Identifying predictors of early non-recovery in a compensation setting: The Whiplash Outcome Study

Short-term changes in median nerve neural tension after a suboccipital muscle inhibition technique in subjects with cervical whiplash: a randomised controlled trial

“…It was hypothesised that some of the participants may have been expecting financial compensation following a road traffic accident. Self-reported pain and symptoms during the ULNT-1 could have been influenced by this aspect, as being part of a compensation process has been associated with poorer outcomes [38]. Finally, all the effects were evaluated in the short term.…”

Associations with legal representation in a compensation setting 12 months after injury

“…The study design and recruitment process has been published previously [4]. Briefly, participants were eligible if they had sustained a whiplash injury in a motor vehicle crash no longer than three months previously, were 18 years or older, had no concurrent workers compensation claim and did not require the services of an interpreter.…”

“…An index score is generated with a range of scores from zero (no disability) to 100 (severe disability). Recovery was defined as a Functional Rating Index of less than or equal to 25 as has been used previously [2,4].…”

“…Whiplash associated disorder (WAD) is the most frequently reported injury in traffic crash insurance schemes [1,2] and identification of factors associated with delayed recovery in compensation settings has been the focus of considerable research [3,4]. The economic costs associated with delayed recovery from WAD are significant, with one study suggesting that a small minority (12%) of people who were unrecovered at 6 months account for half of all compensation payments [5].…”

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IntroductionWhiplash associated disorder (WAD) is the most frequently reported injury in traffic crash insurance schemes [1,2] and identification of factors associated with delayed recovery in compensation settings has been the focus of considerable research [3,4]. The economic costs associated with delayed recovery from WAD are significant, with one study suggesting that a small minority (12%) of people who were unrecovered at 6 months account for half of all compensation payments [5].

WAD research initially focussed on understanding the impact of collision factors and injury severity on recovery, with studies reporting an association between non recovery and collision factors including speed, and lack of awareness of the impending Injury, Int.

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