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Huisarts en Wetenschap

, Volume 47, Issue 1, pp 1000–1004 | Cite as

Het chronische-whiplashsyndroom: oplosbaar of niet?

  • F Kovács
  • ML van Harten
Onderzoek

Samenvatting

Kovács F, Van Harten ML. Het chronische-whiplashsyndroom: oplosbaar of niet? Huisarts Wet 2004;47(1):38-41.

Het chronische-whiplashsyndroom is controversieel. Bij whiplashklachten moet allereerst een onderscheid worden gemaakt tussen een acuut en een chronisch klachtenbeloop. Ten tweede wordt duidelijk gemaakt dat de aanname van (licht) hersenletsel bij dit syndroom voornamelijk gebaseerd is op het onderpresteren op neuropsychologische tests. Een dergelijke aanname is niet alleen onjuist, maar staat tevens een effectieve behandeling van chronische whiplashpatiënten in de weg. Ten derde is er een opvallende gelijkenis tussen het chronische-whiplashsyndroom en het chronische-pijnsyndroom. Uitgaande van het biopsychosociale model zijn er enige effectieve behandelingen ontwikkeld waarbij het vooral gaat om de copingvaardigheden van de chronische- whiplashpatiënt. Tot slot geven wij enige praktische adviezen bij de behandeling van deze patiënten.

beschouwing bewegingsapparaat cognitieve gedragstherapie patiëntengedrag pijn whiplash 

Abstract

Kovács F, Van Harten ML. Chronic whiplash syndrome: solvable or not?

Huisarts Wet 2004;47(1):38-41.

This article presents several issues concerning the highly controversial syndrome known as Whiplash Associated Disorder (WAD). First of all we argue that a distinction must be made between an acute and a chronic phase of the syndrome. Secondly, we show that the assumption that (mild) brain damage is related to WAD is highly unlikely and that such a conclusion can seriously hinder appropriate treatment of the complaints.

Thirdly, we state that WAD closely resembles chronic pain syndrome.

On the basis of the so-called biopsychosocial model several treatments have been developed which focus on the coping style of WAD patients. The article ends by proposing several practice guidelines for the treatment of chronic WAD patients by the GP.

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Copyright information

© Bohn Stafleu van Loghum 2004

Authors and Affiliations

  1. 1.

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