Lucka J
Versicherungsmedizin. 1998 Aug 1;50(4):124-30.
Whiplash injuries of the cervical spine probably are much too often complained of, certified and compensated. Many of these injuries arise from suggestion and/or deliberate simulation. The difficulty of verifying minor whiplash injuries is well known and used widespread, to try gaining compensation from the insurance companies. In accidents with a collision speed of less than 20 km/h (obvious damage to the car) it is unlikely to suffer an structural injury of the cervical spine. Even accidents with a higher collision speed do not necessarily lead to a whiplash injury. An interval without symptoms is a hint against impairment. If it is not possible to get reproducible evidence of an injury caused by the accident this must clearly be stated. Therapy should impose early return to normal life-style, a soft collar is obsolete and sick leave is in contradiction to the routine rarely needed. The current way how the insurance companies compensate encourages the symptoms and needs to be revised.
颈椎挥鞭伤被抱怨、鉴定和索赔的情况可能过于频繁。这些损伤中有许多是由暗示和/或蓄意伪装引起的。轻微颈椎挥鞭伤难以核实是众所周知的，并且被广泛利用来试图从保险公司获得赔偿。在碰撞速度低于20公里/小时的事故（汽车有明显损坏）中，颈椎不太可能受到结构性损伤。即使碰撞速度较高的事故也不一定会导致挥鞭伤。无症状期提示无损伤。如果无法获得事故造成损伤的可重复证据，必须明确说明。治疗应促使伤者早日恢复正常生活方式，软颈托已过时，病假与常规情况很少需要相矛盾。保险公司目前的赔偿方式助长了这些症状，需要进行修订。
