Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 20815
  Title A proposed classification of cervical acceleration-deceleration (CAD) injuries with a review of prognostic research
Journal Palmer Jnl Res. 1994 Sep;1(1):10-21
Peer Review Yes
Publication Type Review
Abstract/Notes A classification system of CAD injuries, which takes into account the type of motor vehicle accident (MVA), the grade of severity of the injury, and the stage of recovery, is proposed. It is hoped that this system will act as a lingua franca for a more meaningful communication between physicians regarding their patients, and will provide a useful platform for future research. It can also be used as a guide to the management of patient care. The rationale behind the development of this system is discussed. Over the last four decades, a dozen studies (prospective and retrospective) have reported on the long term prognosis of "whiplash" trauma. Considering all vectors of collision taken together (i.e., frontal, side and rear impact) the general trend for recovery after one to two years is in the 50-60% range. Although data is limited, the rear impact collision appears to be more malefic than other types. Pertinent findings are reviewed and implications for future research are discussed.
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