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Some observations on whiplash injuries.

R W Evans1

  • 1Neurology Section, AMI Park Plaza Hospital, Houston, Texas.

Neurologic Clinics
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

Motor vehicle accidents frequently cause whiplash injuries, leading to neck pain and headaches. While most recover, some experience persistent symptoms, with risk factors like age and pre-existing conditions influencing outcomes.

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Area of Science:

  • Orthopedics
  • Neurology
  • Traumatology

Background:

  • Whiplash injuries from motor vehicle accidents are a common cause of neck trauma, affecting approximately 1 million individuals annually in the U.S.
  • Proper head restraint adjustment can decrease neck pain incidence by 24% in rear-end collisions.
  • Persistent neck pain disproportionately affects women (70:30 ratio).

Purpose of the Study:

  • To review the incidence, clinical presentation, risk factors, and treatment of whiplash-associated disorders.
  • To highlight the long-term consequences and recovery challenges associated with whiplash injuries.

Main Methods:

  • Literature review of studies on whiplash injuries, neck pain, and associated symptoms.
  • Analysis of reported incidence, patient demographics, and clinical findings.

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  • Examination of factors influencing prognosis and treatment efficacy.

    • Main Results:

    • Whiplash commonly causes myofascial neck pain, headaches (82% acutely), dizziness, and paresthesias.
    • Over 30% report persistent neck pain and 10% persistent headaches after 2 years.
    • Risk factors for poor recovery include older age, pre-existing conditions, and multiple initial symptoms.

    Conclusions:

    • Whiplash injuries can lead to chronic pain, headaches, and disability, with a significant percentage not returning to work.
    • Early mobilization, physical therapy, and trigger point injections are key treatment components.
    • Minimizing cervical collar use and focusing on early, active rehabilitation are recommended.