I-WAD Whiplash Associated Disorders: I-El Paso Back Clinic

Iziphazamiso ezinxulumene ne-Whiplash, okanye i-WAD, chaza ukwenzakala okugcinwe ngokukhawuleza ukukhawuleza / ukunyakaza kokunciphisa. Isiphumo esiqhelekileyo emva kokungqubana kwemoto kodwa kunokubangelwa kukulimala kwezemidlalo, ukuwa, okanye ukuhlaselwa. I-Whiplash ibhekisela kwindlela yokulimala, ngelixa i-WAD ibhekisela kubukho beempawu ezifana nentlungu, ukuqina, i-muscle spasm, kunye neentloko. I-WAD prognosis ayinakucingelwa, kwaye ezinye iimeko zihlala zibuhlungu kunye nokubuyisela ngokupheleleyo, ngelixa ezinye ziqhubela phambili kwiimeko ezingapheliyo kunye neempawu zexesha elide kunye nokukhubazeka. Iingcebiso zokungenelela kwangaphambili zibandakanya ukuphumla, ukunakekelwa kwe-chiropractic kunye nokuvuselelwa komzimba, ukuphulula umzimba kunye nokwelula umzimba, kunye nokutya okuchasayo.

I-Whiplash Associated Disorders

Ukulimala kweCervical hyperextension kwenzeka kubaqhubi kunye nabakhweli abahambayo, abahamba ngokukhawuleza (ngaphantsi kweekhilomitha ezili-14 ngeyure), kunye neenqwelo ezimileyo xa zibethelwa ngasemva.

• Umzimba womntu uphonswa phambili, kodwa intloko ayiwulandeli umzimba kwaye endaweni yoko ibetha phambili, okukhokelela kwi-hyperflexion okanye ukunyakaza okugqithiseleyo kwentamo.
• Isilevu sinciphisa ukujikeleza phambili, kodwa ukukhawuleza kunokwanela ukubangela ukuphazamiseka komlomo wesibeleko kunye nokwenzakala kwemithambo-luvo.
• Xa intloko kunye nentamo ifikelele kwi-flexion ephezulu, intamo iphinda ibuyele emva, ibangele i-hyperextension okanye i-back back intshukumo yentamo.

KuPathology

Uninzi lwee-WADs zibhekwa njengokulimala kwezicubu ezithambileyo ezingenazo iifractures.

Amanqanaba

Ukwenzakala kuhamba ngezigaba:

Isigaba 1

• Amava aphezulu kunye nasezantsi omqolo afumana i-flexion kwinqanaba lokuqala.

Isigaba 2

• Umqolo uthatha i-S-shape ngelixa ukhula kwaye ekugqibeleni ulula, ubangela i-Lordososis.

Isigaba 3

• Umqolo wonke u-hyperextending ngamandla amakhulu abangela ukuba i-facet joint capsules icinezele.

iimpawu

Iziphazamiso ezinxulumene ne-Whiplash inokuhlelwa ngamabakala ngobunzima beempawu, kubandakanywa iintlungu zentamo, ukuqina, intloko ebuhlungu ye-occipital, umlomo wesibeleko, i-thoracic, kunye ne-lumbar back pain, intlungu yomlenze ophezulu, kunye i-paraesthesia.

Bakala 0

• Akukho zikhalazo okanye iimpawu zomzimba.

Bakala 1

• Izikhalazo zentamo kodwa akukho zimpawu zomzimba.

Bakala 2

• Izikhalazo zentamo kunye neempawu ze-musculoskeletal.

Bakala 3

• Izikhalazo zentamo kunye neempawu ze-neurological.

Bakala 4

• Izikhalazo zentamo kunye nokwaphuka kunye / okanye ukuchithwa.
• Uninzi lweefractures zomlomo wesibeleko zenzeka kakhulu kwi-C2 okanye i-C6, okanye i-C7.
• uninzi ukwenzakala okubulalayo komqolo wesibeleko kwenzeke kwi isiphambuka craniocervical C1 okanye C2.

IZakhiwo zoMnqonqo ezichaphazelekayo

Ezinye iimpawu kucingelwa ukuba zibangelwa kukwenzakala kwezi zakhiwo zilandelayo:

• I-Cervical Spine
• Iingcambu zethambo
• Imigqa yomqolo
• I-Facet Joint Capsule
• Amalungu obuso
• Iidiski eziphakathi kwendawo
• I-Cartilage
• Izihlunu zeParaspinal kubangela i-spasms

Iimbangela zentlungu zingavela kuyo nayiphi na yezi zicubu, kunye noxinzelelo lokulimala okubangela i-edema yesibini, ukopha, kunye nokudumba.

Amalungu

• Amalungu eZygapophyseal
• I-Atlanto-axial joint
• I-Atlanto-occipital joint
• Iidiski eziphakathi kwendawo
• Iiplates zeCartilaginous

Amalungu akufuphi

• Ngokubambisana kweTemoromandibular
• Ukuntsonkotha kwamagxa
• Umqolo weThoracic
• Iibhere

Imisipha yomqolo

IiLigaments

• I-Alar ligament
• Umphambili we-atlanto-axial ligament
• Umqala we-atlanto-occipital ligament
• I-apical ligament
• I-ligerior ye-longitudinal ligament
• Umsipha onqamlezileyo weatlasi

Amathambo

• iatlasi
• Axis
• I-Vertebrae C3-C7

Ulwakhiwo lweeNkqubo zeNervous

• Iingcambu zethambo
• Umqolo
• ingqondo
• Inkqubo ye-nervous enovelwano

Ulwakhiwo lweNkqubo yeVascular

• Umthambo we-carotid wangaphakathi
• Umthambo weVertebral

I-Peripheral Vestibular System

Ukhathalelo lweChiropractic

I-chiropractor iya kuchonga iindawo zokunyakaza okudibeneyo, ukunyanzeliswa kwemisipha, i-muscle spasm, ukulimala kwe-intervertebral disc, kunye nokulimala kwe-ligament.

• Baza kuhlalutya i-posture, kunye nokulungelelaniswa komgogodla, ukujonga ukuthamba, ukuxinana, kunye nendlela amalunga omgogodla ahamba ngayo.
• Oku kuya kuvumela iqela lonyango lwe-chiropractic ukuba liqonde i-mechanics yomzimba owenzakeleyo kunye nendlela umqolo osebenza ngayo ukwenza ukuxilongwa ngokucokisekileyo.
• Ugqirha uya kuyalela iimvavanyo ze-imaging njenge-x-ray okanye i-MRI ukuvavanya naluphi na utshintsho oluphazamisayo olunokuthi lube khona ngaphambi kokulimala kwe-whiplash.
• Emva kokuba ukwenzakala kuye kwafunyaniswa ngokuchanekileyo, i-chiropractor iya kuyila isicwangciso sonyango lomntu.

Uhlengahlengiso lomqolo

• Ukunyanzeliswa komgogodla kusetyenziswa kwiindawo zomqolo ezingaphandle kokulungelelaniswa ukulungelelanisa umqolo kwaye kusebenze inkqubo yokuphilisa.
• Icebo lokuphazamisa ukungcungcutheka bubuchule obumnene obusebenzisa ukunyakaza okucothayo, okuncinci kakhulu kwiidiski ezisetyenziselwa ukuphatha i-disc herniations ehlala isenzeka emva kokulimala kwe-whiplash.
• Isixhobo esincedayo kwizixhobo isebenzisa izixhobo ezikhethekileyo zokusebenzisa amandla ahlukeneyo okanye useto lwe-massage kwindawo.
• Ukuguqulwa komqolo okujoliswe kuko ijolise kwiindawo ezithile ukuze kusetyenzwe ngokutsha, kukhululwe, kwakhiwe ngokutsha izakhiwo.
• Ukunyanga kwamayeza ivuselela izihlunu ezichaphazelekayo ukuba ziphumle kwimeko yazo.
• Isicwangciso sonyango sinokusetyenziswa:
• Unyango oluncediswa sisixhobo
• Unyango lwe-trigger point
• Izolula ezisekelwe kwi-resistance ukubuyisela umonakalo wezicubu ezithambileyo.

Iqela lethu le-chiropractic likulungele ukukunceda uzive ngcono ukuze ubuyele kwimisebenzi yesiqhelo kwaye uqhubeke nobomi bakho.

---

Ukulimala kweemoto kunye neChiropractic

---

Ucaphulo

Pastakia, Khushnum, kunye noSaravana Kumar. "Iziphazamiso ezihambelana ne-whiplash (WAD)." Vula ukufikelela kwiyeza likaxakeka: OAEM vol. 3 29-32. 27 Epreli 2011, doi:10.2147/OAEM.S17853

U-Ritchie, C., Ehrlich, C. & Sterling, M. Ukuphila kunye neengxaki ezinxulumene ne-whiplash eziqhubekayo: isifundo esifanelekileyo sombono kunye namava. I-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, uMichele. "Ingxaki ehambelana ne-Whiplash: intlungu ye-musculoskeletal kunye neziphumo ezinxulumene neklinikhi." Ijenali ye-manual & manipulative therapy vol. 19,4 (2011): 194-200. doi:10.1179/106698111X13129729551949

Wong, uJessica J et al. Ngaba unyango lwezandla, iindlela zokwenza izinto, okanye i-acupuncture iyasebenza kulawulo lwezigulane ezineengxaki ezinxulumene ne-whiplash okanye iintlungu zentamo kunye neengxaki ezinxulumene nazo? Uhlaziyo lwe-Bone kunye ne-Joint Decade Task Force kwi-Neck Pain kunye ne-Associated Disorders yintsebenziswano ye-OPTIMa. " Ijenali yomqolo: Ijenali esemthethweni yoMbutho waseMntla waseMelika woMnqongo vol. 16,12 (2016): 1598-1630. doi:10.1016/j.spinee.2015.08.024

Woodward, MN et al. "Unyango lweChiropractic yokulimala okungapheliyo 'kwe-whiplash'." Ukwenzakala vol. 27,9 (1996): 643-5. doi:10.1016/s0020-1383(96)00096-4