Tasha analyzes a study out of Queensland that found physical changes in cervical extensor tissues over time after acceleration/deceleration injury. We know from histology studies that there are changes after immobility in the form of muscle fatty infiltrate (MFI). Most interesting to note here is that the people who had higher NDI scores, also had higher levels of MFI, but only when controlled for PTSD levels; the MFI also increased over time in the severe group (NDI > 30)
We cannot say that the MFI caused higher disability/pain levels. I agree with the authors speculation that these people are most likely doing less, thus causing increased MFI and atrophy in the cervical extensors. Issues in the tissues as Butler would say!
There is no easy way to treat these patients, but my approach would be to treat any underlying tissue and joint restrictions plus addressing the CNS sensitivity with Explain Pain and postural education.
Post a Comment
Post a Comment