Pathophysiology of Whiplash Associated Disorders: Theories and Controversies

  • M. Magnusson
  • M. Karlberg
Conference paper


The term “whiplash” already suggests difficulties in assessing this problem. Patients suffering from “whiplash” or “whiplash associated disorders” (WAD) are defined as having been exposed to similar types of trauma or sometimes even similar mode of impact, rather than as having a certain type of lesion or set of symptoms [1,2]. The origin of the term “whiplash” is attributed to H. Crowe [3] who suggested a trauma to the cervico-cranial junction based on the mechanisms of acceleration and deceleration of the head at impact.


Essential Tremor Mild Traumatic Brain Injury Whiplash Injury Diffuse Axonal Injury Whiplash Associate Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Pearce JMS (1994) Polemics of chronic whiplash injury. Neurology 44:1993–1997PubMedCrossRefGoogle Scholar
  2. 2.
    Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, Zeiss E (1995) Scientific monograph of the Quebec Task Force on whiplash-associated disorders. Spine [Suppll:20Google Scholar
  3. 3.
    Crowe H (1928) Injuries to the cervical spine. Presentation to the annual meeting of the Western Orthopedic Association, San FranciscoGoogle Scholar
  4. 4.
    Alexander MP (1995) Mild traumatic brain injury: pathophysiology, natural history, and clinical management. Neurology 45:1253–1260PubMedCrossRefGoogle Scholar
  5. 5.
    Jonsson H, Bring G, Rauschning W, Sahlstedt B (1991) Hidden cervical spine injuries in traffic accident victims with skull fractures. J Spinal Disorders 4:251–263CrossRefGoogle Scholar
  6. 6.
    Johansson H, Sojka P (1991) Pathophysiological mechanisms involved in genesis and spread of muscular tension in occupational muscle pain and in chronic musculoskeletal pain syndromes: a hypothesis. Med Hypoth 35:196–203CrossRefGoogle Scholar
  7. 7.
    Karlberg M (1995) The neck and human balance. Thesis. Lund, SwedenGoogle Scholar
  8. 8.
    Jankovic J (1994) Post traumatic movement disorders: central and peripheral mechanisms. Neurology 44:2006–2014PubMedCrossRefGoogle Scholar
  9. 9.
    Schott GD (1986) Induction of involuntary movements by peripheral trauma. An analogy with causalgia. Lancet 2:712–716PubMedCrossRefGoogle Scholar
  10. 10.
    Jankovic J, Van der Linden C (1988) Dystonia and tremor induced by peripheral trauma: predisposing factors. J Neurol Neurosurg Psychiatry 51:1512–1519PubMedCrossRefGoogle Scholar
  11. 11.
    Cole JD, Illis LS, Sedgewick EM (1989) Unilateral essential tremor after wrist immobilization: a case report. J Neurol Neurosurg Psychiatry 52:286–287PubMedCrossRefGoogle Scholar
  12. 12.
    Bhatia KK, Bhatt MH, Marsden CD (1993) The causalgia-dystonia syndrome. Brain 116:843–851PubMedCrossRefGoogle Scholar
  13. 13.
    Yarnell PR, Rossie GV (1988) Minor whiplash head injury with major debilitation. Brain Inj 273:255–258CrossRefGoogle Scholar
  14. 14.
    Ettlin TM, Kischka U, Reichmann S, Radii EW, Heim S, Wengen D, Benson F (1993) Cerebral symptoms after whiplash injury of the neck: a prospective clinical and neuropsychological study of whiplash injury. J Neurol Neurosurg Psychiatry 55:943–948CrossRefGoogle Scholar
  15. 15.
    Povlishock JT, Becker DP, Cheng CLY et al (1986) Axonal change in minor head injury. J Neuropathol Exp Neurol 42:225–242CrossRefGoogle Scholar
  16. 16.
    Gennarelli TA, Thibault LE, Adams JH et al (1982) Diffuse axonal injury and traumatic coma in the primate. Ann Neurol 12:564–574PubMedCrossRefGoogle Scholar
  17. 17.
    Binder LM (1986) Persisting symptoms after mild head injury: a review of the postconcussive syndrome. J Clin Exp Neuropsychol 8:32CrossRefGoogle Scholar
  18. 18.
    Portnoy HD, Benjamin D, Brian, M, McCoy LE, Prince B, Edgerton R, Young J (1970) Intracranial pressure and head acceleration during whiplash. Proc 14th STAPP Car Crash Conf, SAE paper n. 700900, SAE Inc, USA, LC 67–22372 3–346CrossRefGoogle Scholar
  19. 19.
    Svennson MY (1993) Neck Injuries in rear-end car collisions. Thesis, Chalmers University of Technology, Gothenburg, SwedenGoogle Scholar
  20. 20.
    Chester JB Jr (1991) Whiplash, postural control, and the inner ear. Spine 16(7):716–720PubMedCrossRefGoogle Scholar
  21. 21.
    Damasio A (1994) Descartes error. PicadorGoogle Scholar

Copyright information

© Springer-Verlag Italia 1996

Authors and Affiliations

  • M. Magnusson
    • 1
  • M. Karlberg
    • 1
  1. 1.Department of OtorhinolaryngologyUniversity HospitalLundSweden

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