Cervical Strain/Whiplash Associated Disorder (WAD) Management.
The internationally recognized definition of whiplash injury according to the Quebec Task Force (QTF) on whiplash associated disorders (WAD), is an acceleration deceleration mechanism of energy transfer to the neck may result from rear-end or side-impact motor vehicle collisions, but can also occur during driving or other mishaps.
In the United Kingdom, 3 in 1,000 individuals will sustain a true whiplash injury per year. There is also an increase in patients seeking healthcare for WAD in the last 30 years as greater than 3/1000 individuals in North America and Western Europe have sought care for whiplash injuries resulting from MVA.
Interval training on recumbent bike, upper extremity ergometer warm-up. Cervical eccentrics in
sitting with sustained holds through range; prone unsupported static trunk/scapular stabilization added with cervical alignment emphasized. Neurodevelopment sequence for exercise progression as outlined by Morgan22 and Commeford and Mottram23 were followed. Full lower extremity gym program resumed.
Supine cervical flexion without compensatory motions, end range perturbation added. Maintenance (1) visit with STM, modality of heat or ice prn and supervision core routine for technique corrections. Noted initiation of superficial muscles prior to deep cervical muscle recruitment with maximal contractions. Requires continued training for safe progression without exacerbation. Continued gym program with limitations, golf putting for 20 minutes, 30 minutes (alternate days). Restored: Full muscular strength (5/5) all motions.
Gym and core routine without limitations. Assessment cervical recruitment-good. Chipping 20 minutes plus putts 15 minutes every other day. Approved custom pillow for travel. All PT goals met, released by MD. Per athlete request, continued maintenance, 1x per week, for enhancement of performance with fitness/ wellness visits and direction with progression of exercise program.
Sport Exerc Med Open J. 2018; 4(2): 52-56. doi: 10.17140/SEMOJ-4-160