A recent study revealed that occupants that have their head turned during a rear-end collision suffer greater injury than all other collisions.
Manohar et al. (2006) stated that “In a 5-year retrospective study of 11,000 patients with a cervical spine injury, 87.4% had soft tissue injuries…more than 25 of the patients. reported symptoms more than 5 years following whiplash” (p. 420).
The symptoms commonly encountered included cranial nerve irritation, neck, and upper extremity pain, restricted neck motion and paresthesia (numbness).
This study concluded that “Head-turned rear impact caused significantly greater injury [to the cervical spine], as compared to the head-forward rear and frontal impacts…” (Manohar et al., 2006, p.420).

Therefore, when taking a history on your whiplash patients, be sure to ask, “Were you looking straight ahead or was your head turned?” as this is a “significant risk factor (a circumstance that makes a situation worse),” it is vital to determine when eliciting a client’s history.
Reference:
Panjabi, M. M., Ivancic, P. C., Maak, T. G., Tominaga, Y., & Rubin, W. (2006). Multiplanar cervical spine injury due to head-turned rear impact. Spine, 31(4), 420-429.
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