Importancia de la biomecánica del impacto en la valoración pericial del síndrome del latigazo cervical

  1. Carlos Represas Vázquez 1
  2. José Ignacio Muñoz Barús 2
  3. Aurelio Luna Maldonado 3
  1. 1 Medicina Legal y Forense, A Coruña
  2. 2 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

  3. 3 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

Revista:
Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

ISSN: 0377-4732

Ano de publicación: 2016

Volume: 42

Número: 2

Páxinas: 72-80

Tipo: Artigo

DOI: 10.1016/J.REML.2015.10.001 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Revista española de medicina legal: órgano de la Asociación Nacional de Médicos Forenses

Resumo

Argumentos de diferente naturaleza (impacto epidemiológico, indefinición diagnóstica, ausencia de pruebas objetivas de daño) justifican la necesidad de la biomecánica del impacto en el diagnóstico médico-legal de causalidad del síndrome postraumático cervical (whiplash associated dissorders) en terminología anglosajona. Su investigación biomecánica tiene dos etapas bien definidas de interés médico-legal: la investigación en laboratorio (animales, cadáveres, y fundamentalmente voluntarios) y el estudio de colisiones reales, a lo que ha contribuido el desarrollo de dispositivos de recogida de datos. Esta investigación ha permitido identificar parámetros físicos de la colisión (cambio de velocidad, aceleración) relacionados con el riesgo de lesiones cervicales, así como otros factores de riesgo. Aunque la utilización médico-legal de los umbrales que delimitan el riesgo de lesión poblacional no es pacífica en la literatura, existen suficientes evidencias que permiten individualizar estos umbrales de riesgo de lesión en el diagnóstico médico-legal de la causalidad, si bien exige un profundo conocimiento.

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