Whiplash Associated Disorders: Difference between revisions

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MQTFC (Modified Quebec Task Force Classification)&lt;ref&gt;http://www.ncbi.nlm.nih.gov/pubmed/15040964?ordinalpos=18&amp;itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum&lt;/ref&gt;<br>  
'''MQTFC (Modified Quebec Task Force Classification) '''<ref name="PMID: 15040964 [PubMed - indexed for MEDLINE]">Sterling M., Man Ther. 2004 May;9(2):60-70. A proposed new classification system for whiplash associated disorders--implications for assessment and management.</ref><br>
 
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*local cervical mechanical hyperalgesia<br>
*local cervical mechanical hyperalgesia<br>
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Motor impairment  
Motor impairment  


*decreased ROM
*decreased ROM  
*altered muscle recruitment patterns (CCFT)
*altered muscle recruitment patterns (CCFT)  
*increased JPE
*increased JPE


Sensory Impairment  
Sensory Impairment  


*local cervical mechanical hyperalgesia
*local cervical mechanical hyperalgesia  
*generalised sensory hypersensitivity (mechanical, thermal, ULNT)
*generalised sensory hypersensitivity (mechanical, thermal, ULNT)  
*Some may show SNS disturbances
*Some may show SNS disturbances


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Psychological impairment  
Psychological impairment  


*elevated psychological disstress (GHQ, TAMPA)
*elevated psychological disstress (GHQ, TAMPA)  
*elevated levels of acute posttraumatic stress (IES)<br>
*elevated levels of acute posttraumatic stress (IES)<br>


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== Diagnostic Procedures  ==
== Diagnostic Procedures  ==
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add text here relating to management approaches to the condition<br>  
add text here relating to management approaches to the condition<br>  


== Differential Diagnosis<br> ==
== Differential Diagnosis<br> ==


add text here relating to the differential diagnosis of this condition<br>
add text here relating to the differential diagnosis of this condition<br>  


== Key Evidence  ==
== Key Evidence  ==
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== Resources <br>  ==
== Resources <br>  ==


add appropriate resources here
www.som.uq.edu.au/whiplash
 
Whiplash evidence based informatin resources EBM Ressources (University of Queensland)<br>


== Case Studies  ==
== Case Studies  ==
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References will automatically be added here, see [[Adding References|adding references tutorial]].  
References will automatically be added here, see [[Adding References|adding references tutorial]].  


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Revision as of 23:51, 22 February 2009

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Clinically Relevant Anatomy
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Mechanism of Injury / Pathological Process
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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

  • decreased ROM
  • point tenderness
III

Neck complaint

Musculosceletal signs

Neurological signs including:

  • decreased or absent deep tendon reflexes
  • muscle weakness
  • sensory deficits
IV
Neck complaint and fracture or dislocation



MQTFC (Modified Quebec Task Force Classification) [1]



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

  • decreased ROM
  • altered muscle recruitment patterns (CCFT)

Sensory Impairment

  • local cervical mechanical hyperalgesia
WAD IIB

Neck complaint

Motor impairment

  • decreased ROM
  • altered muscle recruitment patterns (CCFT)

Sensory Impairment

  • local cervical mechanical hyperalgesia

Psychological impairment

  • elevated psychological disstress (GHQ, TAMPA)
WAD IIC
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

Psychological impairment

  • elevated psychological disstress (GHQ, TAMPA)
  • elevated levels of acute posttraumatic stress (IES)
WAD III

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:

  • decrease or absent deep tendon reflexes
  • muscle weakness
  • sensory deficits

Psychological impairment

  • elevated psychological disstress (GHQ, TAMPA)
  • elevated levels of acute posttraumatic stress (IES)
WAD IV
Fracture or dislocation



Diagnostic Procedures[edit | edit source]

add text here relating to diagnostic tests for the condition

Management / Interventions
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add text here relating to management approaches to the condition

Differential Diagnosis
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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
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www.som.uq.edu.au/whiplash

Whiplash evidence based informatin resources EBM Ressources (University of Queensland)

Case Studies[edit | edit source]

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References[edit | edit source]

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  1. Sterling M., Man Ther. 2004 May;9(2):60-70. A proposed new classification system for whiplash associated disorders--implications for assessment and management.