Practical management of whiplash: A guide for patients
This handout for your whiplash patients provides safe and sensible exercises and information to help them manage their injury.
Despite the new evidence about the mechanics of whiplash and the overriding social and legal implications of whiplash, physicians still are called upon to offer practical self-help advice to their patients on what they can or cannot do. The consensus on whiplash management is currently settling upon a combination of therapeutic approaches, which include patient information, reassurance, and mobilization or activation through neck-specific exercises. This approach has not been scientifically validated, but is a synthesis of the best current evidence. The following hand-out approach was first authored by the Physical Medicine Research Foundation in its work on the BC Whiplash Initiative, under the name Neck Talk, and is based on the works in this edition of the BC Medical Journal as well as previous review publications that developed from the World Congress on Whiplash, Vancouver 1999, which also included works from the Quebec Task Force.
Please photocopy and freely distribute the following pages to patients (unlimited noncommercial photocopying permitted).
During the years about 1996 to 1999 Dr Allen received honoraria, fees for speaking, fees for organizing education, and reimbursement from the Physical Medicine Research Foundation (PMRF) for matters related to the British Columbia Whiplash Initiative. PMRF was funded by a research grant from the Insurance Corporation of BC (ICBC). Dr Allen is no longer involved with PMRF or ICBC.
Practical management of whiplash - Patient handout - PDF format [requires Adobe Acrobat]
This article has been peer reviewed.
1. BC Whiplash Initiative. Whiplash-Associated Disorders, A Comprehensive Syllabus. Vancouver, BC: Physical Medicine Research Foundation, 1997. www.health-sciences.ubc.ca/whiplash.bc/home.html (January 1998; retrieved 17 April 2002).
2. Allen M(ed). Whiplash associated disorders. J Musculoskeletal Pain 2000;8:1-200.
Murray Allen, MD
Dr Allen is a senior fellow in Health Policy with The Fraser Institute in Vancouver. He was an associate professor of kinesiology at Simon Fraser University where he researched and published in the area of injury dynamics, including the dynamics of whiplash, and lectured internationally on this topic. He also ran a private consulting clinical practice on injury management and rehabilitation, and conducted independent examinations for injury assessment. He chaired the Physical Medicine Research Foundation 1998 Banff International Symposium entitled Musculoskeletal Pain Emanating from the Head and Neck, and edited the published proceedings. He co-chaired the BC Whiplash Initiative and was principal content author for its syllabi. Dr Allen was co-chair of the Traffic Safety and Engineering section of the World Congress on Whiplash 1999 in Vancouver, and senior editor for the Congress publication on diagnosis and treatment of whiplash-associated disorders. He currently practises out of Caulfeild in West Vancouver, BC.
Murray Allen, MD. Practical management of whiplash: A guide for patients. BCMJ, Vol. 44, No. 6, July, August, 2002, Page(s) 317-321 - Clinical Articles.
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