TITLE

Knowledge and application of correct car seat head restraint usage among chiropractic college interns: a cross-sectional study

AUTHOR(S)
Taylor, John A. M.; Burke, Jeanmarie; Gavencak, John; Panwar, Pervinder
PUB. DATE
March 2005
SOURCE
Journal of the Canadian Chiropractic Association;Mar2005, Vol. 49 Issue 1, p32
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Summary of background data: Cervical spine injuries sustained in rear-end crashes cost at least $7 billion in insurance claims annually in the United States alone. When positioned correctly, head restraint systems have been proven effective in reducing the risk of whiplash associated disorders. Chiropractors should be knowledgeable about the correct use of head restraint systems to educate their patients and thereby prevent or minimize such injuries. Objectives: The primary objective of this study was to determine the prevalence of correct positioning of car seat head restraints among the interns at our institution. The secondary objective was to determine the same chiropractic interns' knowledge of the correct positioning of car seat head restraints. It was hypothesized that 100 percent of interns would have their head restraint correctly positioned within an acceptable range and that all interns would possess the knowledge to instruct patients in the correct positioning of head restraints. Study Design: Cross-sectional study of a convenient sample of 30 chiropractic interns from one institution. Methods: Interns driving into the parking lot of our health center were asked to volunteer to have measurements taken and to complete a survey. Vertical and horizontal positions of the head restraint were measured using a beam compass. A survey was administered to determine knowledge of correct head restraint position. The results were recorded, entered into a spreadsheet, and analyzed. Results: 13.3 percent of subjects knew the recommended vertical distance and only 20 percent of subjects knew the recommended horizontal distance. Chi Square analyses substantiated that the majority of subjects were unaware of guidelines set forth by the National Highway Traffic Safety Administration (NHTSA) for the correct positioning of the head restraint (χ²vertical = 16.13, χ² horizontal = 10.80, p < .05). Only 6.7 percent of the subjects positioned their head restraint at the vertical distance of 6 cm or less (p < .05). However, 60 percent of the subjects positioned their head restraint at the recommended horizontal distance of 7 cm or less, but this was no different than could be expected by chance alone (p > .05). Interestingly, the 13.3 percent of the subjects who were aware of the vertical plane recommendations did not correctly position their own head restraint in the vertical plane. Similarly, only half of the subjects who were aware of the horizontal plane recommendations correctly positioned their head restraint in the horizontal plane. The data suggest that chance alone could account for the correct positioning of the head restraint in our subjects. Conclusions: The results of this cross-sectional study raise concerns about chiropractic intern knowledge and application of correct head restraint positioning. The importance of chiropractors informing patients of the correct head restraint position should be emphasized in chiropractic education to help minimize or prevent injury in patients involved in motor vehicle collisions.
ACCESSION #
16913712

 

Related Articles

  • Rehab of CAD Injury. Christensen, Kim D. // American Chiropractor;Sep/Oct2004, Vol. 26 Issue 6, p50 

    The article provides information about rehabilitation program to treat patients with cervical acceleration-deacceleration injury or whiplash injury. Patient with whiplash injuries often do not respond completely to care. Doctors of chiropractic who incorporate rehabilitation exercises can...

  • Healthy Living.  // Journal of the American Chiropractic Association;Sep2007, Vol. 44 Issue 7, p18 

    The article offers information on whiplash. Whiplash is a generic term applied to injuries of the neck caused when the neck is suddenly and/or violently jolted in one direction and then another, creating a whiplike movement. It is most commonly seen in people involved in motor vehicle accidents,...

  • Vestibular Deficits after Whiplash Injuries. Owens, William J.; Studin, Mark E. // American Chiropractor;Nov2008, Vol. 30 Issue 11, p10 

    The article presents a study on vestibular deficits after whiplash injuries. It explores on the context which is relative to whiplash injuries without direct head trauma, however, any type of acceleration or deceleration syndrome can produce symptoms of tinnitus, dizziness or visual field...

  • Whiplash rates turning heads in BC.  // CMAJ: Canadian Medical Association Journal;7/23/2002, Vol. 167 Issue 2, p179 

    Reports that the claims rate for whiplash in British Columbia is more than twice the rate for any other jurisdiction in the world. Percentage of whiplash cases following automobile accidents in B.C.; Idea that so-called high claims behavior may be explained by the earning potential of lawyers...

  • Benefit/risk of neck manipulation.  // NCRHI Newsletter;Sep/Oct99, Vol. 22 Issue 5, p2 

    Highlights the findings of a study on the benefits and risks of manipulation of the cervical spine. Injuries due to manipulation by chiropractors; Percentage of injuries attributed to physical therapists.

  • Soft-tissue injuries of the cervical spine in road traffic accidents. Lakasing, Edin; Mirza, Zul A. // General Practice Update;Jan2009, Vol. 2 Issue 1, p35 

    Musculoligamentous injury to the cervical spine, or whiplash, is the most common injury following a road traffic accident and is caused by hyperflexion of the neck with extensor recoil. In biomechanical terms, several factors affect the severity of injury. Physical symptoms usually occur within...

  • More than a Pain in the Neck. Rattray, Fiona // Massage Australia;Aug2004, Issue 47, p6 

    Discusses the effects of whiplash, an acceleration-deceleration injury to the head and neck. Factors that can make a rear-impact whiplash worse; Information on the Foreman and Croft Classification and Quebec Task Force Classification; Summary of whiplash symptoms.

  • Cervical Whiplash. Pitt, Adam; Stewart, Terry // Massage Australia;Feb2006, Issue 52, p4 

    Explains the mechanics behind whiplash and its causes and effects. Description of whiplash injuries; Information on cervical whiplash; Consideration of a typical rear end collision.

  • Whiplash Injury. Yochum, Terry R.; Maola, Chad J. // American Chiropractor;Sep2009, Vol. 31 Issue 9, p14 

    The article reports on the increase of spinal fractures and spinal cord injuries ascribable to automobile activities and sports acclivities in the U.S. in 2009. Spinal cord injuries happen in 10-14% of spinal fractures and dislocations. Fractures of the cervical spine develop neurologic damage...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics