„Wait-and-see“ bei WAD?

Ein Schleudertrauma führt oftmals zu Kopf- und Nackenschmerzen, Steifigkeitsgefühlen und Bewegungseinschränkungen. Aber auch massive Konzentrationsstörungen, Schwindel und Augenprobleme können posttraumatisch imponieren und die Betroffenen verängstigen. Weil viele WAD-Symptome mit der Zeit abklingen, stellt sich die Gretchenfrage, ob eine physiotherapeutische Intervention überhaupt sinnvoll ist? Oder reicht es aus, einfach nur abzuwarten und Tee zu trinken?

Publication History

Article published online:
10 July 2020

• Literatur

• 1 Statistisches Bundesamt. Straßenverkehrsunfälle nach Kategorie, Ortslage. Vorläufiges Ergebnis; Stand: Stand 26. März 2020. Im Internet (Stand: 05.05.2020): https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Verkehrsunfaelle/Tabellen/polizeilich-erfasste-unfaelle.html;jsessionid=8B78A8AB0D479318A9B303259A4FA8FB.internet8721%23fussnote-1-121968
• 2 Guzman J, Haldeman S, Carroll LJ. et al. Clinical practice implications of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and its Associated Disorders: from concepts and findings to recommendations. Spine (Phila Pa 1976) 2008; 33 (4 Suppl): S199-213 doi:10.1097/BRS.0b013e3181644641
• 3 Rushton A, Rivett D, Carlesso L. et al. International Framework for Examination of the Cervical Region for potential of Cervical Arterial Dysfunction prior to Orthopaedic Manual Therapy Intervention. Man Ther 2014; 19 (03) 222-228 doi:10.1016/j.math.2013.11.005
• 4 Heldmann P, Schöttker-Königer T, Schäfer A. Cross-cultural Adaption and Validity of the “Patient Specific Functional Scale”/Kulturelle Adaption und Validierung der deutschen Version der “Patient Specific Functional Scale”. International Journal of Health Professions 2015; 1: 73-82 doi:10.1515/ijhp-2015-0002
• 5 Mitchell T, Beales D, Slater H. et al. Musculoskeletal Clinical Translation Framework: From Knowing to Doing. Perth: Curtin University; 2018
• 6 Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 1991; 14 (07) 409-415
• 7 Buitenhuis J, de Jong PJ, Jaspers JP. et al. Catastrophizing and causal beliefs in whiplash. Spine (Phila Pa 1976) 2008; 33 (22) 2427-2434 doi:10.1097/BRS.0b013e318183c6ca
• 8 Scott D, Jull G, Sterling M. Widespread sensory hypersensitivity is a feature of chronic whiplash-associated disorder but not chronic idiopathic neck pain. Clin J Pain 2005; 21 (02) 175-181 doi:10.1097/00002508-200503000-00009
• 9 Schmid AB, Nee RJ, Coppieters MW. Reappraising entrapment neuropathies-mechanisms, diagnosis and management. Man Ther 2013; 18 (06) 449-457 doi:10.1016/j.math.2013.07.006
• 10 Jørgensen R, Ris I, Falla D. et al. Reliability, construct and discriminative validity of clinical testing in subjects with and without chronic neck pain. BMC Musculoskelet Disord 2014; 15: 408 doi:10.1186/1471-2474-15-408
• 11 Della Casa E, Affolter Helbling J, Meichtry A. et al. Head-Eye movement control tests in patients with chronic neck pain; Inter-observer reliability and discriminative validity. BMC Musculoskelet Disord 2014; 15-16 doi:10.1186/1471-2474-15-16
• 12 Sterling M. Physiotherapy management of whiplash-associated disorders (WAD). J Physiother 2014; 60 (01) 5-12 doi:10.1016/j.jphys.2013.12.004
• 13 Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine (Phila Pa 1976) 2004; 29 (19) 2108-2114 doi:10.1097/01.brs.0000141170.89317.0e
• 14 Jull G, Kristjansson E, DallʼAlba P. Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther 2004; 9 (02) 89-94 doi:10.1016/S1356-689X(03)00086-9
• 15 Jull GA, OʼLeary SP, Falla DL. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manipulative Physiol Ther 2008; 31 (07) 525-533 doi:10.1016/j.jmpt.2008.08.003
• 16 Carroll LJ, Holm LW, Hogg-Johnson S. et al. Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Eur Spine J 2008; 33 (4 Suppl): S83-92 doi:10.1007/s00586-008-0628-7
• 17 Bussières AE, Stewart G, Al-Zoubi F. et al. The Treatment of Neck Pain-Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline. J Manipulative Physiol Ther 2016; 39 (08) 523-564 e27 doi:10.1016/j.jmpt.2016.08.007