BOOK
E-Book - Whiplash, Headache and Neck Pain
Gwendolen Jull | Michele Sterling | Deborah Falla | Julia Treleaven | Shaun O'Leary
(2008)
Additional Information
Book Details
Abstract
A textbook and practical clinical handbook for all students and practitioners concerned with the evaluation, diagnosis, assessment and management of neck pain and cervical headache particularly in relation to whiplash. It is likely to become essential study for final year physiotherapy and chiropractic students, for all manipulative physiotherapy MSc students and a widely used clinical ref text for all involved in the assessment and management of whiplash and related neck and head pain.
This book presents the applied sciences, clinical assessment methods and rehabilitation protocols for the management of persons with neck pain.
The material presented in this book represents the translation of research into clinical practice and provides a systematic approach to assessment and an evidence base for conservative clinical management strategies for neck pain.
Unique topics in this book include:
• Provides an understanding of the pathophysiological processes in the sensory, motor and sensorimotor systems and how they present in patients with neck pain disorders.
• Presents multimodal approaches to management of neck pain guided by the evidence of presenting dysfunctions
• Presents a comprehensive description of a therapeutic exercise approach based on motor control which has proven efficacy.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Whiplash, Headache, and Neck Pain | iii | ||
| Copyright Page | iv | ||
| Contents | v | ||
| Preface | vii | ||
| Foreword | ix | ||
| Acknowledgments | xi | ||
| Chapter 1. Introduction | 1 | ||
| Structure of the book | 2 | ||
| References | 4 | ||
| Chapter 2. Sensory Manifestations of Neck Pain | 5 | ||
| Introduction | 5 | ||
| Local cervical spine hyperalgesia – a peripheral nociceptive source of pain? | 6 | ||
| Referred pain | 7 | ||
| Generalized sensory hypersensitivity – evidence of augmented central painprocessing mechanisms | 8 | ||
| The development of sensory disturbances following whiplash injury | 10 | ||
| Neuropathic features of neck pain | 12 | ||
| Influence of sensory changes on patient outcome | 13 | ||
| Implications for the assessment of neck pain patients | 13 | ||
| Implications for the management of neck pain | 15 | ||
| Conclusion | 16 | ||
| References | 17 | ||
| Chapter 3. Structure and Function of the Cervical Region | 21 | ||
| Introduction | 21 | ||
| Structure and function of the cervical spine | 21 | ||
| Muscles of the cervical spine | 22 | ||
| Control of cervical spine posture and motion | 24 | ||
| Motion in the transverse and frontal planes | 28 | ||
| Motion and neck pain | 30 | ||
| Neurovascular structures of the cervical spine | 30 | ||
| Relationship between the cervical spine and thorax | 31 | ||
| Relationship between the cervical spine and shoulder girdle | 31 | ||
| Relationship between the cervical spine and temporomandibular region | 34 | ||
| Conclusion | 34 | ||
| References | 35 | ||
| Chapter 4. Alterations in Cervical Muscle Function in Neck Pain | 41 | ||
| Introduction | 41 | ||
| Changes in muscle strength and endurance | 42 | ||
| Alterations in cervical motor control | 42 | ||
| Peripheral adaptations of the cervical muscles | 45 | ||
| Mechanisms underlying neuromuscular adaptations in neck pain | 47 | ||
| Implications for rehabilitation of people with neck pain | 51 | ||
| Conclusion | 54 | ||
| References | 54 | ||
| Chapter 5. The Cervical Spine and Sensorimotor Control | 59 | ||
| Introduction | 59 | ||
| Morphology of cervical mechanoreceptors | 60 | ||
| Central connections | 61 | ||
| Artificial disturbance of cervical somatosensory input | 63 | ||
| Mechanisms underlying disturbances in sensorimotor control | 64 | ||
| Possible causes of altered cervical somatosensory input | 65 | ||
| Conclusion | 68 | ||
| References | 68 | ||
| Chapter 6. Disturbances in Postural Stability, Head and Eye Movement Control in Cervical Disorders | 73 | ||
| Introduction | 73 | ||
| Dizziness | 73 | ||
| Measures of proprioception, eye movement control, and postural stability | 76 | ||
| Management of disturbances in proprioception, eye movement control, and postural stability | 82 | ||
| Conclusion | 83 | ||
| References | 83 | ||
| Chapter 7. Psychological and Psychosocial factors in neck Pain | 87 | ||
| Introduction | 87 | ||
| Psychological factors and chronic neck pain | 88 | ||
| Psychological factors in transition from acute to chronic neck pain | 89 | ||
| The role of acute posttraumatic stress reaction in the whiplash injury | 91 | ||
| Relationships between physical and psychological factors | 92 | ||
| Psychosocial factors in neck pain | 95 | ||
| Implications for assessment and management of neck pain | 96 | ||
| Conclusion | 97 | ||
| References | 97 | ||
| Chapter 8. Whiplash-associated Disorders | 101 | ||
| Introduction | 101 | ||
| The whiplash condition | 102 | ||
| Classification of whiplash injury | 103 | ||
| Physical and psychological characteristics of whiplashassociated disorders | 104 | ||
| The prediction of outcome following whiplash injury | 109 | ||
| Implications for assessment of whiplash | 109 | ||
| Implications for management | 110 | ||
| Conclusion | 112 | ||
| References | 112 | ||
| Chapter 9. Cervicogenic Headache: Differential Diagnosis | 117 | ||
| Introduction | 117 | ||
| The clinical diagnosis of cervicogenic headache | 118 | ||
| The physical examination in differential diagnosis | 122 | ||
| Conclusion | 126 | ||
| References | 127 | ||
| Chapter 10. Differential Diagnosis of Cervicobrachial Pain | 131 | ||
| Introduction | 131 | ||
| Mechanisms underlying cervicobrachial pain | 132 | ||
| Conservative management of cervicobrachial pain | 140 | ||
| Conclusion | 141 | ||
| References | 142 | ||
| Chapter 11. Clinical Assessment: The Patient Interview and History | 145 | ||
| Introduction | 145 | ||
| “Red flags” | 146 | ||
| Questionnaires: outcomes and diagnostic indicators | 146 | ||
| Communication | 148 | ||
| History of the disorder | 148 | ||
| Presenting symptoms | 149 | ||
| Behavior of symptoms | 150 | ||
| General medical features | 152 | ||
| Clinical reasoning at the conclusion of the patient interview | 152 | ||
| References | 152 | ||
| Chapter 12. Clinical Assessment: Physical Examination of the Cervical Region | 155 | ||
| Introduction | 155 | ||
| The examination in standing | 156 | ||
| The examination in sitting | 159 | ||
| The examination in supine lying | 165 | ||
| The examination in prone lying | 169 | ||
| Continuation of the examination in supine lying | 171 | ||
| The examination in four-point kneeling | 175 | ||
| Assessment of disturbances in sensorimotor control | 177 | ||
| Examination of work tasks | 182 | ||
| Conclusion | 183 | ||
| References | 183 | ||
| Chapter 13. Principles of Management of Cervical Disorders | 189 | ||
| Introduction | 189 | ||
| The patient | 190 | ||
| Management of pain | 191 | ||
| Management of the articular system | 193 | ||
| Management of the neural system | 197 | ||
| Management of the muscle system | 198 | ||
| Management of disturbances in sensorimotor control | 199 | ||
| Work and lifestyle practices | 199 | ||
| Self-management strategies | 201 | ||
| Outcome evaluation | 202 | ||
| References | 203 | ||
| Chapter 14. Therapeutic Exercise for Cervical Disorders: Practice Pointers | 207 | ||
| Introduction | 207 | ||
| Muscle system | 208 | ||
| Phase 1 | 208 | ||
| Summary | 218 | ||
| Phase 2 | 219 | ||
| Phase 3 | 222 | ||
| General remarks | 227 | ||
| References | 228 | ||
| Chapter 15. Future Directions | 231 | ||
| Identification of responders and nonresponders to physical therapies | 232 | ||
| Physiological effects of interventions | 233 | ||
| Intervention techniques | 234 | ||
| Multidisciplinary management | 235 | ||
| Cost-effectiveness | 236 | ||
| Conclusion | 236 | ||
| References | 236 | ||
| Index | 239 |