[Characteristics of vertebral and muscular tonic syndromes in acute and remote periods of cervical whiplash injuries].
The study elicited the peculiarities of vertebral and muscular tonic syndromes in acute and remote periods of whip cervical trauma (WCT). Forty patients in acute period of WCT (2nd-3rd degree of severity) and 30 patients in remote period of WCT, who experienced pain and other symptoms 6 months after the trauma (late whip syndrome--LWS) were examined. The control group included 30 patients with neck and arm pain due to cervical osteochondrosis. In WCT, comparing to cervical osteochondrosis, more marked movement restriction in sagittal plane, more frequent blockade of the lower cervical spine segments, stronger correlation between pain syndrome and movement restriction in the cervical segments, more frequent muscular tonic syndrome in the anterior neck muscles and deeper neck flexors were found. In LWS, in contrast to the acute period of WCT, dissociation between more restricted active and more preserved passive movements in the cervical segments, weaker correlation between emerging of pain syndrome and restriction of movement volume, more frequent blockade of the upper cervical segments, more frequent occurrence of supraspinal muscles and shoulder-scapular syndromes were detected. The data obtained revealed a complex mechanism of symptoms formation in WCT that should be taken into account in treatment planning for acute and remote periods of cervical trauma.
Makarov
G V
GV
Levin
O S
OS
D000208:Acute Disease; D000328:Adult; D002574:Cervical Vertebrae; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D009129:Muscle Tonus / Q000502:physiology*; D019547:Neck Pain / Q000209:etiology / Q000503:physiopathology*; D010007:Osteochondritis / Q000503:physiopathology*; D013035:Spasm / Q000209:etiology / Q000503:physiopathology*; D013577:Syndrome; D014911:Whiplash Injuries / Q000150:complications / Q000503:physiopathology*