Beschleunigungstrauma der HWS – ein Update

Christoph Dehner; Michael Kramer

doi:10.1055/s-0043-116686

manuelletherapie, Table of Contents

manuelletherapie 2017; 21(04): 155-160
DOI: 10.1055/s-0043-116686

Schwerpunkt Beschleunigungstrauma

Einführung

Georg Thieme Verlag KG Stuttgart · New York

Beschleunigungstrauma der HWS – ein Update

Christoph Dehner

,

Michael Kramer

Abstract

Zusammenfassung

Das Beschleunigungstrauma der Halswirbelsäule nach Unfällen ist kontrovers diskutiert. Sind die oft chronischen Schmerzverläufe posttraumatisch allein biomedizinisch zu erklären oder spielen psychosoziale Faktoren eine dominante Rolle? Christoph Dehner und Michael Kramer geben einen Überblick zu Verletzungsmechanismen, Diagnostik und Therapieoptionen einer umstrittenen Verletzung.

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References

Literatur
1 Ayasse H. Das Schleudertrauma der Halswirbelsäule aus der Sicht der Schadenssachbearbeitung. Zeitschrift für Versicherungsrecht, Haftungs- und Schadensrecht 1992; 28: 185-202
2 Becke M, Castro WHM. Zur Belastung von Fahrzeuginsassen bei leichten Seitkollisionen. Teil II. Verkehrsunfall und Fahrzeugtechnik 2000; 12: 225-8
3 Blouin JS, Descarreaux M, Belanger-Gravel A. et al. Attenuation of human neck muscle activity following repeated imposed trunk-forward linear acceleration. Exp Brain Res 2003; 150: 458-64
4 Bogduk N, Aprill C. On the nature of neck pain, discography and cervical zygapophysial joint blocks. Pain 1993; 54: 213-7
5 Bogduk N. The anatomical basis for spinal pain syndromes. J Manipulative Physiol Ther 1995; 18: 603-5
6 Borchgrevink GE, Smevik O, Nordby A. et al. MR imaging and radiography of patients with cervical hyperextension-flexion injuries after car accidents. Acta Radiol 1995; 36: 425-8
7 Brzycki M. Strengthening the neck: Reducing risk of cervical injury. Athletic Journal 1985; 23: 40-8
8 Castro WH, Schilgen M, Meyer S. et al. Do «whiplash injuries» occur in low-speed rear impacts?. Eur Spine J 1997; 6: 366
9 Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine 2005; 30 (01) E1-7
10 Cote P, Hogg-Johnson S, Cassidy JD. et al. The association between neck pain intensity, physical functioning, depressive symptomatology and time-to-claim-closure after whiplash. J Clin Epidemiol 2001; 54: 275-86
11 Dehner C, Hartwig E, Strobel P. et al. Comparison of the Relative Benefits of 2 Versus 10 Days of Soft Collar Cervical Immobilization After Acute Whiplash Injury. Arch Phys Med Rehabi 2006; 87: 1423-7
12 Dehner C, Heym B, Maier D. et al. Postural Control Deficit in Acute QTF II° Whiplash Injuries. Gait & Posture 2008; 28: 113-119
13 Dehner C, Elbel M, Strobel P. et al. Grade II whiplash injuries to the neck: what is the benefit for patients treated by different physical therapy modalities?. Patient Safety in Surgery 2009; 3 (02) 1-8
14 Elbel M, Kramer M, Huber-Lang M. et al. Deceleration during ‘real life’ motor vehicle collisions – a sensitive predictor for the risk of sustaining a cervical spine injury?. Patient Safety in Surgery 2009; 3 (05) 1-8
15 El-Kahky AM, Kingma H, Dolmans M. et al. Balance control near the limit of stability in various sensory conditions in healthy subjects and patients suffering from vertigo or balance disorders: impact of sensory input on balance control. Acta Otolaryngol Suppl 2000; 120: 508-516
16 Erdmann H. Schleuderverletzung der Halswirbelsäule. Stuttgart: Hippokrates Verlag; 1973
17 Ferrari R, Russell AS. Epidemiology of whiplash: an international dilemma. Ann Rheum Dis 1999; 58: 1-5
18 Ferrari R. The biopsychosocial model--a tool for rheumatologists. Baillieres Best Pract Res. Clin Rheumatol 2000; 14: 787-95
19 Ferrari R, Russell AS, Richter M. [Epidemiology of whiplash injuries: an international dilemma]. Orthopade 2001; 30: 551-8
20 Freeman MD, Croft AC, Rossignol AM. «Whiplash associated disorders: redefining whiplash and its management» by the Quebec Task Force. A critical evaluation. Spine 1998; 23: 1043-9
21 Freeman MD, Croft AC, Rossignol AM. et al. A review and methodologic critique of the literature refuting whiplash syndrome. Spine 1999; 24: 86-96
22 Gimse R, Bjorgen IA, Tjell C. et al. Reduced cognitive functions in a group of whiplash patients with demonstrated disturbances in the posture control system. J Clin Exp Neuropsychol 1997; 19: 838-849
23 Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine 1986; 11: 521-4
24 Hartling L, Brison RJ, Ardern C. et al. Prognostic value of the Quebec Classification of Whiplash-Associated Disorders. Spine 2001; 26: 36-41
25 Hill B. Exercises reduce neck injuries. The Physican and Sportsmedicine 1975; 3 (01) 113-15
26 Highland TR, Dreisinger TE, Vie LL. et al. Changes in isometric strength and range of motion of the isolated cervical spine after eight weeks of clinical rehabilitation. Spine 1992; 17 (Suppl. 06) 77-82
27 Jordan A, Bendix T, Nielsen H. et al. Intensive training, physiotherapy, or manipulation for patients with chronic neck pain. A prospective, single-blinded, randomized clinical trial. Spine 1998; 23: 311-8
28 Kaneoka K, Ono K, Inami S. et al. Motion analysis of cervical vertebrae during whiplash loading. Spine 1999; 24: 763-9
29 Kelders WP, Kleinrensink GJ, van der Geest JN. et al. The cervico-ocular reflex is increased in whiplash injury patients. J Neurotrauma 2005; 22: 133-137
30 Kramer M. Kinesiologisches Fine-Wire EMG des M. Semispinalis Capitis zur Darstellung muskulärer Dysfunktionen nach HWS-Beschleunigungsverletzungen II°. Habilitationsschrift Universität Ulm; 2004
31 Kramer M, Hohl K, Bockholt U. et al. Training effects of combined resistance and proprioceptive neck muscle exercising. J Back Musculo Rehab 2013; 26: 189-197
32 Kristjansson E, Hardardottir L, Asmundardottir M. et al. A new clinical test for cervicocephalic kinesthetic sensibility: ”The Fly”. Arch Phys Med Rehabil 2004; 85: 490-495
33 Kogler A, Lindfors J, Odkvist LM. et al. Postural stability using different neck positions in normal subjects and patients with neck trauma. Acta Otolaryngol 2000; 120: 151-155
34 Kortschot HW, Oosterveld WJ. Otoneurologic disorders after cervical whiplash trauma. Orthopade 1994; 23: 275-277
35 Kumar S, Narayan Y, Amell T. Analysis of low velocity frontal impacts. Clin Biomech (Bristol, Avon) 2003; 18: 694-703
36 Lord SM, Barnsley L, Bogduk N. Percutaneous radiofrequency neurotomy in the treatment of cervical zygapophysial joint pain: a caution. Neurosurgery 1995; 36: 732-9
37 Lord SM, Barnsley L, Wallis BJ. et al. Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain [see comments]. N Engl J Med 1996; 335: 1721-6
38 Loudon JK, Ruhl M, Field E. Ability to reproduce head position after whiplash injury. Spine 1997; 22: 865-868
39 Lund JP, Donga R, Widmer CG. et al. The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol 1991; 69: 683-94
40 Madeleine P, Prietzel H, Svarrer H. et al. Quantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury. Arch Phys Med Rehabi 2004; 85: 432-438
41 Mc Closkey DI. Differences between the senses of movement and position shown by the effects of loading and vibration of muscles in man. Brain Res 1973; 61: 119-131
42 Mühlbauer M, Eichberger A, Geigl B. et al. Analysis of kinematics and acceleration behavior of the head and neck in experimental rear-impact collisions. Neuro-Orthopedics 1999; 25: 1-17
43 Münker H, Langwieder K, Chen E. et al. HWS-Beschleunigungsverletzungen – eine Analyse von 15 000 Pkw – Pkw – Kollisionen. Versicherungsmedizin 1995; 47: 26-32
44 Nidecker A, Pernus B, Hayek J. et al. [«Whiplash» injury of the cervical spine: value of modern diagnostic imaging (see comments)]. Schweiz Med Wochenschr 1997; 127: 1643-51
45 Ohtori S, Takahashi K, Chiba T. et al. Sensory innervation of the cervical facet joints in rats. Spine 2001; 26: 147-50
46 Ono K, Kanno M. Influences of the physical parameters on the risk to neck injuries in low impact speed rear-end collisions. Accid Anal Prev 1996; 28: 493-9
47 Panjabi MM, Cholewicki J, Nibu K. et al. Simulation of whiplash trauma using whole cervical spine specimens. Spine 1998; 23: 17-24
48 Penning L. Acceleration injury of the cervical spine by hypertranslation of the head, Part I. Effect of normal translation of the head on cervical spine motion: a radiological study. European Spine Journal 1992; 1: 7-12
49 Penning L. Backward hypertranslation of the head: participation in the whiplash injury mechanism of the cervical spine?. Orthopade 1994; 23: 268-74
50 Peeters GG, Verhagen AP, de Bie RA. et al. The efficacy of conservative treatment in patients with whiplash injury: a systematic review of clinical trials. Spine 2001; 26: E64-73
51 Pettersson K, Hildingsson C, Toolanen G. et al. Disc pathology after whiplash injury. A prospective magnetic resonance imaging and clinical investigation [see comments]. Spine 1997; 22: 283-7 discussion 8
52 Prasad P, King AI, Ewing CL. The role of articular facets during +Gz acceleration. Journal of applied mechanics 1974; 41: 321-6
53 Radanov BP, di Stefano G, Schnidrig A. et al. Role of psychosocial stress in recovery from common whiplash [see comment]. Lancet 1991; 338: 712-5
54 Radanov BP, Di-Stefano G, Schnidrig A. et al. Psychosocial stress, cognitive performance and disability after common whiplash. J Psychosom Res 1993; 37: 1-10
55 Radanov BP, Sturzenegger M, De Stefano G. et al. Relationship between early somatic, radiological, cognitive and psychosocial findings and outcome during a one-year follow-up in 117 patients suffering from common whiplash. Br J Rheumatol 1994; 33: 442-8
56 Radanov BP, Dvorak J. Spine update. Impaired cognitive functioning after whiplash injury of the cervical spine. Spine 1996; 21: 392-7
57 Radanov BP. Neuropsychiatric aspects of expert evaluation reports after whiplash injury of the cervical spine. Orthopade 1998; 27: 846-853
58 Ronnen HR, de Korte PJ, Brink PR. et al. Acute whiplash injury: is there a role for MR imaging? -- a prospective study of 100 patients. Radiology 1996; 201: 93-6
59 Rothhaupt D, Liebig K. [Diagnosis, analysis and evaluation of functional disorders of the upper cervical spine within the scope of whiplash injuries with nuclear magnetic resonance tomography]. Orthopade 1994; 23: 278-81
60 Sapir DA, Gorup JM. Radiofrequency medial branch neurotomy in litigant and nonlitigant patients with cervical whiplash: a prospective study. Spine 2001; 26: E268-73
61 Scholten-Peeters GG, Bekkering GE, Verhagen AP. et al. Clinical practice guideline for the physiotherapy of patients with whiplash-associated disorders. Spine 2002; 27: 412-422
62 Siegmund GP, Myers BS, Davis MB. et al. Mechanical evidence of cervical facet capsule injury during whiplash: a cadaveric study using combined shear, compression, and extension loading. Spine 2001; 26: 2095-101
63 Sittig AC, Denier van der Gon JJ, Gielen CCC. Separate control of arm position and velocity demonstrated by vibration of muscle tendon in man. Exp Brain Res 1985; 60: 445-453
64 Spitzer WO, Skovron ML, Salmi LR. et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining «whiplash» and its management. Spine 1995; 20 1S-73S
65 Statistisches Bundesamt Wiesbaden. Unfallentwicklung auf deutschen Strassen 2012. Im Internet: https://www.destatis.de/DE/Publikationen/Thematisch/TransportVerkehr/Verkehrsunfaelle/PK_Unfallentwicklung_PDF.pdf?__blob=publicationFile abgerufen am 10.10.2016
66 Statistisches Bundesamt Wiesbaden. . Verkehr – Verkehrsunfälle, März 2015. Im Internet: https://www.destatis.de/DE/Publikationen/Thematisch/TransportVerkehr/Verkehrsunfaelle/VerkehrsunfaelleMonat/VerkehrsunfaelleM2080700151034.pdf?__blob=publicationFile abgerufen am 10.10.2016
67 Stemper BD, Yoganandan N, Pintar FA. Kinetics of the head-neck complex in low-speed rear impact. Biomed Sci Instrum 2003; 39: 245-50
68 Sterling M, Jull G, Vicenzino B. et al. Development of motor system dysfunction following whiplash injury. Pain 2003; 103: 65-73
69 Swartzman LC, Teasell RW, Shapiro AP. et al. The effect of litigation status on adjustment to whiplash injury. Spine 1996; 21: 53-8
70 Taylor JR, Twomey LT. Acute injuries to cervical joints. An autopsy study of neck sprain. Spine 1993; 18: 1115-22
71 Treleaven J, Jull G, Sterling M. Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med 2003; 35: 36-43
72 Treleaven J, Jull G, Lowchoy N. Standing balance in persistent whiplash: a comparison between subjects with and without dizziness. J Rehabil Med 2005; 37: 224-229
73 Viikari-Juntura E. Interexaminer reliability of observations in physical examinations of the neck. Phys Ther 1987; 67: 1526-32
74 Watanabe Y, Ichikawa H, Kayama O. et al. Influence of seat characteristics on occupant motion in low-speed rear impacts. Accid Anal Prev 2000; 32: 243-50
75 Winkelstein BA, Nightingale RW, Richardson WJ. et al. Cervical facet joint mechanics: Its Application to whiplash injury. 1999
76 Ylinen J, Ruuska J. Clinical use of neck isometric strength measurement in rehabilitation. Arch Phys Med Rehabi 1994; 75: 465-69
77 Ylinen JJ, Häkkinen AH, Takal EP. et al. Effects of neck muscle training in women with chronic neck pain: one-year follow-up study. J Strength Cond Res 2006; 20: 6-13
78 Yoganandan N, Pintar FA, Klienberger M. Cervical spine vertebral and facet joint kinematics under whiplash. J Biomech Eng 1998; 120: 305-7