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Fisioterapia 2001;23:77-88 - DOI: 10.1016/S0211-5638(01)72936-7
Fractura de la apófisis odontoides en un latigazo cervical: a propósito de un caso
Fracture of the odontoid apophysis in a neck whiplash: based on one case
A.L. Rodríguez Fernández1
Fisioterapeuta. Profesor colaborador del Departamento de Ciencias de la Salud de la Universidad San Pablo-CEU. Madrid
Abstract
Abstract

Due to the great incidence of traffic accidents, there are a lot of patients who come for physical therapy with cervical whiplash syndrome. It is estimated that its incidence in west society is about 1 / 1.000.

Although cervical whiplash injuries can more or less be easily detected, by studying the possible injury mechanism, there are some difficulties to know the exact level of harm in each individual.

In this sense, experiments with animals, corpses, anatomical preparations, volunteers or dummies have gradually been making certain doubts clear concerning cervical whiplash biomechanic: time of muscular reaction, periods of injury production, resistance of certain structures, etc. However there is still a long way ahead

It is important to realise that those syndromes by cervical whiplash may hide some injuries, which might be a potential risk for medullar integrity. Among them, we could face the fracture of the odontoid process of the axis. The aim of this article is to give some light on the mechanism of the production of these injuriesconcerning cervical whiplash and to explain a clinical case, which was found out during a physical therapy treatment.

It is of the utmost importance the access of the physiotherapist to the clinical history of patients and to the complementary tests on them. Therefore he would be able to collaborate with doctors in producing a right diagnosis. It is also considered relevant the importance of the treatment during the period of immobility and of the propioceptive neuromuscular facilitation.

Palabras Clave
Síndrome por latigazo cervical, Fisioterapia, Fractura de la apófisis odontoides del axis, Facilitación neuromuscular propioceptiva
Keywords
Cervical whiplash syndrome, Physical therapy, Fracture of the odontoid process of the axis, Propioceptive neuromuscular facilitation
This article is only available in PDF
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