WAD Whiplash Associated Disorders: El Paso Back Clinic

Whiplash-associated disorders, kana WAD, tsanangura kukuvara kwakasimudzwa kubva kamwe kamwe kukurumidza kukurumidza/kudzikisa mafambiro. Izvi zvinowanzoitika mushure mekudhumhana kwemotokari asi zvinogonawo kukonzerwa nekukuvara kwemitambo, kudonha, kana kurohwa. Whiplash inoreva nzira yekukuvara, nepo WAD inoreva kuvapo kwezviratidzo sekurwadziwa, kuoma, kuputika kwemhasuru, uye misoro. A WAD prognosis haifungidzirike, uye dzimwe nyaya dzinoramba dzakaoma nekupora kwakazara, asi vamwe vanofambira mberi kune zvirwere zvisingaperi nezviratidzo zvenguva refu nekuremara. Mazano ekutanga ekupindira anosanganisira kuzorora, chiropractic kuchengetedza uye kugadzirisa muviri, massaging uye kutambanudza maitiro, uye anti-inflammatory diet.

Whiplash Associated Matambudziko

Kukuvara kweCervical hyperextension kunoitika kune vatyairi nevafambi vanofamba, vanononoka-kufamba (pasi pemakiromita gumi nemana paawa), uye mota dzakamira kana dzarohwa kubva kumashure.

• Muviri wemunhu unokandwa kumberi, asi musoro hauteveri muviri uye panzvimbo pacho unorovera mberi, zvichikonzera hyperflexion kana kunyanyisa mberi kwekufamba kwemutsipa.
• Chirebvu chinoganhura kuchinjika kumberi, asi kumhanya kunogona kukwana kukonzera kuvhiringidzwa kwekervical uye kukuvara kwetsinga.
• Kana musoro nemutsipa zvasvika pakurembera kwepamusoro, mutsipa unodzokera kumashure, zvichikonzera hyperextension kana kunyanyisa kumashure kwekufamba kwemutsipa.

Pathology

MaWAD mazhinji anoonekwa seakapfava maronda-akavakirwa kukuvara asina mafractures.

Nhanho

Kukuvara kunopinda nematanho:

Stage 1

• Iyo yekumusoro neyezasi musana inosangana nekuchinjika mudanho rekutanga.

Stage 2

• Muzongoza unotora S-chimiro uchirebesa uye pakupedzisira utwasanuka, zvichikonzera lordosis.

Stage 3

• Muzongoza wese uri hyperextending nesimba rakasimba rinokonzera kuti facet joint capsules inomesa.

zviratidzo

Whiplash-associated disorders inogona kukamurwa kuburikidza nemakiredhi nekuoma kwezviratidzo, kusanganisira kurwadziwa kwemutsipa, kuoma, musoro we occipital, cervical, thoracic, uye lumbar musana, kurwadziwa kwepamusoro-makumbo, uye paraesthesia.

Bhuku 0

• Hapana zvichemo kana zviratidzo zvemuviri.

Bhuku 1

• Neck zvichemo asi hapana zviratidzo zvemuviri.

Bhuku 2

• Zvichemo zvemutsipa uye zviratidzo zvemusculoskeletal.

Bhuku 3

• Zvichemo zvemutsipa uye zviratidzo zvetsinga.

Bhuku 4

• Zvichemo zvemutsipa uye kuputsika uye / kana kubviswa.
• Zvizhinji zvekuputsika kwekervical kunoitika zvakanyanya paC2 kana C6, kana C7.
• Most kukuvara kunouraya cervical spine kuitika ku craniocervical junction C1 kana C2.

Yakakanganiswa Spinal Structures

Zvimwe zviratidzo zvinofungidzirwa kuti zvinokonzerwa nekukuvara kune zvinotevera zvimiro:

• Cervical Spine
• Midzi midzi
• Spinal ligaments
• Facet Joint Capsule
• Facet joints
• Intervertebral discs
• Cartilage
• Paraspinal tsandanyama kukonzera spasms

Zvikonzero zvekurwadziwa zvinogona kubva kune chero yeaya matissue, ane kuomarara kwekukuvara kunokonzera yechipiri edema, kubuda ropa, uye kuzvimba.

Joints

• Zygapophyseal joints
• Atlanto-axial joint
• Atlanto-occipital joint
• Intervertebral discs
• Cartilaginous endplates

Adjacent Joints

• Temporomandibular joint
• Mafudzi akaoma
• Thoracic musana
• Ribs

Musana Misungo

Ligamende

• Alar ligament
• Anterior atlanto-axial ligament
• Anterior atlanto-occipital ligament
• Apical ligament
• Anterior refuitudinal ligament
• Transverse ligament yeatlas

mapfupa

• atirasi
• akabatana
• Vertebrae C3-C7

Nervous Systems Structures

• Midzi midzi
• Musana
• pfungwa
• Tsitsi dzetsitsi

Vascular System Structures

• Mukati carotid artery
• Vertebral tsinga

Peripheral Vestibular System

Chiropractic Care

A chiropractor achaziva nzvimbo dzekuvharirwa majoint motion, muscle tension, muscle spasm, intervertebral disc kukuvara, uye ligament kukuvara.

• Vachaongorora kumira, uye kurongeka kwemusana, tarisa kupfava, kusimba, uye kuti majoini emusana anofamba sei.
• Izvi zvinobvumira chiropractic physical therapy timu kuti inzwisise yakakuvara muviri mechanics uye kuti musana uri kushanda sei kuti unyatso ongorora.
• Chiremba acharaira miedzo yekufungidzira se-x-ray kana MRI kuti aongorore chero shanduko inopera iyo inogona kunge yakambovapo kusati kwaitwa whiplash.
• Kana kukuvara kwave kwanyatsoongororwa, chiropractor ichagadzira chirongwa chemunhu wega.

Spinal Kugadziriswa

• Spinal manipulation inoiswa kune nzvimbo dzemuzongoza dzisina kurongeka kuti dzigadzirise musana uye kumisa maitiro ekuporesa.
• Flexion-kukanganisa nzira inzira yakapfava inoshandisa kunonoka, kushoma kwakanyanyisa kusundira mafambiro pama discs anoshandiswa kurapa disc herniations inowanzoitika mushure mekukuvara kwe whiplash.
• Chiridzwa-chakabatsirwa kunyengera inoshandisa midziyo yakakosha kushandisa masimba akasiyana-siyana kana masaja marongero kunzvimbo.
• Targeted spinal manipulation inotarisa nzvimbo dzakanangana dzekugadzirisa, kusunungura, uye kuvaka patsva zvivakwa.
• Massage Therapy inomutsa tsandanyama dzakabatwa kuti dzisununguke kubva mukushushikana kwavo.
• Chirongwa chekurapa chinogona kushandiswa:
• Instrument-assisted therapy
• Trigger point kurapwa
• Resistance-based stretches kugadzirisa kukuvara kwenyama yakapfava.

Chikwata chedu chechiropractic chakagadzirira kukubatsira kuti unzwe nepaunogona napo kuitira kuti udzoke kune zvakajairika zviitiko uye kuenderera mberi nehupenyu hwako.

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Kukuvara Kwemotokari uye Chiropractic

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References

Pastakia, Khushnum, uye Saravana Kumar. "Acute whiplash yakabatana kusagadzikana (WAD)." Vhura mushonga wekurumidzira kuwana: OAEM vol. 3 29-32. 27 Kubvumbi 2011, doi:10.2147/OAEM.S17853

Ritchie, C., Ehrlich, C. & Sterling, M. Kurarama nezvinetso zvinoramba zvichiitwa ne whiplash: chidzidzo chehutano hwemaonero ega uye zvakaitika. BMC Musculoskelet Disord 18, 531 (2017). doi.org/10.1186/s12891-017-1882-9

www.sciencedirect.com/topics/medicine-and-dentistry/whiplash-associated-disorder

Sterling, Michele. "Whiplash-inosanganiswa nechirwere: kurwadziwa kwemusculoskeletal uye kunoenderana nekliniki kuwanikwa." The Journal of manual & manipulative therapy vol. 19,4 (2011): 194-200. doi:10.1179/106698111X13129729551949

Wong, Jessica J nevamwe. "Mabhuku ekurapa, maitiro ekuita muviri, kana acupuncture anoshanda kune manejimendi evarwere vane whiplash-associated disorder kana kurwadziwa kwemutsipa uye kusagadzikana kwakabatana? Kugadziridzwa kweBone uye Joint Decade Task Force paNeck Pain uye Associated Disorders nekubatana kweOPTIMa. " The spine magazine: official Journal yeNorth American Spine Society vol. 16,12 (2016): 1598-1630. doi:10.1016/j.spinee.2015.08.024

Woodward, MN et al. "Chiropractic kurapwa kwekukuvara kwenguva refu 'whiplash'." Kukuvara vol. 27,9 (1996): 643-5. doi:10.1016/s0020-1383(96)00096-4