Updated: May 19
Exercise is a critical component in rehabilitating WAD injuries. There is strong evidence that exercise combined with manual therapy (manipulation or mobilization) has a substantial effect on reducing pain and increasing range of motion after a WAD. (29, 30, 31, 32)
Initially, as much as possible, exercises should be performed within a pain free range-of-motion. This helps to ensure that no abnormal neurological motor responses are developed (central sensitization), and the necessary tissue repair can occur. It is very important to remember that injured tissue needs time to remodel, but without the right exercise program, the possibility of re-injury and on-going pain is also very high.
The type of exercises that are prescribed will vary based on each patient’s needs, and the severity of the injury. In addition, specific recommendations for the patients Activities of Daily Living (ADL) such as using ice or heat, sleeping positions, and other recommendations can speed the healing process.
Exercise Examples for Whiplash Associated Disorders (WAD)
The following videos are examples of the type of exercises we often prescribe to our patients. (The actual exercises we would prescribe would vary depending on patient injuries. In general terms, we would first focus on improving mobility, then introduce strengthening exercises, then introduce functional exercises with a focus on balance and proprioception. In addition low-intensity aerobic exercise can help to speed the rehabilitation process.
Caution: These videos are for demonstration purposes only and should not be taken as recommendations for a specific case.
MOBILITY AND FLEXIBILITY EXERCISES
5 Minute Neck Pain Relief
Have a sore neck, try our "5 Minute Neck Pain Relief" routine. Doing this routine several times per day can make a huge difference in your neck pain.
Neck Stretching - PNF - Kinetic Health:
PNF (Proprioceptive Neuromuscular Facilitation) is a type of stretching that to increases flexibility and mobility, and increases overall range of motion. PNF is a progressive stretch technique involving muscle contraction and relaxation.
In this video we go through the four key motions of the neck and show you how to increase your mobility. (55)
Pain Relief For Problem Headaches
In this video "Pain Relief For Problem Headaches" we show you a great way to resolve your headache. This Headache Relief video show you how to release trigger points at the base of your skull, the Suboccipital region. Releasing this area is a key aspect of resolving headac
Self Myofascial Release of the GB20 - Acupuncture Point –
Self-myofascial release of an acupuncture point known as gallbladder 20 (GB20 - Fengchi) can be very effective for relieving tension headaches, neck pain, and shoulder pain. GB 20 is located on the nape, just below the occiput, in the depression between the upper portion of sternocleidomastoid muscle and trapezius muscle. (52,53)
6-Effective - TMJ Exercises
Jaw problems are a common issue with whiplash injuries. The following video shows you how to perform 6 exercises for Temporomandibular Joint Dysfunction. These are some of the same exercises that we prescribe to our patients after we perform Motion Specific Release - MSR TMJ procedures. (53)
5 - Great Daily Shoulder Mobilization Exercises
You can perform these exercises throughout your day for best results. These exercises can make a huge difference in your posture, especially if you have been sitting for a long period of time. (56)
Important: All neck injuries requires the advice and attention of a trained professional. So check with your practitioner before starting this phase of treatment. The following are just two examples of exercise that we may prescribe to patients suffer from whiplash injuries.
Neck Strengthening Exercises That Work
Neck and Shoulder exercises are essential to correct bad posture. What you need are neck strengthening exercises that actually work! A strong mobile neck can go a long way in preventing future injuries and in completely resolving an injury that already exists. Neck strengthening is also incredibly important for postural improvement.
6 - Isometric Neck Exercises
Isometric exercises are a gentle way to gently strengthen the muscles of the neck. These exercises are a great starting point for strengthening after an injury. (55)
NERVE FLOSSING EXERCISES
Peripheral nerve entrapment is a common occurrence in whiplash injuries. The following link takes you to our Nerve Flossing Playlist, covering multiple sections of the body from the spine to the upper and lower extremity. (52,53,54)
Whiplash Associated Disorders are complex injuries. In order to achieve optimal results in treating and resolving these injuries, patients must consider several important factors:
Select a practitioner who possesses a good understanding of Whiplash Injury Bio-mechanics. This is important, not just from the perspective of resolving the injury, but for addressing the litigation process. Though most case are resolved before a case goes to court, practitioners may be called to testify to give their opinions on the injury and its long-term ramifications. Make sure you have qualified and well educated practitioners on your team.
A complete examination that includes a comprehensive history, orthopedic and neurological assessment, and necessary imaging is essential. All aspects of examination must be thoroughly documented, including a subjective pain assessment and a neck disability index. From a medical legal perspective documentation is critical.
Best results are achieved by using a multidisciplinary approach. From an injury resolution perspective, a trained professional, should address both soft-tissue and joint injuries. Choose a skilled musculoskeletal practitioner (Chiropractor, Physiotherapist, Registered Massage Therapist) who has experience in addressing WAD. In addition to your manual musculoskeletal practitioner, pain management could also be a significant factor, since it is often difficult to receive therapy, do prescribed exercises, or even sleep when experiencing a high level of pain. This will require consultation with a medical practitioner. The appropriate medication can definitely be an asset in helping you to progress and achieve optimal results.
Exercise is NOT optional, it is critical for a full recovery from a WAD. Special consideration should be given to the specific needs of each individual. Exercises prescribed should consider three primary stages: acute, recovery and functional rehabilitation and should include neuromuscular re-education. It is also essential that the patient has exercises that they can continue to use in a home exercise program.
WAD are complex, but can be addressed successfully if the right approach is taken. Make sure that you understand your options to achieve the best results possible.
DR. BRIAN ABELSON DC.
Dr. Abelson believes in running an Evidence Based Practice (EBP). EBP's strive to adhere to the best research evidence available, while combining their clinical expertise with the specific values of each patient.
Dr. Abelson is the developer of Motion Specific Release (MSR) Treatment Systems. His clinical practice in is located in Calgary, Alberta (Kinetic Health). He has recently authored his 10th publication which will be available later this year.
Make Your Appointment Today!
Make an appointment with our incredible team at Kinetic Health in NW Calgary, Alberta. Call Kinetic Health at 403-241-3772 to make an appointment today, or just click the MSR logo to right. We look forward to seeing you!
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A Practitioners Guide to Motion Specific Release – Full Body Manual, Brian Abelson, Kamali Abelson. 2018 Rowan Tree Books.
A Practitioners Guide to Motion Specific Release – Upper Body Manual, Brian Abelson, Kamali Abelson. 2018 Rowan Tree Books.
A Practitioners Guide to Motion Specific Release – Lower Body Manual, Brian Abelson, Kamali Abelson. 2018 Rowan Tree Books.
Exercises for the Jaw to Shoulder, Brian Abelson, Kamali Abelson, 2009 Rowan Tree Books.
Exercise for the Shoulder to Hand, Brian Abelson, Kamali Abelson, 2009 Rowan Tree Books.