Exercise for chronic whiplash: does it matter how we do it?

Zoe Michaleff

In the grand scheme of things there is a dearth of high quality research evaluating the effectiveness of treatments for people with a chronic whiplash injury. Much of what has been done has been directed to investigating the effectiveness of exercise interventions. ‘Exercise’ for chronic whiplash has taken many forms including neck specific … [Read more...]

Subgrouping patients with chronic whiplash on the basis of symptoms of sensory hypersensitivity and PTSD

Ash Pedler

A significant proportion of people (up to 50%) who develop neck pain following a car accident continue to report neck pain at long term follow up. It's not clear why these patients don't recover and unfortunately current evidence seems to indicate that usual rehabilitative management is not very effective for patients with chronic whiplash. The … [Read more...]

Stress response in chronic whiplash

Margot De Kooning

Ever had a car accident? Did you feel a rush of stress at that moment? Whiplash is often the result of a car accident and causes a lot of physical and psychological stress. It might even cause a post-traumatic stress reaction and this stress reaction is related to poor long-term recovery in whiplash  patients. A disturbed stress system is not … [Read more...]

Targeted therapy for acute whiplash gets it in the neck (again)

What to do about whiplash? Trials have historically produced disappointing results across the board for our management strategies. As is so often the case the interpretation of those results can be broadly divided into 2 camps. One camp (often rather small) who accept that current treatments are not really doing the job, the other who find fault … [Read more...]

Sensorimotor incongruence as (one) cause of pain?

Liesbeth Daenen

Motor actions are planned and steered from the brain. Input from eyes, muscles, joints, skin and vestibular system continuously inform the brain about actual movements. Simultaneously, this information is compared with the motion program (that what was predicted) in the brain, which is important for adjusting motor plans and ensuring smoothness of … [Read more...]

The role of Range of Motion in recovery from Whiplash Associated Disorders

Mark Williams Researcher

Summary My PhD research investigated the role of cervical spine Range of Motion in the recovery from Whiplash Associated Disorders (WAD). This formed part of my work on a large RCT investigating conservative treatments for WAD [2]. In clinical practice, Health Care Professionals attach value to measurements of cervical spine Range of Motion … [Read more...]

The moral hazard of whiplash

A whole edition of Spine was recently dedicated to whiplash associated disorders (WAD) (Vol 36 Number 25S). One paper by Cote and Soklaridis (1) caught my attention. They warn that health professionals should be aware of the danger of iatrogenesis during the early stages of WAD. According to Wikipedia the term iatrogenesis means brought forth by a … [Read more...]

Findings on imaging for whiplash? It’s a miracle! What does it actually mean?

Whiplash is one of those conditions that often strikes fear into the hearts of clinicians, mainly because chronic whiplash is very hard to treat. This not helped by the fact that there is scepticism regarding the condition itself due to its lack of objective findings. Whiplash associated disorders (WAD) are largely diagnosed based on mechanism of … [Read more...]

Patients get chronic neck pain because they are fearful and catastrophic right? Wrong.

Dr Esther Williamson

One of the things we try to do at BiM is to help PhD students get their word out. Here is an example, but before you click out because it is ‘just a PhD thesis’ take a look at it because this is one impressive PhD AND it throws up a really interesting finding. DR Esther Williamson asked 599 people a range of questions just after they hurt their … [Read more...]