和肩部锻炼，不包括使用颈托、颈椎牵引和住院治疗。43例患者除锻炼外还接受了间歇性颈椎牵引。鼓励所有患者恢复日常工作和其他活动。肩胛间区或上背部疼痛预示着预后较差。平均治疗时长为7.4周。37%的患者无症状；16%的患者无明显恢复。老年患者和年轻患者恢复情况相同。颈椎生理曲度变平或反曲的X线表现与恢复程度之间没有关联。
