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Whiplash Injuries: Diagnosis and Treatment PDF

265 Pages·1996·7.865 MB·English
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Springer-Verlag Italia Srl. A. Cesarani, D. Alpini, R. Boniver, C.P. Claussen, P.M. Gagey, L. Magnusson, L.M. Odkvist (Eds.) Whiplash Injuries Diagnosis and Treatment Springer A.CESARANI OspedaleMaggiorePoliclinico,IstitutodiAudiologia,UniversitadegliStudi di Milano,ViaSforza 35,Milan,Italy D.ALPINI ENT,Otoneurological Service Scientific Institute S.Maria N.te, Enedon Gnocchi,via Capecelatro 66 -20\48 Milan, Italy R.BONIVER Maitre de Conferences,Universirede Liege, Rue de Bruxelles 2\ B-4800 Verviers, Belgium c.r. CLAUSSEN Neurototologie and Equilibriometry Society (NES), Bad Kissingen, Germany P.M.GAGEY Institut de Posturologie.Av.de Corbera 4, Paris, France L.M AGNUSSON Dept of Otorhinolaryngology, University Hospital, Lund, Sweden L.M.ÖDKVIST Department ofOtolaryngology, University Hospital, S-58\85 Linköping, Sweden ISBN 978-88-470-2295-9 ISBN 978-88-470-2293-5 (eBook) DOI 10.1007/978-88-470-2293-5 Thisworkissubject10copyrigln.Allrightsarereserved,whethcrthewholeorpanofthematerialisconcerncd, specificallytherightsoftranslation.reprinting.reu-e01'illustrations.rccitation.broadcasting,rcproduction onmierefilmorinanyotherway,andstorageindatabanks.Duplications01'thispublicationorpartsthercof ispcnniuedonlyundertheprovisions01'theGermanLaw01'September9.1965.initscurrentversion.und permissionfürusemustalwaysbeobtainedfromSpringer-Verlag.Violationsareliablc fürprosecutionunder theGermanCopyrightLaw, ©Springer-VerlagItalia1996 OriginallypublishedbySpringer-VerlagItalia,Milanoin1996. Theuse01'generat dcscriptivenarnes.registercd names.tradernarks.etc. inthispublicationdoesnotimply, evcnintheabsenceofaspecificsturcmcnt.thatsuchnamesareexemptfrom therelevantprotectivelawsand regulationsantithereforcfrecIorgencrallISC. Productliahility:Thepublisherscannotguaruntcetheuccuracy01'anyinformationaboutdosageandapplicauon contained in thisbook.Incvery individualcase the user mustchecksuch informationbyconsulting the relevantliterature. Table of Contents PART 1 -GENERAL ASPECTS Whiplash: an Interdisciplinary Challenge A.CESARANI, c.F. CLAUSSEN AND D. ALPIN I ... 3 Functional Anatomy c.L. ROMANO, A. MONDINI AND S. BRAMBILLA 13 Kinematics and Dynamics of the Vehicle/Seat/Occupant System Regarding Whiplash Injuries P.L. ARDOINO 19 Whiplash Lesions: Orthopaedic Considerations E. MEANI, S. BRAMBILLA, A. MONDINI AND c.L. ROMANl) 30 The Neurological Point of View G. MEOLA AND V. SANSONE 3k The Radiological Evaluation ., A. BETTINELLI, M. LEONARDI AND E.P. MANGIAGALU -+- PART 2 -PHYSIOPATHOLOGY Patophysiology of Whiplash Associated Disorders: Theories and Controversies M. MAGNUSSON AND M. KARLBERG 47 Postural Studies on Whiplash Injuries P.M. GAGEY S2 Whiplash Effects on Hypothalamus and the Sympathetic System R. BONIVER .. S9 VI Whiplash Effects on the Vestibulo-oculomotor System 64 L.M. ODKYIST PART 3 -EVALUATION Anamnesis and Clinical Evaluation 75 A. CESARANI, D. ALPINI AND D. BRAMBILLA Voluntary Eye Movements in Whiplash Injuries 82 M. SPANIO AND S. RIGa Optokinetic Nistagmus and Visuo-vestibular Interaction in Whiplash Injuries 88 A. SALAMI, M.e. MEDICINA AND M. DELLEPIANE Vestibulo-ocular Reflexes and Vi suo-vestibular Interaction L.M. ODKYIST 100 Abducting Interocular Ophthalmoplegia After Whiplash Injuries D. ALPINI, A. CESARANI AND E. MERLO ..................................................... 107 Instrumental Evaluation of the Posture M. MAGNUSSON 113 Posturography and Vertigo P.L. GHILARDl, A. CASANI AND B. FATTORI 119 Diagnosis and Treatment of Equilibrium Disorders in Whiplash Injuries: Posture and Stance Disorders S. BAROZZI AND B. MONTI 134 Medico-legal Aspects R. BONIYER 143 PART 4 -TREATMENT Pharmacological Treatment of Whiplash Injury E.A. PALLESTRINI, E. CASTELLO AND G. GARAYENTA 149 Whiplash Injury: Orthopaedic and Rehabilitative Approach to Neck Pathology P. SIBILLA, S. NEGRINI AND S. ATANASIO 162 Acupuncture and Neuroretlexology P.L. GHILARDl, e. BORSARI, A. CASANI, L. BONUCCELLl AND B. FATTORI ... 187 VII Physiotherapy of the Neck, Back and Pelvis in Patients with Whiplash Injuries 1. ODKVIST AND L. ODKVIST 196 Neurorehabilitation of Ataxia M. FORNI, E. ENOCK AND A. LINTURA 200 Visual Feedback Center of Gravity Reeducation D. ALPINI, A. CESARANI AND M. DE BELLIS 206 Ski Trainer Oscillating Platfonn: Proprioceptive Reeducation M. SAVINI, D. ALPIN! AND A. CESARAN! 222 Vestibular Electrical Stimulation A. CESARANI AND D. ALP[NI ...................................................................... 227 Neurophysiological Investigation of the Relation Between Vestibular Activation and Cervicospinal Reflex M. OSlO, L. BRUNAT!, G. ABELLO AND A. MANGON[ .................................. 236 The Therapeutic Strategy A. CESARAN! AND D. ALP[N! ...................................................................... 241 Subject Index ................................................................................ 257 The Editors thank Ph~;"aCia&mm10r its support List of Contributors A Abello O. 236 Alpini D. 3, 75, 107, 206, 222, 227, 241 Ardoino P.L. 19 Atanasio S. 162 B Barozzi S. 134 Bettinelli A. 42 Boniver R. 59, 143 Bonuccelli L. 187 Borsari C. 187 Brambilla D. 75 Brambilla S. 13, 30 Brunati L. 236 c Casani A. 119, 187 Castello E. 149 CesaraniA. 3,75, 107,206,222,227,241 Claussen c.F. 3 D De Bellis M. 206 Dellepiane M. 88 E Enock E. 200 F Fattori B. 119, 187 Forni M. 200 x G Gagey P.M. 52 Garaventa G. 149 Ghilardi P.L. 119, 187 K Karlberg M. 47 L Leonardi M. 42 Lintura A. 200 M Magnusson M. 47, 113 Mangiagalli E.P. 42 Mangoni A. 236 Meani E. 30 Medicina M.e. 88 Meola G. 38 Merlo E. 107 Mondini A. 13, 30 Monti B. 134 N Negrini S. 162 o Odkvist 1. 196 Odkvist L.M. 64, 100, 196 Osio M. 236 p Pallestrini E.A. 149 R Rigo S. 82 Romano e.L. 13, 30 s Salami A. 88 Sansone V. 38 Savini M. 222 Sibilla P. 162 Spanio M. 82

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