This case demonstrates that chronic ‘whiplash’ injury patients can respond well to appropriate conservative management, even in the presence of poor prognostic indicators. The management protocol in this case consisted of chiropractic spinal manipulative therapy, soft tissue work and post-isometric relaxation (PIR) techniques to address biomechanical somatic dysfunction. In addition, active rehabilitation exercises, self-stretches and proprioceptive exercises were utilised to address postural and muscle imbalance. On the seventh treatment, the patient reported no neck pain, no headaches and unrestricted cervical spine range of motion. At 4 months follow-up, the patient continued to be free of headaches and neck stiffness and reported only mild, intermittent neck pain. This case demonstrates the use of chiropractic management of chronic ‘whiplash’ type injuries. However, more high-quality evidence is required to support the use of chiropractic care for chronic and, indeed, acute ‘whiplash’ cases.
This abstract is reproduced with the permission of the publisher; full text by subscription. Click on the above link for the journal record.