Anatomical distribution of musculoskeletal disorders following a road traffic collision in litigants presenting to physiotherapists within a private-clinic in North-East England

Sewell, Jennifer; Dixon, Cheryl; Morris, Rosie; Stuart, Samuel

doi:10.1080/09593985.2018.1459986

Cited by 2 publications

(4 citation statements)

References 43 publications

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“…16,19,21,22 This study involved a relatively large number of patients (n = 87) who had been diagnosed with WAD (grades I–III) following a road traffic collision. Patients primarily presented neck and upper back injuries; however, similar to our previous research findings, 3 many patients also had simultaneous injuries to their low back or upper and lower limbs. This clinical service evaluation furthers the findings of prior research studies but, importantly, presents evidence that directly applies to clinical practice.…”

Section: Discussionsupporting

confidence: 86%

“…The most commonly needled sites over the neck and upper and lower back regions included traditional acupuncture points BL11, LI4, GB21, GB20, BL10, BL2 and BL24. This highlights that due to the individual nature of musculoskeletal disorder presentation following a road traffic collision, 3 practitioners often use a variety of acupuncture needling locations and practice on an individualised basis, which differs from more strictly controlled research studies, which may use a protocolised approach to treatment.…”

Section: Discussionmentioning

confidence: 99%

“…It primarily affects the soft tissue of the neck and upper back [2], but can also impact other regions (i.e. low back or upper/lower limbs) [3]. WAD commonly occurs as a result of road traffic collisions [4], but can also be acquired through other mechanisms such as contact sports [5,6] or falls [7].…”

Section: Introductionmentioning

confidence: 99%

“…low back or upper/lower limbs). 3 WAD commonly occurs as a result of road traffic collisions, 4 but can also be acquired through other mechanisms such as contact sports 5,6 or falls. 7 The prevalence of WAD varies depending on the country, with greater rates within developing countries.…”

Section: Introductionmentioning

confidence: 99%

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Acupuncture for whiplash-associated disorder following road traffic collision: a physiotherapy service evaluation

Stuart

Armstrong

Sewell³

et al. 2020

Acupunct Med

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Background: Whiplash-associated disorder (WAD) is a common musculoskeletal condition that frequently occurs following a road traffic collision. Physiotherapy is often prescribed to help with the symptoms and injuries. Research evidence has demonstrated that acupuncture may be beneficial, but no studies have examined the routine clinical use of acupuncture by physiotherapists for treatment of WAD. Therefore, a physiotherapy service evaluation was conducted to examine the effects of acupuncture on WAD following a road traffic collision. Methods: This study involved 87 patients who attended a private physiotherapy practice following a road traffic collision after referral by their solicitor as part of a personal injury claim. Patients were included if they had been diagnosed with WAD (grades I–III) and received acupuncture as part of their treatment. An average of three sessions of acupuncture were received, which primarily involved needling of traditional acupuncture points and/or myofascial trigger points of the neck and upper/lower back. Results: Pain significantly reduced ( p < 0.001). Musculoskeletal outcome measures including neck disability index, Oswestry low back pain scale and Quick disabilities of the arm, shoulder and hand (Quick-DASH) scale also significantly improved (all p < 0.001). Adverse events were minor. The majority of the patients (n = 66) were able to return to full-work duties following treatment. Conclusion: Acupuncture appears to be an effective clinical treatment for WAD following a road traffic collision and should be considered by physiotherapists working with such patient groups.

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