• Title/Summary/Keyword: whiplash

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Korean Translation, Cross Cultural Adaptation of Whiplash Disability Questionnaire: Pilot Study (Whiplash Disability Questionnaire의 한국어 번역 및 문화적 개작: 예비 연구)

  • Lee, Geon-Yeong;Jo, Hee-Geun;Kim, Shin-Ae;Park, Hye-Rin;Kim, Eun-Mi;Im, Hyeok-Bin;Jeong, Jun-Su
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.3
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    • pp.87-96
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    • 2018
  • Objectives The purpose of this study is to provide more whiplash injury-specific measurement tools for Korean patients by measuring the validity and reliability of Korean version of Whiplash Disability Questionnaire (WDQ). Methods Bilingual clinicians translated the original WDQ into Korean. After consensus conference between researchers, it was back-translated into English. The pre-final version was completed and administered to 71 hospitalized patients diagnosed with whiplash injury. Validity was evaluated by concurrent validity. Reliability was assessed using Cronbach's ${\alpha}$ and intraclass correlation coefficient. Results The Korean WDQ showed good reliability with high internal consistency and intra-class correlation coefficient (Cronbach's ${\alpha}=0.96$, intraclass correlation coefficient [ICC]=0.82). Concurrent validity demonstrated positive correlations between Neck Disability Index, 36-Item Short Form Health Survey and WDQ. Conclusions The Korean version of WDQ is a valid and reliable tool for use as a measurement of whiplash injury in Korean patients, and it will be a very useful evaluation tool for both clinicians and researchers.

The comparison of Cervical Spine Curvature of the patients with whiplash and insidious onset neck pain (편타 손상 경항통 환자와 잠행성 경항통 환자의 경추 만곡 비교)

  • Ahn, Chi-Kwon;Yun, Moon-Sik;Kim, Young-Shin;Jung, Doo-Young
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.151-161
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    • 2004
  • Objectives : To investigate and compare the curvature of the cervical spine of the patients with whiplash and insidious onset neck pain. Method : Clinical study carried out in 33 insidious onset neck pain outpatients and 34 whiplash onset neck pain inpatients in Conmaul Oriental Hospital. Cervical spine curvature was measured using five measuring Methods. Type of cervical spine curvature was analyzed by Jochumsen method. Ishihara Index. T-test was used to compare the cervical spine angle of the two groups. Results : The prevalence of 'straight' and 'kyphotic' cervical spines was 46.5% in the insidious onset cases and 26.47% in the whiplash onset cases. In Jackson's angle, Jochumsen method, Ishihara Index, and Park's method, angle of the Cervical spine curvature was significantly lower in the insidious onset cases. (P<0.01) Conclusion : The results suggest that the cervical spine of neck pain patients is 'straight' and 'kyphotic' and more significant in insidious onset cases.

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A Clinical Study on the Effects of Sweet Bee Venom Herbal Acupuncture for Patients with Whiplash Injury (교통사고로 인한 편타 손상 환자에 대한 Sweet Bee Venom 약침의 임상적 효과)

  • Song, Beom-Yong
    • Journal of Pharmacopuncture
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    • v.10 no.3
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    • pp.77-83
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    • 2007
  • Objectives The aim of this study is to investigate the effect of Sweet Bee Venom herbal acupuncture for patients with acute whiplash injury by Traffic Accident. Methods This clinical study was carried out 25 cases of acute whiplash injury patients which had been treatment in Woosuk oriental hospital from March, 2007 to September, 2007. Sweet bee venom herbal acupuncture(N=15) and normal saline(N=10) injected on the acupoints that were cervical area. I checked the VAS for the pain and ROM(range of motion) of the cervical. these were checked 3 times. one was before treatments, another was after 3 times treatments with sweet bee venom herbal acupuncture and normal saline injection, and the other was after 5 times treatments with sweet bee venom herbal acupuncture and normal saline injection. Results VAS score was significantly improved after 5 times treatments with the sweet bee venom herbal acupuncture compared to normal saline I.M. on the acupoints that was cervical area. There were significant changes in the sweet bee venom herbal acupuncture group with VAS and ROM check. Conclusions This study suggests that sweet bee venom herbal acupuncture can improve symptoms in patients with acute whiplash injury by traffic accident.

Two cases of concussion after whiplash injury (편타성 손상후 발생한 뇌진탕증 2례)

  • Han, Eul-Joo;Kim, Bong-Chan;Lee, Myong-Jong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.14 no.1
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    • pp.87-93
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    • 2001
  • Object : This study was focused on finding out the better method of medical treatment of concussion after whiplash injury. Methods : This study has been carried out for two cases of concussion after whiplash injury which had been hospitalized at the Kangnam Oriental medical Hospital of the Dongguk University Results and conclusions : The concussion is caused by whiplash injury about $47\%. In the symptoms of concussion, there are lightheadedness, dizziness, neck pain, headache, photophobia, phonophobia, anamnesis disorder, concentration disorder, tinnitus, irritability, etc. It is considered more important that the treatment of nausea and vomiting than the removal of stagnation of blood. Oriental medical treatments including of herb-medicine, acupuncture, moxibustion, cupping, chuna, taping have more economic favor and rapid effects than the others. so we report on two cases.

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Effect of Myofacial Release and Cryotherapy in Acute Whiplash Injury

  • Park, Si Eun;Lee, Joon Hee;Wang, Jung San;Choi, Yoo Rim;Park, Joo Hyun;Lee, Ju Hwan;Choi, Young Duk;Hwang, Hyun Sook;Kim, Soon Hee
    • Journal of International Academy of Physical Therapy Research
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    • v.5 no.1
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    • pp.647-651
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    • 2014
  • The purpose of this study is to provide the case of influence of myofacial release(MFR) and cryotherapy in acute whiplash injury. The subjects were consisted of 3 adults(2 males, 1 female) who had been diagnosed with whiplash injury. The performance period was 1 weeks, 6 times and 1 time is 40min(MFR: 20min, cryotherapy: 20min). We measured neck pain(Visual analogue scale, VAS) and cervical alignment(cervical curvature & line of gravity). All measurements of each subject were measured at pre-treatment and post-treatment. The results are listed below. The neck pain(VAS) index decreased from 7.54cm to 4.11cm. The cervical curvature increased from $23.62^{\circ}$ to $29.76^{\circ}$. The line of gravity decreased from 8.03mm to 3.66mm. Based on the results, it can be suggested that both MFR and cryotherapy can be used to neck pain and alignment in acute whiplash injury.

A Study on Development of an Active Headrest for the Passenger when Rear-end Collision (후방충돌시 승객보호를 위한 능동형 헤드레스트 개발에 관한 연구)

  • Kim, D.W.;Kim, N.G.;Ko, Y.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.05
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    • pp.327-330
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    • 1996
  • We investigated the possibility of preventing a passenger's whiplash injury by rear-end collision. We sought to prevent the whiplash injury by appling an active headrest system to a passenger A main factor in whiplash injury is the backward, rapid, passive, and negative acceleration of the head. Our results showed that the active headrest system does reduce the backward, rapid, passive, and negative acceleration of the head. As a conclusion, Our active headrest system is a useful equipment to prevent whiplash injury.

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The Effectiveness of Infrared Thermography in Patients with Whiplash Injury

  • Lee, Young Seo;Paeng, Sung Hwa;Farhadi, Hooman F.;Lee, Won Hee;Kim, Sung Tae;Lee, Kun Su
    • Journal of Korean Neurosurgical Society
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    • v.57 no.4
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    • pp.283-288
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    • 2015
  • Objective : This study aims to visualize the subjective symptoms before and after the treatment of whiplash injury using infrared (IR) thermography. Methods : IR thermography was performed for 42 patients who were diagnosed with whiplash injury. There were 19 male and 23 female patients. The mean age was 43.12 years. Thermal differences (${\Delta}T$) in the neck and shoulder and changes in the thermal differences (${\Delta}dT$) before and after treatment were analyzed. Pain after injury was evaluated using visual analogue scale (VAS) before and after treatment (${\Delta}VAS$). The correlations between ${\Delta}dT$ and ${\Delta}VAS$ results before and after the treatment were examined. We used Digital Infrared Thermal Imaging equipment of Dorex company for IR thermography. Results : The skin temperature of the neck and shoulder immediately after injury showed $1-2^{\circ}C$ hyperthermia than normal. After two weeks, the skin temperature was normal range. ${\Delta}T$ after immediately injuy was higher than normal value, but it was gradually near the normal value after two weeks. ${\Delta}dT$ before and after treatment were statistically significant (p<0.05). VAS of the neck and shoulder significantly reduced after 2 week (p=0.001). Also, there was significant correlation between ${\Delta}dT$ and reduced ${\Delta}VAS$ (the neck; r=0.412, p<0.007) (the shoulder; r=0.648, p<0.000). Conclusion : The skin temperature of sites with whiplash injury is immediately hyperthermia and gradually decreased after two weeks, finally it got close to normal temperature. These were highly correlated with reduced VAS. IR thermography can be a reliable tool to visualize the symptoms of whiplash injury and the effectiveness of treatment in clinical settings.

Comparative Study of Treatment Effect between Indirect Moxibustion Treatment with General Acupuncture and General Acupuncture Only on Treatment for Neck Pain Caused by Whiplash Injury (편타성 손상으로 인한 경항통 환자를 대상으로 한 일반침 치료와 간접구 병행치료의 임상적 효과비교연구)

  • Kim, Min-Seok;Park, Jae-Yeon;Choi, You-Jin;Yoon, Kyoung-Jin;Lee, Cham-Gyeol;Lee, Eun-Yong;Roh, Jeong-Du
    • Journal of Acupuncture Research
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    • v.28 no.6
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    • pp.85-91
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    • 2011
  • Objectives : The purpose of this study was to evaluate the clinical effect of indirect moxibustion treatment for patients with neck pain caused by whiplash injury. Methods : From October 2010 to October 2011, 85 patients with neck pain caused by whiplash injury who admitted to Semyung oriental medical hospital were divided into two groups. Group A was treated by general acupuncture, group B by indirect moxibustion and general acupuncture. The efficacy of treatment was measured by visual analog scale(VAS) scores and neck disability index(NDI) scores of before and after 5 days to start treatment. Results : 1. Both group A and B represented effective improvement in VAS and NDI of neck pain caused by whiplash injury. 2. Group B has more statistical effect than group A. Conclusions : Through this research, indirect moxibustion treatment is considered to be effective reducing pain for patients with neck pain caused by whiplash injury.

The Cervical Spine Curvature of Posterior Neck Pain Patients Who Visited Emergency Room After Whiplash Injury by Traffic Accident (교통사고 후 응급실에 내원한 경항통 환자의 경추 만곡 연구)

  • Jo, Jun-Young;Lee, Sun-Haeng
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.121-132
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    • 2011
  • Objectives : The purpose of this study is to investigate the cervical spine curvature after whiplash injury by traffic accident. Methods : The cervical lateral radiographs of 102 outpatients who visited emergency room in Kyung-Hee university hospital at Gangdong after whiplash injury by road traffic accident were reviewed to measure the cervical spine angle using C1-7, C2-7 Cobb method, Sagittal tangent method, Jochumsen method and the Ishihara index by two oriental medical doctors. For statistics, we used SPSS version 17.0 for windows. Results : Means of cervical angle are $37.63{\pm}11.34^{\circ}$, $12.92{\pm}9.13^{\circ}$, $16.19{\pm}10.62^{\circ}$, $1.78{\pm}3.37$ and $8.51{\pm}9.78$ by C1-C7 Cobb Method, C2-C7 Cobb Method, Sagittal tangent method, Jochumsen method and Ishihara index, respectively. Hypolordosis is most numeral in patients by C1-C7 Cobb Method(n=40; 39.22%), Sagittal tangent method(n=68; 66.67%). And Straight is the most by Jochumsen method(n=54; 52.94%), but Normal is the most by Ishihara index(n=53; 51.96%). And Female has smaller curvature in cervical spine than male significantly by C2-C7 Cobb method and Sagittal tangent method(P<0.05). Conclusions : Whiplash injury tends to make hypolordosis or straight. And female has more vulnerable curvature than male in whiplash injury.

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A Case Report of Prescribing Whallak-tang(Huoluo-tang) for the two patients with Whiplash injury (활락탕을 투여한 편타성 손상 증후군 환자 치험 2례)

  • Uhm, Bong-Kun;Cho, Tae-Young;Jung, Young-Hun;Lee, Cha-Ro;Lee, Jae-Young;Ahn, Young-Tae
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.125-136
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    • 2010
  • Objectives: The Purpose of this study is to investigate the clinical application of Whallak-tang(Huoluo-tang) to two patients with Whiplash injury. Methods: Patients are hospitalized at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as Whiplash injury and treated mainly with herbal medine; Whallak-tang(Huoluo-tang). This study was measured by NDI(Neck Disability Index) and VAS(Visual Analogue Scale) score. Results: After taking Whallak-tang(Huoluo-tang), the patient's pain was controlled and slept well after treatment. VAS & NDI score were decreased. Conclusions: As seen in this two cases of whiplash injury, Whallak-tang(Huoluo-tang) has a positive effect to control pain with whiplash injury.

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