• Title/Summary/Keyword: Whiplash injuries

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A Study on Acupuncture Treatment for Disorders following Whiplash Injuries (교통사고후유증(交通事故後遺症)(편타성(偏墮性) 손상(損傷))에 대한 침구치료(鍼灸治療)의 접근(接近))

  • Kim, Min-Ah;Park, Yong-Jin
    • Journal of Acupuncture Research
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    • v.17 no.3
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    • pp.75-86
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    • 2000
  • Objectives : This study is to applied effectively to the acupuncture treatment for disorders following whiplash injuries. Methods : This study suggests five various ways and principtes of treating disorders following whiplash injuries by means of acupuncture. First principle is that acupuncture treatment is carried out on acupoint far from cervical spine at acute stage, on the other hand, Extraordinary Vessel and other acupuncture treatment such as five element acupuncture treatment is applied at chronic stage in order to control balance disoders due to cervical pathology. Second is acupuncture treatment will be performed in group of three part of Meridian System-Yangmyung, Taeyang, Soyang-according to cervical kinetic, its characteristic and location of pain. Third is acupuncture treatment could be performed on basis of theory of Eohyel-disorders and disturbance of blood circulation. Fourth is to decrease tension of SCM muscle, because disorders following whiplash injuries has much association to injury of CM muscle and is simillar to tension syndroms of SCM muscle. fifth is taping therapy could control and decrease disorders following whiplash injuries based on spiral balance taping theory. Conclusions : These results suggest that acupuncture treatment for disorders following whiplash injuries will significally decrease pain and control syndrom caused by cervical disorder.

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A case report of "minor" trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia

  • Schattner, Ami;Glick, Yair
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.115-117
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    • 2022
  • "Whiplash"-type injuries are commonly encountered and often cause neck pain, neck stiffness, and headaches. However, these injuries can have rare and poorly recognized complications, such as the development of a prevertebral hematoma leading to acute respiratory failure in the emergency department, followed by severe, life-threatening dysphagia and recurrent aspirations. In the patient described herein, a whiplash injury was accompanied by vocal cord paralysis and dysphonia (vagus nerve), dysgeusia (glossopharyngeal nerve, vagus nerve), and upper esophageal spasm (cricopharyngeal muscle, vagus nerve). It is unlikely that this was a complication of cervical fusion surgery. Instead, a combined stretch-induced lower cranial nerve injury, possibly on the exit of these nerves through the jugular foramen, seems to be a likely, but underappreciated mechanism occurring in rare instances of whiplash injuries.

Consideration for the Vehicle Head Restraint Geometry Test Method (머리지지대 안전성평가에 관한 고찰)

  • Shim, So-Jung;Hwang, Duk-Soo
    • Transactions of the Korean Society of Automotive Engineers
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    • v.14 no.6
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    • pp.179-183
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    • 2006
  • Whiplash injuries of the neck are one of the most common injuries reported from automotive rear impacts. Whiplash injuries can be reduced by changing geometry of head restraint. Therefore, geometries of head restraint were evaluated according to the test procedures of the Korea New Car Assessment Program(KNCAP) to improve safety of head restraint. In this study, nine vehicle's head restraints were tested. As the test results, one head restraints is rated at "Marginal", three head restraints are rated at "Acceptable" level, and the last five head restraints are rated at "Good" level.

Whiplash Injury Case Studies through Low Speed Rear-end Crash Tests (차대차 추돌사고 재현시험을 통한 경추염좌 상해 위험도 연구)

  • Lim, Namkyoung;Shim, Sangwoo;Jung, Hyuncheol
    • Transactions of the Korean Society of Automotive Engineers
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    • v.24 no.4
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    • pp.432-438
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    • 2016
  • Whiplash injuries in low-speed rear-end collisions are the most common injuries and has been a social issue in insurance industry, such as excessive medical claim costs along with exaggerated injuries of victims and treatments from hospitals. According to the Korea Insurance Development Institute reports, the number of claims by rear-end collision was approximately 703,000, which accounts for 53.6 % of the total car-to-car collisions in 2014. Part of the neck injury claims in the Korea car insurance was approximately 28.3 %. Furthermore, approximately 98.4% of the injured persons in rear-end collisions sustained minor injuries under AIS2. In order to improve this situation as well as find out the severity of neck injuries from rear-end collision, the Korea Automobile Insurance Repair Research and Training Center conducted car-to-car rear-end crash tests that striking vehicles(SUV) collided into different sizes of struck-vehicles(small, middle, and large sedan) at the impact speeds of 8 km/h ~ 16 km/h. In order to analyze the whiplash injury, the BioRID-II was seated in each struck-vehicles, and the neck injury criteria(NIC), head contact time, maximum vehicle accelerations, and mean vehicle accelerations were calculated from values from the accelerations of the dummy and the struck-vehicles.

Experimental analysis of whiplash injury with hybrid III 50 percentile test dummy

  • Gocmen, Ulas;Gokler, Mustafa Ilhan
    • Advances in Automotive Engineering
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    • v.1 no.1
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    • pp.61-77
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    • 2018
  • In this study, the effects of sitting position of the driver on the whiplash neck injury have been analyzed experimentally by using hybrid III series 50 percentile male crash test dummy. A testing platform consisting of vehicle ground, driver foot rest, driver seat and a 3-point seatbelt has been prepared. This testing platform and the instrumented crash test dummy are prepared for tests according to the Euro NCAP whiplash testing protocol. The prepared test set-up has been exposed to 3 different acceleration-time loading curves defined in the Euro NCAP whiplash testing protocol by performing sled tests. 9 different sled tests have been performed with the combinations of 3 different seating positions of the crash test dummy and 3 different acceleration-time loading curves. The sensor data obtained from the crash test dummy and high-speed videos taken are analyzed according to the injury assessments criteria defined in the Euro NCAP whiplash testing protocol and the criticality of the whiplash injury is defined. It is seen that the backset distance of the driver head with the headrest and the height difference of the top of the head of the driver with the headrest have a great importance on whiplash injuries.

Analysis about Deviation of Upper Cervical of Patients with Whiplash injuries (교통사고로 인한 편타손상환자의 상부경추분석을 통한 고찰)

  • Lee, Kyung-yun;Park, Min-jung;Cho, Won-young;Park, Koae-hwan
    • Journal of Acupuncture Research
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    • v.20 no.6
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    • pp.27-35
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    • 2003
  • Objective: We intended to show the relation between whiplash injury and deviation of upper cervical through analysing patients having deviation of upper cervical injuried by whiplash. Methods: We chose 40 patients who have been admitted for whiplash injury syndrome in vertebral-joint center of Conmaul oriental medical hospital during 2001.10.1-2003.10.15. We examined cervical simple X-ray of them according to the traffic accident patterns and the position in the veicle. Results: The 97% of the cases showed AS deviation and the 95% of them complained neck pain. The first cases collided from the back on the driving seat showed AS deviation. The second cases collided from the front on the back seat showed AS deviation of left lateral misalignment of atlas. The third cases collided from the front on the assistant seat showed AS deviation of right lateral misalignment of atlas.

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Optimized Design of the Head restraint according the regional seat safety assessment (국가별 좌석 안전성 평가 방법에 따른 머리지지대 최적화 설계)

  • Yoo, Hyukjin;Yim, Jonghyun;Yoon, Ilsung
    • Journal of Auto-vehicle Safety Association
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    • v.5 no.2
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    • pp.45-50
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    • 2013
  • The whiplash Injuries due to rear collision occur frequently. As result, in many countries, seat performance is being assessed and developed to improve head whiplash injury in rear collision of passenger car. This study compares whiplash assessment methods in each country. Using the DFSS(Design for Six Sigma) method, the correlation between influence parameters of head restraints and whiplash injury criteria is analyzed. Four control factors are used in this study. And total 11 whiplash injury criteria from NCAP(New Car Assessment Program) of Korea, Europe, China and IIHS(Insurance Institute for Highway Safety) of USA are used for output response. By the experimental design, L9 orthogonal coordinate system is configured and is tested by sled test equipment, twice. By using average assay value and ANOVA, the correlation between control factors and injury criteria has been comprehended. Optimization design of head restraint according the regional seat safety assessment was derived through the correlation.

Korean Translation, Cross Cultural Adaptation of Whiplash Disability Questionnaire: Pilot Study (Whiplash Disability Questionnaire의 한국어 번역 및 문화적 개작: 예비 연구)

  • Lee, Geon-Yeong;Jo, Hee-Geun;Kim, Shin-Ae;Park, Hye-Rin;Kim, Eun-Mi;Im, Hyeok-Bin;Jeong, Jun-Su
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.3
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    • pp.87-96
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    • 2018
  • Objectives The purpose of this study is to provide more whiplash injury-specific measurement tools for Korean patients by measuring the validity and reliability of Korean version of Whiplash Disability Questionnaire (WDQ). Methods Bilingual clinicians translated the original WDQ into Korean. After consensus conference between researchers, it was back-translated into English. The pre-final version was completed and administered to 71 hospitalized patients diagnosed with whiplash injury. Validity was evaluated by concurrent validity. Reliability was assessed using Cronbach's ${\alpha}$ and intraclass correlation coefficient. Results The Korean WDQ showed good reliability with high internal consistency and intra-class correlation coefficient (Cronbach's ${\alpha}=0.96$, intraclass correlation coefficient [ICC]=0.82). Concurrent validity demonstrated positive correlations between Neck Disability Index, 36-Item Short Form Health Survey and WDQ. Conclusions The Korean version of WDQ is a valid and reliable tool for use as a measurement of whiplash injury in Korean patients, and it will be a very useful evaluation tool for both clinicians and researchers.

A Study on the Neck Injury Criteria Using BioRID-II during Very Low Speed Rear-end Collision (초저속 후방 추돌시 BioRID-II를 이용한 목 상해 지수 측정에 관한 연구)

  • Hong, Seungjun;Ryu, Hankyu;Kim, Youngeun
    • Transactions of the Korean Society of Automotive Engineers
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    • v.21 no.4
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    • pp.54-61
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    • 2013
  • Although typically classified as AIS 1, whiplash injuries continue to represent a substantial social problem with associated costs estimated at over $1 billion annually. The primary objective of this study was to determine the effects of seat positions(seatback angle, headrest height) on risk for whiplash injury in very low speed(${\Delta}V$=4~10km/h) rear-end impact. To accomplish this, rear impact seat carriage tests and simulations were conducted using the BioRID-II dummy seated in a mass production seat, which allowed for the adjustment of seatback angle and headrest height. Neck injury criteria(NIC, Nkm) were then compared for different ${\Delta}V$ and seat positions.

Comparison of the Effectiveness of Sling Exercise and McKenzie Exercise in Patients with Acute Cervical Whiplash Associated Disorder Following Rear-end Collision

  • Jeong, Mo-Beom;Kim, Jae-Yun;Lee, Dong-Woo
    • The Journal of Korean Physical Therapy
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    • v.28 no.5
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    • pp.314-320
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    • 2016
  • Purpose: This study compared the effectiveness of sling exercise and McKenzie exercise in patients with acute cervical whiplash associated disorder (WAD) caused by rear-end collision. Methods: Thirty WAD patients were randomly assigned to one of three groups; a sling exercise (SE) group, a McKenzie exercise (McE) group, and a control group. Members of the SE and McE exercised three times a week for four weeks under the researcher's guidance. Three groups performed TENS treatment three times a week for four weeks. Diagnostic radiological equipment was used to measure whiplash injury. Visual analog scale (VAS), neck disability index (NDI), and range of motion (ROM) were used in this study. Results: The three groups showed a significant pre-post treatment difference in measures of VAS and NDI (p<0.05). The SE group showed a significant pre-post treatment difference in measures of flexion and extension changes compared to the McE and control group (p<0.05). The SE group also showed significantly greater improvement in the VAS, NDI, and ROM changes than the control group (p<0.05). Conclusion: These findings indicate that sling exercise is a stronger and more aggressive intervention for treatment of acute WAD patients.