子宫颈劳损/鞭笞相关疾病(WAD)的处理

C. Ortega
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摘要

版权所有2018,奥尔特加C.这是一篇根据知识共享署名4.0国际许可证(CC by 4.0)分发的开放获取文章,该许可证允许以任何媒介或格式进行复制、重新分发、混音、转换和复制,即使是商业性的,只要原作被正确引用。44案例研究|第4卷|第1期| cc简介:机动车事故(MVA)继发的“颈部劳损和颈部扭伤”通常在急诊室接受治疗,并经常转诊到门诊物理治疗护理。尽管魁北克挥鞭相关障碍特别工作组(WAD)已经提供了临床实践指南,但由于证据不足,循证实践的第三个方面,即临床专业知识仍然主要指导该诊断的管理。目的:本案例分析应用了关于WAD中使用核心稳定性训练的现有证据,同时在一个精英运动员案例中纳入了世界卫生组织的国际功能、残疾和健康分类(ICF)模型。方法:对一名优秀运动员在机动车事故后出现颈部扭伤/颈部拉伤的情况进行个案研究。患者护理模式被用来详细说明基于证据的实践的应用。讨论:应用当前证据的讨论点集成在患者护理模式的各个方面,即评估、评估、诊断、预后和干预。结论:尽管已经有低水平的证据支持颈部扭伤的临床管理指南,但临床医生可以参考这些指南,同时应用现有的证据和临床专业知识来有效地恢复患者。
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Cervical Strain/Whiplash Associated Disorder (WAD) Management
Copyright 2018 by Ortega C. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited. 44 Case Study | Volume 4 | Number 1| cc Introduction: “Cervical strain and whiplash” secondary to a motor vehicle accident (MVA) are commonly treated in an emergency room and frequently referred to outpatient physical therapy care. Though, the Quebec Task Force on whiplash associated disorder (WAD) has provided clinical practice guidelines, due to low-level evidence available, the third aspect of evidence-based practice, namely, clinical expertise continues primarily to guide management of this diagnosis. Purpose: This case analysis applies current evidence regarding the use of core stability training in WAD while also incorporating the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) Model in an elite athlete case. Methods: Case study generated regarding an elite athlete who sustained whiplash/cervical strain injury status post motor vehicle accident. The patient care model was utilized to detail the application of evidence based practice. Discussion: Discussion points to apply current evidence are integrated within each aspect of the patient care model, namely, Evaluation, Assessment, Diagnosis, Prognosis and Intervention. Conclusions: Though low-level evidence has been available to support clinical management guidelines for management of whiplash, clinicians can refer to these guidelines while applying available evidence and clinical expertise for effective patient recovery.
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