Dr. Croft Guideline on Car Accident: Grade of Severity

Based on reference which is the acceleration/deceleration syndrome as a Croft reference Dr. Croft describes duration of treatment by grade of severity. It shows treatment duration that Grade 1: < 11weeks, Grade 2: < 29weeks, Grade 3: <56 weeks. Grade 1 defines minimal; no limitation of motion, no ligament injury. Grade 2 defines slight; limitation of motion, no ligament injury, no neurological findings. Grade 3 defines moderate; limitation of motion, ligament injury, neurological finding my present. Grade 4 defines moderate to severe; limitation of motion, ligament injury, neurological finding present; fracture or disc derangement.

Stages of Injury
Stage I Acute;   Inflammatory phase; Up to 72 hours
Stage II Subacute;   Repair phase; 72 hours to 14 weeks
Stage III Remodeling phase;   14 weeks to 12 months or more
Stage IV Chronic; Permanent

Table 12.4

Treatment Adjuncts in Cervical Acceleration/Deceleration Trauma

Modality

Stage I

Stage II

Stage III

Stage IV

Cervical pillow

All grades

All grades

All grades

All grades

Cervical collars

– Rigid

Grades III-V 1,2

Grades III-V 1,2

——–

——–

– Soft

Grades II and III 1,2

——–

——–

——–

Home traction

——–

Grades II-IV 2

Grades II-IV

Grades II-IV

Home exercise

——–

Grades II-IV 2

Grades II-IV 2,3

——–

Ice

All grades

All grades

As needed

——–

Vit/min. suppl.

All grades

All grades

All grades

Recommended

DTM 4

Grades II-IV

Grades II-IV

As needed

——–

1 See text for indications.

2 Unless contraindicated.

3 Grade V after surgery.

4 Deep tissue massage.

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About stevebaekdc

In 2001, Dr. Steve Baek, D.C opened this office and currently still owns it, today. He has been practicing ever since with the goal of focusing on quality patient care as the absolute most important activity in his clinic. The clinic is also staffed with employees who treat everyone with respect. They all act like family and do their best to make every patient feel like they’re part of this fabulous family. You will be amazed at the feeling you get when you visit this clinic since it will make you feel like you’re on vacation or at a spa resort. We feel confident that our clinic and the customer service that we offer will make you feel like your right at home within just a few visits here. Dr. Baek believes that it’s very important for his employees to stay alert and dedicated to their patients at all times. He also believes that his employees should stay educated within all areas. Dr. Baek makes sure these tasks are completed by having weekly meetings with all staff members. He wants everyone to know that his company isn’t just a simple clinic, but it’s his reputation. Dr. Baek is also very active in his community by doing volunteer work and attending many different community events. Dr. Baek always finds the time to make sure that everything runs in a smooth fashion, even when his schedule gets busy. At times, Dr. Baek has even gone out of his way at his own expense for his patients because he believes that his patient’s health is the most important thing and it’s why he does what he does every single day. Now, please think about all the qualities that a Chiropractic clinic should have in your eyes, then visit us and see that Dr. Baek’s Chiropractic clinic will far outweigh any expectations that you have regarding clinics of this nature.

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