Persistent myalgia following whiplash.
نویسنده
چکیده
Persistent myalgia following whiplash is commonly considered the result of poor psychosocial status, illness behavior, or failing coping skills. However, there is much evidence that persistent myalgia may be due to neurophysiologic mechanisms involving peripheral and central sensitization. Myofascial trigger points may play a crucial role in maintaining sensitization. Recent research suggests that the chemical environment of myofascial trigger points is an important factor. Several consequences are reviewed when central pain mechanisms and myofascial trigger points are included in the differential diagnosis and in the management of patients with persistent pain following whiplash.
منابع مشابه
Neck muscle function in individuals with persistent pain and disability after whiplash injury
.................................................................................................... 1 LIST OF PAPERS .......................................................................................... 3 ABBREVIATIONS ......................................................................................... 4 DEFINITIONS .......................................................................
متن کاملPersistent pseudomyopia following a whiplash injury in a previously emmetropic woman
Purpose Accommodative spasm, which manifests as ciliary muscle spasm, convergent strabismus or miosis, is a recognised consequence of head trauma. In whiplash cases, cervical spine hyperextension poses a risk of contra-coup injury and brainstem trauma, and is known to affect the visual system. However, to date, no cases of accommodative spasm due to whiplash injury have been reported. Observa...
متن کاملDevelopment of motor system dysfunction following whiplash injury.
Dysfunction in the motor system is a feature of persistent whiplash associated disorders. Little is known about motor dysfunction in the early stages following injury and of its progress in those persons who recover and those who develop persistent symptoms. This study measured prospectively, motor system function (cervical range of movement (ROM), joint position error (JPE) and activity of the...
متن کاملDerivation of a clinical decision rule for whiplash associated disorders among individuals involved in rear-end collisions.
A prospective study was used to: (1) quantify potential risk factors for whiplash associated disorder following a rear-end motor vehicle collision; and (2) develop a simple clinical decision rule for the early identification of patients at risk for long-term whiplash associated disorder. Between 1 October 1995 and 31 March 1998, 446 adults involved in rear-end collisions presented to the only t...
متن کاملThe relationship between sensory and sympathetic nervous system changes and posttraumatic stress reaction following whiplash injury--a prospective study.
OBJECTIVE To investigate differences in sensory and sympathetic nervous system (SNS) function between whiplash-injured persons with and without a posttraumatic stress reaction (PTSR). To explore associations between sensory, SNS function, and persistent PTSR at 6 months postinjury. METHODS Seventy-six acutely (<1 month) whiplash-injured persons (10 with PTSR persisting to 6 months postinjury,...
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عنوان ژورنال:
- Current pain and headache reports
دوره 9 5 شماره
صفحات -
تاریخ انتشار 2005