An Improved Approach For Whiplash Injury Treatment

Thursday, May 18th, 2017

Why They Did It

Since there was a vacuum in the literature concerning the frequency and efficacy of thoracic manipulation in whiplash cases, the goal of this paper was to determine efficacy of thoracic manipulation in that context.

How They Did It

There were two parts to the study.

1. The first part of the study consisted of:

  • 120 patients having mechanical neck pain were accepted.
  • 120 patient diagnosed with whiplash were accepted.

This hypothesis was tested: Are there any differences in the prevalence of thoracic joint dysfunction for those having been diagnosed with mechanical neck pain and those diagnosed with having whiplash?

2. The second part consisted of:

  • 88 patients from the initial 120.
  • These 88 were divided randomly into 2 groups (Group A and Group B).
  • Group A was the experimental group.
  • Group B was the control group.
  • Group A underwent treatment consisting of thoracic manipulation and physiotherapy techniques. The adjustments occurred at the 5th visit and at the 10th visit.
  • Group B underwent treatment consisting of only physiotherapy techniques.
  • Outcome Assessment included the visual analog scale (VAS).
  • Data was collected before treatment commenced, after the 10th session, and after the 15th session.

What They Found

  • They found that, in the first section of the study, 69% of those diagnosed with whiplash also had thoracic dysfunction.
  • Only 13% of those with mechanical neck pain had associated thoracic dysfunction.
  • For the other part of the paper, the experiment group (chiropractic adjustment group) had a more significant reduction in their VAS score than did the physiotherapy alone group.
  • The results were most noticeable in the intensity of neck pain after the second adjustment and in the back pain after the 1st and 2nd adjustments.
  • Wrap It Up

    Thoracic dysfunction occurs very frequently (roughly 70% of the time) in conjunction with whiplash injury. Chiropractic manipulation combined with exercise and therapy is more beneficial toward the outcome than exercise and therapy alone.

    Fernandez-de-las-Penas C, F.-C.J., Fernandez AP, Lomas-Vega R, Miangolarra-Page JC, Dorsal manipulation in whiplash injury treatment: a randomized controlled trial. J Whip Rel Dis, 2004. 3: p. 55-72.
    https://www.researchgate.net/publication/232050655_Dorsal_Manipulation_in_Whiplash_Injury_TreatmentA_Randomized_Controlled_Trial

    Just another reason to call a chiropractor TODAY!

    Research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, in comparison to the traditional medical model, patients get good or excellent results with Chiropractic. Chiropractic care is safe, more cost-effective, it decreases your chances of having surgery, and it reduces your chances of becoming disabled. We do this conservatively and non-surgically. In addition, we can do it with minimal time requirements and minimal hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward from initial recovery, we can likely keep it that way while raising the general, overall level of health!

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    Till next time……

    The Amarillo Chiropractor Blog is written by Dr. Jeff Williams.
    Amarillo TX Amarillo Pain & Accident Chiropractic Clinic provides customized chiropractic care to the Amarillo TX, Canyon TX, Pampa TX, Happy TX, White Deer TX, Dumas TX, Groom TX, Conway TX, Panhandle TX, Claude TX, Clarendon TX, Borger TX, Tulia TX, Hereford TX, Fritch TX, Bushland TX, and Vega TX communities.

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    by Jeff S. Williams, D.C.
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