편타성 손상 = Whiplash Injury

다국어 초록 (Multilingual Abstract)

Study Design: Review of the literature.
Objectives: To present an overview of current research on whiplash injury.
Summary of Literature Review: There are controversies over the definition, symptoms, and treatment of whiplash injury.
Materials and Methods: Review of the relevant literature.
Results: Symptoms of whiplash injury caused by an acceleration-deceleration force may present as widespread pain involving the neck or trapezius muscles, the interscapular area, the shoulders and arms, or as suboccipital headaches. Accompanying symptoms may include neurologic symptoms such as sensory dysfunction, motor weakness, or deep tendon reflex loss; non-specific symptoms such as dysphagia, dizziness, visual disturbances, tinnitus, deafness, memory loss, or temporo-mandibular joint disorders; and psychological symptoms such as depression, acute stress syndrome, or fear avoidance. The most important factor that facilitates spontaneous resolution of whiplash injury, which is a self-limiting disorder, has been shown to be prevention of the acute-to-chronic pain transition. Yet in spite of this knowledge the efficacy of several treatment methods for whiplash injury remains controversial.
Conclusions: The appropriateness of treatment for whiplash injury should be evaluated on the basis of up to date academic research on its diagnosis and natural history.

국문 초록 (Abstract)

연구 계획: 문헌 고찰.
목적: 편타성 손상에 대한 최신 지견의 소개.
선행 문헌의 요약: 편타성 손상의 정의, 증상, 치료에 대하여 논란의 여지가 있었다.
대상 및 방법: 관련된 문헌의 고찰.
결과: 편타성 손상은 경추부에 가속-감속 기전에 의하여 충격이 가해지면서 골 또는 연부조직에 손상이 발생하여 경부 근육, 승모근, 견갑골 사이의 등, 어깨와 팔의 통증, 후두하 두통이 나타난다. 감각 기능 이상, 근력 저하, 심부건 반사 소실 등의 신경학적 징후와 현훈, 기억소실, 연하곤란, 시각 장애, 이명, 청력상실, 측두-하악 관절장애의 비특이적 증상, 우울증, 급성 스트레스 장애, 공포 회피증 등의 정신과적 증상을 동반할 수 있다. 편타성 손상은 자연 치유된다고알려져 있고, 만성 통증으로의 진행을 막기 위해 다양한 치료방법이 사용되나, 치료 효과에 대해서는 연구자마다 다른 결과를 보고하고 있다.
결론: 편타성 손상의 진단 및 자연경과에 대한 학문적 진보에 따라 이에 적합한 치료가 필요할 것이다.

참고문헌 (Reference)

1 Bannister G, 91 : 845-850, 2009

2 김광해, "편타성 외상의 임상적 고찰" 대한정형외과학회 16 : 277-282, 1981

3 Benoist M, "Whiplash: myth or reality?" 69 : 358-362, 2002

4 Barnsley L, "Whiplash injury" 58 : 283-307, 1994

5 Hurwitz EL, "Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders" 33 : 123-152, 2008

6 Nansel D, "Time course considerations for the effects of unilateral lower cervical adjustments with respect to the amelioration of cervical lateral-flexion passive end-range asymmetry" 13 : 297-304, 1990

7 Norris SH, "The prognosis of neck injuries resulting from rear-end vehicle collisions" 65 : 608-611, 1983

8 Barnsley L, "The prevalence of chronic cervical zygapophysial joint pain after whiplash" 20 : 20-25, 1995

9 McKenzie JA, "The dynamic behaviour of the head and cervical spine during ‘whiplash’" 4 : 477-490, 1971

10 Siegmund GP, "The anatomy and biomechanics of acute and chronic whiplash injury" 10 : 101-112, 2009

11 Gorski JM, "Shoulder impingement presenting as neck pain" 85-A : 635-638, 2003

12 Spitzer WO, "Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining “whiplash” and its management" 20 : 1-73, 1995

13 Luan F, "Qualitative analysis of neck kinematics during low-speed rear-end impact" 15 : 649-657, 2000

14 Kaneoka K, "Motion analysis of cervical vertebrae during whiplash loading" 24 : 763-769, 1999

15 Stemper BD, "Localized cervical facet joint kinematics under physiological and whiplash loading" 3 : 471-476, 2005

16 Sutton DA, "Is multimodal care effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration" 2014

17 Chauhan SK, "Impingement syndrome associated with whiplash injury" 85 : 408-410, 2003

18 Seroussi R, "Chronic whiplash pain" 26 : 359-373, 2015

19 Schofferman J, "Chronic whiplash and whiplash-associated disorders: an evidence-based approach" 15 : 596-606, 2007

20 Lord SM, "Chronic cervical zygapophysial joint pain after whiplash. A placebo-controlled prevalence study" 21 : 1737-1744, 1996

21 Dwyer A, "Cervical zygapophyseal joint pain patterns. I: A study in normal volunteers" 15 : 453-457, 1990

22 Ito S, "Cervical intervertebral disc injury during simulated frontal impact" 14 : 356-365, 2005

23 Ames EL, "Carpal tunnel syndrome and motor vehicle accidents" 96 : 223-226, 1996

24 Lee KE, "Capsular ligament involvement in the development of mechanical hyperalgesia after facet joint loading: behavioral and inflammatory outcomes in a rodent model of pain" 25 : 1383-1393, 2008

25 Wong JJ, "Are non-steroidal antiinflammatory drugs effective for the management of neck pain and associated disorders, whiplash-associated disorders, or non-specific low back pain? A systematic review of systematic reviews by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration" 25 : 34-61, 2015