The Quebec Task Force (QTF) on Whiplash Associated Disorders (WAD) - 1995 - sent a clear message that we need to re-evaluate the basis for our treatment strategies, and in particular place more emphasis on research to better define these strategies.
Judging by many of the clinical strategies currently in use, the Task Force recommendations seem to have been largely ignored three years later, A further compelling reason to re-evaluate our current practices at this time is the finding of much more rapid recovery rates in some cultures, even with little or no therapy.
This commentary is a frank consideration of the therapeutic community's responsibility to not only help solve the dilemma of whiplash, but also avoid contributing to the problem.
We thus explore a new biopsychosocial model of whiplash, considering the effects of symptom expectation, amplification, and attribution in chronic pain reporting.
Based on that model we propose a treatment strategy, and conclude that such strategies provide the only viable approach to this medicolegal and social dilemma.
Mots-clés Pascal : Entorse, Rachis cervical, Symptomatologie, Epidémiologie, Association, Accident circulation, Comportement, Traitement, Douleur, Chronique, Homme, Système ostéoarticulaire pathologie, Traumatisme, Rachis pathologie, Modèle biopsychosocial
Mots-clés Pascal anglais : Sprain, Cervical spine, Symptomatology, Epidemiology, Association, Traffic accident, Behavior, Treatment, Pain, Chronic, Human, Diseases of the osteoarticular system, Trauma, Spine disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0330440
Code Inist : 002B16H. Création : 16/11/1999.