Whiplash Associated Disorders: Difference between revisions
Rachael Lowe (talk | contribs) (New page: {{subst:condition}}) |
No edit summary |
||
Line 24: | Line 24: | ||
== Clinical Presentation == | == Clinical Presentation == | ||
<br> | |||
QTFC (Quebec Task Force Classification)<br> | |||
<br> | |||
{| cellspacing="1" cellpadding="1" border="1" style="width: 417px; height: 500px;" | |||
|- | |||
| '''QTFC Grade'''<br> | |||
| '''Clinical presentation'''<br> | |||
|- | |||
| 0'''<br>''' | |||
| | |||
No complaint about neck pain | |||
No physical signs<br> | |||
|- | |||
| I<br> | |||
| | |||
Nec complaints of pain, stiffness or tenderness only | |||
No physical signs<br> | |||
|- | |||
| II<br> | |||
| | |||
Neck complaint | |||
Musculoskeletal signs including<br> | |||
*decreased ROM<br> | |||
*point tenderness<br> | |||
|- | |||
| <span style="font-weight: bold;">III</span><br> | |||
| | |||
Neck complaint | |||
Musculosceletal signs | |||
Neurological signs including: | |||
*decreased or absent deep tendon reflexes | |||
*muscle weakness | |||
*sensory deficits | |||
|- | |||
| IV<br> | |||
| Neck complaint and fracture or dislocation<br> | |||
|} | |||
<br> | |||
<br> | |||
MQTFC (Modified Quebec Task Force Classification)<ref>http://www.ncbi.nlm.nih.gov/pubmed/15040964?ordinalpos=18&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum</ref><br> | |||
<br> | |||
{| cellspacing="1" cellpadding="1" border="1" align="center" style="width: 596px; height: 1318px;" | |||
|- | |||
| | |||
Proposed<br> | |||
classificaiton grade | |||
| Physical and psychological impairments present<br> | |||
|- | |||
| WAD 0<br> | |||
| | |||
No complaints about neck pain | |||
No physical signs<br> | |||
|- | |||
| WAD I<br> | |||
| | |||
'''Neck complaings of pain, stiffness or tenderness only''' | |||
No physical signs<br> | |||
|- | |||
| WAD IIA<br> | |||
| | |||
Neck complaint | |||
'''Motor impairment'''<br> | |||
*decreased ROM<br> | |||
*altered muscle recruitment patterns (CCFT)<br> | |||
'''Sensory Impairment''' | |||
*local cervical mechanical hyperalgesia<br> | |||
<br> | |||
|- | |||
| WAD IIB<br> | |||
| | |||
Neck complaint | |||
Motor impairment | |||
*decreased ROM | |||
*altered muscle recruitment patterns (CCFT) | |||
Sensory Impairment<br> | |||
*local cervical mechanical hyperalgesia<br> | |||
'''Psychological impairmen'''t | |||
*elevated psychological disstress (GHQ, TAMPA)<br> | |||
|- | |||
| WAD IIC<br> | |||
| Neck complaint | |||
Motor impairment | |||
*decreased ROM | |||
*altered muscle recruitment patterns (CCFT) | |||
*'''increased JPE'''<br> | |||
Sensory Impairment | |||
*local cervical mechanical hyperalgesia | |||
*'''generalised sensory hypersensitivity (mechanical, thermal, ULNT)<br>''' | |||
*'''Some may show SNS disturbances'''<br> | |||
Psychological impairment | |||
*elevated psychological disstress (GHQ, TAMPA)<br> | |||
*'''elevated levels of acute posttraumatic stress (IES)'''<br> | |||
|- | |||
| WAD III<br> | |||
| | |||
Neck complaint | |||
Motor impairment | |||
*decreased ROM | |||
*altered muscle recruitment patterns (CCFT) | |||
*increased JPE | |||
Sensory Impairment | |||
*local cervical mechanical hyperalgesia | |||
*generalised sensory hypersensitivity (mechanical, thermal, ULNT) | |||
*Some may show SNS disturbances | |||
'''Neurological signs of conduction loss including:'''<br> | |||
*decrease or absent deep tendon reflexes<br> | |||
*muscle weakness<br> | |||
*sensory deficits<br> | |||
Psychological impairment | |||
*elevated psychological disstress (GHQ, TAMPA) | |||
*elevated levels of acute posttraumatic stress (IES)<br> | |||
|- | |||
| WAD IV<br> | |||
| '''Fracture or dislocation'''<br> | |||
|} | |||
<br> | |||
<br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == |
Revision as of 23:36, 22 February 2009
Be the first to edit this page, see the editing pages tutorial
Expert Opinion[edit | edit source]
Link to Expert |
---|
If you would like to be the expert on this page, please contact us. |
Clinically Relevant Anatomy
[edit | edit source]
add text here relating to clinically relevant anatomy of the condition
Mechanism of Injury / Pathological Process
[edit | edit source]
add text here relating to the mechanism of injury and/or pathology of the condition
Clinical Presentation[edit | edit source]
QTFC (Quebec Task Force Classification)
QTFC Grade |
Clinical presentation |
0 |
No complaint about neck pain No physical signs |
I |
Nec complaints of pain, stiffness or tenderness only No physical signs |
II |
Neck complaint Musculoskeletal signs including
|
III |
Neck complaint Musculosceletal signs Neurological signs including:
|
IV |
Neck complaint and fracture or dislocation |
MQTFC (Modified Quebec Task Force Classification)<ref>http://www.ncbi.nlm.nih.gov/pubmed/15040964?ordinalpos=18&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum</ref>
Proposed classificaiton grade |
Physical and psychological impairments present |
WAD 0 |
No complaints about neck pain No physical signs |
WAD I |
Neck complaings of pain, stiffness or tenderness only No physical signs |
WAD IIA |
Neck complaint Motor impairment
Sensory Impairment
|
WAD IIB |
Neck complaint Motor impairment
Sensory Impairment
Psychological impairment
|
WAD IIC |
Neck complaint
Motor impairment
Sensory Impairment
Psychological impairment
|
WAD III |
Neck complaint Motor impairment
Sensory Impairment
Neurological signs of conduction loss including:
Psychological impairment
|
WAD IV |
Fracture or dislocation |
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Management / Interventions
[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis
[edit | edit source]
add text here relating to the differential diagnosis of this condition
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources
[edit | edit source]
add appropriate resources here
Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
References[edit | edit source]
References will automatically be added here, see adding references tutorial.