Persistent cognitive deficits after whiplash injury: a comparative study with mild traumatic brain injury patients and healthy volunteers

Beeckmans, Kurt; Crunelle, Cleo L.; Ingelgom, Silke Van; Michiels, Karla; Dierckx, Eva; Vancoillie, Patrick; Hauman, Henri; Sabbe, Bernard

doi:10.1007/s13760-017-0745-3

Cited by 13 publications

(14 citation statements)

References 28 publications

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“…Regarding memory, some authors [11,24] found no memory problems in WI patients. However, in other studies [1,9,25] mild memory difficulties were detected among WI patients. Most of these patients showed problems with auditoryverbal and/or visuospatial memory and within these memory domains mostly problems with the storage of new information into memory and/ or the recall of recently learned information from memory.…”

Section: Cognitive Problems After Whiplash Injurymentioning

confidence: 70%

“…In contrast, none of the patients showed problems with the recognition of recently stored information from memory. Visuospatial functions [1,11,24] (i.e., visuospatial judgement, visuospatial perception and visuospatial construction) and executive functions [11,24] (i.e., verbal fluency, planning and problem solving and abstract/conceptual reasoning) appeared preserved in WI patients.…”

Section: Cognitive Problems After Whiplash Injurymentioning

confidence: 98%

“…With regard to WI patients, most studies documented mild attention problems and a reduced speed of information processing [1,2,[8][9][10]12,14], while in some studies these problems were not found [11,24]. In the majority of studies which could detect attention deficits after WI, most patients showed problems with sustained and/or divided attention.…”

Section: Cognitive Problems After Whiplash Injurymentioning

confidence: 99%

“…It occurs most often during a rear-end vehicle accident but the injury can also result from a sport accident. So, WI patients show a non-contact trauma that does not result in loss of consciousness or a period of posttraumatic amnesia (PTA) which is characterized by confusion and disorientation [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…With regard to cognitive functioning, WI and MTBI patients often complain of poor attention and memory [7]. Several studies have looked for objective findings concerning cognitive dysfunctions after WI [1,2,[8][9][10][11][12][13][14][15] and MTBI [16][17][18][19][20][21][22][23] and have found the presence of only mild cognitive deficits, if any, in both patient groups, mainly in the domain of attention, information processing and memory.…”

Section: Introductionmentioning

confidence: 99%

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Whiplash Injury and Mild Traumatic Brain Injury: Differential Effects on Cognitive Functioning?

Beeckmans¹,

Michiels²

2017

Int J Neurorehabilitation Eng

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With regard to whiplash injury (WI) patients, some studies documented mild attention problems and a reduced speed of information processing. Most patients showed problems with sustained and/or divided attention. However, some patients had also problems with focused and alternating attention. Regarding memory, some studies detected mild (auditory-verbal and/or visuospatial) memory difficulties. Visuospatial and executive functions appeared mostly preserved. In mild traumatic brain injury (MTBI) patients, mild impairments in speed of information processing, (sustained, divided, focused and/or alternating) attention and (auditory-verbal and/or visuospatial) memory have been found. Furthermore, mild deficits could also be seen on tests measuring executive functions whereas visuospatial functioning seemed to be preserved. Until today, only two studies were devoted to evaluate possible differences in cognitive functioning between WI and MTBI patients. In these studies, both patient groups did not differ significantly with regard to measurements of attention, memory, and visuospatial and executive functions. Therefore, these authors conclude that MTBI patients do not perform more poorly on cognitive tests than WI patients, as might be expected from severity of trauma.

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Section: Cognitive Problems After Whiplash Injurymentioning

confidence: 70%

Section: Cognitive Problems After Whiplash Injurymentioning

confidence: 98%

Section: Cognitive Problems After Whiplash Injurymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Whiplash Injury and Mild Traumatic Brain Injury: Differential Effects on Cognitive Functioning?

Beeckmans¹,

Michiels²

2017

Int J Neurorehabilitation Eng

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Brain Connectivity Predicts Chronic Pain in Acute Mild Traumatic Brain Injury

Bosak

Branco

Kuperman

et al. 2022

Annals of Neurology

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Objectives: Previous studies have established the role of the cortico-mesolimbic and descending pain modulation systems in chronic pain prediction. Mild traumatic brain injury (mTBI) is an acute pain model where chronic pain is prevalent and complicated for prediction. In this study, we set out to study whether functional connectivity (FC) of the nucleus accumbens (NAc) and the periaqueductal gray matter (PAG) is predictive of pain chronification in early-acute mTBI. Methods: To estimate FC, resting-state functional magnetic resonance imaging (fMRI) of 105 participants with mTBI following a motor vehicle collision was acquired within 72 hours post-accident. Participants were classified according to pain ratings provided at 12-months post-collision into chronic pain (head/neck pain ≥30/100, n = 44) and recovery (n = 61) groups, and their FC maps were compared. Results: The chronic pain group exhibited reduced negative FC between NAc and a region within the primary motor cortex corresponding with the expected representation of the area of injury. A complementary pattern was also demonstrated between PAG and the primary somatosensory cortex. PAG and NAc also shared increased FC to the rostral anterior cingulate cortex (rACC) within the recovery group. Brain connectivity further shows high classification accuracy (area under the curve [AUC] = .86) for future chronic pain, when combined with an acute pain intensity report. Interpretation: FC features obtained shortly after mTBI predict its transition to long-term chronic pain, and may reflect an underlying interaction of injury-related primary sensorimotor cortical areas with the mesolimbic and pain modulation systems. Our findings indicate a potential predictive biomarker and highlight targets for future early preventive interventions.

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Critical gap in practice—lack of attention to falls and possible fall-related post-concussion symptoms in older adults and individuals with neurodegenerative disease

Joghataie,

Hundal,

Mushtaque

et al. 2024

GeroScience

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Persistent cognitive deficits after whiplash injury: a comparative study with mild traumatic brain injury patients and healthy volunteers

Cited by 13 publications

References 28 publications

Whiplash Injury and Mild Traumatic Brain Injury: Differential Effects on Cognitive Functioning?

Whiplash Injury and Mild Traumatic Brain Injury: Differential Effects on Cognitive Functioning?

Brain Connectivity Predicts Chronic Pain in Acute Mild Traumatic Brain Injury

Critical gap in practice—lack of attention to falls and possible fall-related post-concussion symptoms in older adults and individuals with neurodegenerative disease

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