ChiroACCESS Clinical Review

Acute Whiplash Injuries: Prevention

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

May 1, 2007

Text Size:     
The obvious prevention strategy in acute whiplash injury (AWI) is to avoid being involved in an accident which would lead to AWI.  In real world situations, to best serve the patient, the physician is obligated to identify risk factors which may lead to chronicity and attempt to address them early in treatment.  One recent study found 50% of AWI patients were still symptomatic at 3 months (1).  Another followed 42 patients for 7.5 years and found 61% had no improvement or worsening of symptoms between the two year and the 7.5 year follow-up (2).  Other studies have found 36% (3)  to 78% (4) of AWI patients had residual symptoms at the 1 year follow-up.  Regardless of the study referenced, the need to reduce chronicity in this patient population is obvious and essential.

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