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首页> 外文期刊>The journal of orthopaedic and sports physical therapy >Characterization of acute and chronic whiplash-associated disorders.
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Characterization of acute and chronic whiplash-associated disorders.

机译：急性和慢性鞭打相关疾病的特征。

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SYNOPSIS: The development of chronic pain and disability following whiplash injury is common and contributes substantially to personal and economic costs related with this condition. Emerging evidence demonstrates the clinical presence of alterations in the sensory and motor systems, including psychological distress in all individuals with a whiplash injury, regardless of recovery. However, individuals who transition to the chronic state present with a more complex clinical picture characterized by the presence of widespread sensory hypersensitivity, as well as significant posttraumatic stress reactions. Based on the diversity of the signs and symptoms experienced by individuals with a whiplash condition, clinicians must take into account the more readily observable/measurable differences in motor, sensory, and psychological dysfunction. The implications for the assessment and management of this condition are discussed. Further review into the pathomechanical, pathoanatomical, and pathophysiological features of the condition also will be discussed. LEVEL OF EVIDENCE: Level 5.J Orthop Sports Phys Ther 2009;39(5):312-323, Epub 3 June 2008. doi:10.2519/jospt.2009.2826.
机译：内容提要：鞭打损伤后慢性疼痛和残疾的发展很普遍，并且大大增加了与这种情况有关的个人和经济成本。越来越多的证据表明临床上存在感觉和运动系统改变的情况，包括所有鞭打损伤患者的心理困扰，无论其是否康复。然而，向慢性状态过渡的个体表现出更复杂的临床特征，其特征是存在广泛的感觉超敏反应以及严重的创伤后应激反应。基于患有鞭打状态的个体所经历的体征和症状的多样性，临床医生必须考虑到运动，感觉和心理功能障碍中更容易观察到的/可测量的差异。讨论了对这种情况的评估和管理的意义。该病的病理力学，病理解剖学和病理生理学特征也将进一步讨论。证据级别：5.J Orthop Sports Phys Ther 2009; 39（5）：312-323，Epub 2008年6月3日。doi：10.2519 / jospt.2009.2826。

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