{"id":989589,"date":"2020-05-01T16:09:30","date_gmt":"2020-05-01T14:09:30","guid":{"rendered":"https:\/\/www.osteovitalsabadell.cat\/?p=989589"},"modified":"2025-10-28T12:56:08","modified_gmt":"2025-10-28T10:56:08","slug":"que-sabemos-de-la-fuedada-cervical-whiplash-cervical","status":"publish","type":"post","link":"https:\/\/www.osteovitalsabadell.cat\/es\/que-sabemos-de-la-fuedada-cervical-whiplash-cervical\/","title":{"rendered":"\u00bfQu\u00e9 sabemos del LATIGAZO CERVICAL\/ WHIPLASH CERVICAL?"},"content":{"rendered":"
\n

La fuetada cervical o whiplash cervical es va definir per la Q\u00c9BEC Task Force al 1995 com un mecanisme d\u2019acceleraci\u00f3-desacceleraci\u00f3 del coll amb transfer\u00e8ncia d\u2019energia a la regi\u00f3 cervical que pot produir-se com a conseq\u00fc\u00e8ncia d\u2019un accident de tr\u00e0nsit. Es poden lesionar els teixits tous o l\u2019os i pot produir una gran varietat de manifestacions cl\u00edniques (s\u00edndrome associat a la fuetada cervical).<\/p>\n\n\n\n

Quina simptomatologia hi ha al patir una fuetada cervical?<\/u><\/strong><\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^^^^^\u00bb list_item_content=\u00bbDolor zona cervical i\/o de la resta de la columna vertebral que pot arribar fins a la columna lumbar i sacre.^Cefalea (mal de cap).^Ac\u00fafens o d\u00e8ficit d\u2019audici\u00f3, disfagia (dificultat al empassar) o vert\u00edgens.^Ansietat, p\u00e8rdua de la concentraci\u00f3 o trastorns de la vig\u00edlia i la son.^N\u00e0usees, ast\u00e8nia o diarrea.^Parest\u00e8sies (formigueig) a l\u2019extremitat superior fins a la m\u00e0.^Dolor a l\u2019ATM (Articulaci\u00f3 temporo-mandibular) o alteraci\u00f3 moviment de la mand\u00edbula.^Dismenorrea (regla dolorosa) o amenorrea (no ve la regla).\u00bb sc_id=\u00bbsc1588341704807″]<\/p>\n\n\n\n

Com el podem diagnosticar?<\/u><\/strong><\/p>\n\n\n\n

El que s\u2019hauria de fer \u00e9s, a trav\u00e9s del CAP o urg\u00e8nices, una radiografia (RX) en el pla frontal i sagital (de costat) per veure si hi ha hagut una rectificaci\u00f3 cervical (posici\u00f3 recta de la columna cervical).<\/p>\n\n\n\n

Tamb\u00e9 \u00e9s necess\u00e0ria una radiografia transbucal per veure la integritat del lligament alar que van dels c\u00f2ndils occipitals fins a l\u2019ap\u00f2fisi odontoides de l\u2019axis (segona cervical). Si aquest lligament est\u00e0 afectat no es podr\u00e0 realitzar l\u2019ajustament, la manipulaci\u00f3 cervical que \u00e9s duu a terme durant el tractament.<\/p>\n\n\n\n

Quines estructures anat\u00f2miques cal tenir en compte en una fuetada cervical?<\/u><\/strong><\/p>\n\n\n\n

Des del punt de vista osteop\u00e0tic ser\u00e0 molt important tractar les meninges o Membranes de Tensi\u00f3 Rec\u00edproca (MTR). Les MTR s\u00f3n 3: la duramare, aracnoides i piamare. Aquestes meninges s\u2019originen al crani i s\u2019expandeixen per tota la columna fins al c\u00f2ccix. El que fan doncs \u00e9s envoltar la columna. La seva funci\u00f3 per tant, \u00e9s protegir al Sistema Nervi\u00f3s Central (SNC).<\/p>\n\n\n\n

Aquestes MTR tenen anclatges importants com:<\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^^^^^^\u00bb list_item_content=\u00bbFal\u00e7 del cervell^Tenda del cerebel^Tenda de la hip\u00f2fisi^Forat magne^Axis (segons v\u00e8rtebra cervical)^C3 (sobre el lligament vertebral com\u00fa posterior)^L5, S1, S2 ( \u00faltima v\u00e8rtebra lumbar i les dues primeres sacres)^Lligaments sacroci\u00e0tics, sacrococcigis i sacroil\u00edacs^2 primeres v\u00e8rtebres cocc\u00edgies\u00bb sc_id=\u00bbsc1588341891874″]<\/p>\n\n\n\n

Les MTR guien, limiten i regulen el moviment dels ossos del crani fins al sacre i c\u00f2ccix. Aquestes MTR s\u00f3n tens\u00e8griques, \u00e9s a dir, la tracci\u00f3 en un punt altera tota la unitat.<\/p>\n\n\n\n

Quin tractament realitzarem?<\/u><\/strong><\/p>\n\n\n\n

Ser\u00e0 important realitzar una bona anamnesi (entrevista amb el pacient) per aix\u00ed realitzar una exploraci\u00f3 i diagn\u00f2stic osteop\u00e0tic m\u00e9s prec\u00eds, ja que encara que sigui una fuetada cervical, cada pacient ha rebut el cop d\u2019una manera espec\u00edfica i intensitat diferent i tamb\u00e9 ser\u00e0 important saber com estava emocionalment el pacient en aquell moment abans de l\u2019impacte.<\/p>\n\n\n\n

Com hem dit abans les MTR protegeixen al SNC i \u00e9s per aix\u00f2 que aquestes es posen en tensi\u00f3 perqu\u00e8 no hi hagi una lesi\u00f3 m\u00e9s greu (com podria ser una lesi\u00f3 medul\u00b7lar). Per contra el pacient podria presentar una s\u00e8rie de disfuncions a nivell cranial, cervical i lumbococcigies.<\/p>\n\n\n\n

En una etapa inicial inflamat\u00f2ria, que sol ser els primers 21 dies post traumatisme, no realitzarem encara cap tractament osteop\u00e0tic. Optarem per rep\u00f2s relatiu, si podem fer les activitats de la vida di\u00e0ria millor, ja que el sedentarisme seria una mala opci\u00f3. Intentarem disminuir al m\u00e0xim possible la ingesta d\u2019AINEs, a no ser que el dolor sigui molt fort.<\/p>\n\n\n\n

A partir d\u2019aqu\u00ed, se segueix un protocol m\u00e9s o menys establert, anomenat SAT (Specific Adjusting Technique), i recomanable per tal de solucionar aquest problema.<\/p>\n\n\n\n

En la primera sessi\u00f3 d\u2019osteopatia, despr\u00e9s d\u2019haver realitzar una bona anamnesi i exploraci\u00f3, realitzarem la relaxaci\u00f3 de les meninges a trav\u00e9s d\u2019una t\u00e8cnica anomenada via interna que es duu a terme a nivell anal. Ho fem aix\u00ed ja que el c\u00f2ccix \u00e9s el lloc m\u00e9s directe que tenim d\u2019acc\u00e9s a les MTR.<\/p>\n\n\n\n

En una segona sessi\u00f3, valorarem la mobilitat activa i passiva de la columna cervical. Normalment les cervicals altes (sobretot C2-C3) solen ser les que estan en m\u00e9s disfunci\u00f3. A partir d\u2019aqu\u00ed quan ja sabem si la v\u00e8rtebra est\u00e0 en flexi\u00f3, extensi\u00f3 o translaci\u00f3 passarem a fer l\u2019ajustament d\u2019aquest segment vertebral amb l\u2019objectiu de recuperar la lordosi cervical (curvatura cervical correcte).<\/p>\n\n\n\n

En una tercera sessi\u00f3, podr\u00edem tornar a valorar la columna cervical i veure si cal fer un altre ajustament cervical (normalment C5 o C6).<\/p>\n\n\n\n

Finalment, en una \u00faltima sessi\u00f3 valorem com treballa la zona lumbo-sacre. Concretament zona L5 i sacre.<\/p>\n\n\n\n

En totes les sessions valorarem i tractarem el ritme cranio sacral (MRP). Ser\u00e0 important tractar tan el sistema nervi\u00f3s simp\u00e0tic (que \u00e9s el que ens mant\u00e9 actius) intentant inhibir-lo, com parasimp\u00e0tic (que \u00e9s el que ens ajuda a estar calmats i facilita la digesti\u00f3) intentant activar-lo.<\/p>\n\n\n\n

M\u00e9s endavant podr\u00edem demanar una altra radiografia per contrastar canvis i resultats de la primera radiografia.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

La fuetada cervical o whiplash cervical es va definir per la Q\u00c9BEC Task Force al 1995 com un mecanisme d\u2019acceleraci\u00f3-desacceleraci\u00f3 del coll amb transfer\u00e8ncia d\u2019energia a la regi\u00f3 cervical que pot produir-se com a conseq\u00fc\u00e8ncia d\u2019un accident de tr\u00e0nsit. Es poden lesionar els teixits tous o l\u2019os i pot produir una gran varietat de manifestacions…<\/p>\n","protected":false},"author":1,"featured_media":988576,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-989589","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"yoast_head":"\nTratamiento del latigazo cervical en Sabadell \u2013 Osteovital<\/title>\n<meta name=\"description\" content=\"Recupera movilidad y alivia el dolor tras un latigazo cervical. 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