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Epidemiology of Whiplash-Associated Disorders

  • F. IoppoloEmail author
  • R. S. Rizzo
Chapter

Abstract

Until recently, there was no consensus on the definition of whiplash. According to the Quebec Task Force (QTF) on whiplash-associated disorders (WAD), “whiplash is an acceleration-deceleration mechanism of energy transfer to the neck. It may result from rear-end or side-impact motor vehicle collisions, but can also occur during diving or other mishaps. The impact may result in bony or soft-tissue injuries (whiplash-injury), which in turn may lead to a variety of clinical manifestations called Whiplash-Associated Disorders.”[1] Patients with whiplash can be classified by the severity of signs and symptoms: Grade 0 means no complaints or physical signs; Grade 1 indicates neck complaints (such as pain, tenderness, and stiffness) but no physical signs; Grade 2 indicates neck complaints and musculoskeletal signs (such as a decreased range of motion or muscle weakness); and Grade 3 and Grade 4 indicate neck complaints and, respectively, neurological signs (such as sensory deficit) or fracture or dislocation.

Keywords

Neck Pain Insurance Claim Whiplash Injury Motor Vehicle Collision Average Annual Incidence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S et al (1995) Scientific monograph of the Quebec Task Force on Whiplash Associated Disorders: redefining ‘whiplash’ and its management. Spine 20(8 Suppl):8S–58SGoogle Scholar
  2. 2.
    Miles KA, Maimaris C, Finlay D, Barnes MR (1988) The incidence and prognostic significance of radiological abnormalities in soft tissue injuries to the cervical spine. Skeletal Radiol 17:493–496PubMedCrossRefGoogle Scholar
  3. 3.
    Wismans KSHM, Huijkens CG (1994) Incidentie en prevalentie van het ‘whiplash’-trauma. TNO report 94. R.B.V.041. TNO Road-Vehicle Research Institute, DelftGoogle Scholar
  4. 4.
    Versteegen GJ, Kingma J, Meijler WJ et al (2000) Neck sprain after motor vehicle accidents in drivers and passengers. Eur Spine J 9:547–552PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Versteegen GJ, Kingma J, Meijler WJ et al (1998) Neck sprain in patients injured in car accidents: a retrospective study covering the period 1970–1994. Eur Spine J 7:195–200PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Richter M, Otte E, Pohlemann T et al (2000) Whiplash-type neck distortion in restrained car drivers; frequency, causes and long-term results. Eur Spine J 9:109–117PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Holm LW, Carroll LJ, Cassidy JD et al (2008) The burden and determinants of neck pain in Whiplash associated disorders after traffic collisions, results of the Bone and Joint Decade 2000–2010 Task Force on Neck pain and its Associated Disorders. Spine 33(4 Suppl):S52–S59PubMedCrossRefGoogle Scholar
  8. 8.
    Jansen GB, Edlund C, Grane P et al (2008) The Swedish Society of Medicine and the Whiplash Commission Medical Task Force. Whiplash injuries: diagnosis and early management. Eur Spine J 17(Suppl 3):S359–S418Google Scholar
  9. 9.
    Otremski I, Marsh JL, Wilde BR et al (1989) Soft tissue cervical spinal injuries in motor vehicle accidents. Injury 20:349–351PubMedCrossRefGoogle Scholar
  10. 10.
    Burton K (2003) Treatment guidelines: is there a need? In: Proceedings of Whiplash Conference 2003, Bath, England, 6–8 May. Lyons Davidson Solicitors, BristolGoogle Scholar
  11. 11.
    Quinlan KP, Annest JL, Myers B, Ryan G, Hill H (2004) Neck strains and sprains among motor vehicle occupants – United States, 2000. Accid Anal Prev 36:21–27PubMedCrossRefGoogle Scholar
  12. 12.
    Berglund A, Alfredsson L, Jensen I, Bodin L, Nygren A (2003) Occupant-and crash-Related factors associated with risk of whiplash injury. Ann Epidemiol 13:66–72PubMedCrossRefGoogle Scholar
  13. 13.
    Cassidy JD, Carroll LJ, Côté P et al (2000) Effect of eliminating compensation for pain and suffering on the outcome of insurance claims for whiplash injury. N Engl J Med 342:1179–1186PubMedCrossRefGoogle Scholar
  14. 14.
  15. 15.
    Bjornstig U, Hildingsson C, Toolanen G (1990) Soft-tissue injury of the neck in a hospital based material. Scand J Soc Med 18:263–267PubMedGoogle Scholar
  16. 16.
    Bring G, Bjornstig U, Westman G (1996) Gender patterns in minor head and neck injuries: an analysis of casualty register data. Accid Anal Prev 28:359–369PubMedCrossRefGoogle Scholar
  17. 17.
    Obelieniene D, Schrader H, Bovim G, Miseviciene I, Sand T (1999) Pain after whiplash: a prospective controlled inception cohort study. J Neurol Neurosurg Psychiatry 66(3):279–283PubMedCentralPubMedCrossRefGoogle Scholar
  18. 18.
    Barnsley L, Lord S, Bogduk N (1994) Whiplash injury: clinical review. Pain 58(3):283–307PubMedCrossRefGoogle Scholar
  19. 19.
    Coté P, Cassidy JD, Carroll L, Frank JW, Bombardier C (2001) A systematic review of the prognosis of acute whiplash and a new conceptual framework to synthesize the literature. Spine 26:E445–E458PubMedCrossRefGoogle Scholar
  20. 20.
    Scholten-Peeters GGM, Verhagen AP, Bekkering GE, van der Windt DAWM, Barnsley L, Oostendorp RAB et al (2003) Prognostic factors of whiplash-associated disorders: a systematic review of prospective cohort studies. Pain 104:303–322PubMedCrossRefGoogle Scholar
  21. 21.
    Freeman MD, Croft AC, Rossignol AM (1998) Whiplash associated disorders: refining whiplash and its management. The Quebec Task Force. Spine 23:1043–1049PubMedCrossRefGoogle Scholar
  22. 22.
    Stovner LJ (1996) The nosologic status of the whiplash syndrome: a critical review based on a methodological approach. Spine 21:2735–2746PubMedCrossRefGoogle Scholar
  23. 23.
    Jansen GB, Edlund C, Grane P, Hildingsson C, Karlberg M, Link H, Måwe U, Portala K, Rydevik B, Sterner Y, Swedish Society of Medicine; Whiplash Commission Medical Task Force (2008). Whiplash injuries: diagnosis and early management. The Swedish Society of Medicine and the Whiplash Commission Medical Task Force. Eur Spine J 17 (Suppl 3):S355–S417Google Scholar
  24. 24.
    Eck JC, Hodges SD, Humphreys SC (2001) Whiplash: a review of a commonly misunderstood injury. Am J Med 110:651–656PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  1. 1.Department of Physical Medicine and Rehabilitation“Sapienza” UniversityRomeItaly
  2. 2.Physical Medicine and Rehabilitation UnitNomentana HospitalFonte Nuova, RomeItaly

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