Whiplash Associated Disorders, commonly known as whiplash, is an umbrella term that includes several conditions characterised by a sudden acceleration/deceleration movement, often reported at the cervical area. This injury is commonly reported in motor vehicle accidents, where the cervical spine hyperextends and hyperflexes in a very short amount of time. This injury mechanism, the whiplash, can lead to significantly different consequences depending on the force and direction of the impact. Because of this, patients can experience different symptoms, from being completely asymptomatic to severe pain, stiffness, decreased mobility, neurological signs (e.g.: tingling, burning, weakness, etc.), and decreased functioning. Aside from collecting data from the injury mechanisms and performing a physical assessment of the patient, an imaging examination (e.g.: x-ray, computed tomography, magnetic resonance imaging, etc.) is paramount to optimally visualise the specifics of the injury.
Management
Based on the severity of the injury, significantly different treatment strategies can be implemented in the management of whiplash-associated disorders. Conservative treatment is typically the first line of treatment, consisting of rehabilitation, pharmacological intervention (e.g.: medications, injections, etc.), and a hard cervical collar. In more severe cases, when surgical treatment is deemed necessary (e.g.: vertebral fractures due to whiplash mechanisms in a motor vehicle accident), several different procedures can be implemented based on the patient’s condition. In Isokinetic, after being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room, and the pitch. In the early stages, the main goal of the rehabilitation is to minimise the symptoms related to the injury. Mobility recovery and muscle activation are typically progressed with respect to maintaining spinal stability. In the mid-stage of rehabilitation, neck and upper limb strength and stability recovery become the priority, together with the optimisation of the general movement quality to learn how to optimally coordinate neck and upper body movements. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to return to participate in their favourite activities, maximising their rehabilitation outcomes and reducing the likelihood of complications.