The Behavioural Response to Whiplash Injury

Gargan, Martin; Bannister, G.C.; Main, C.; Hollis, Sally

doi:10.1302/0301-620x.79b4.0790523

Cited by 39 publications

(26 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The recovery trajectory was consistent with published rates of recovery from smaller studies based on the UK population where reports of persistent symptoms at least 1 year post injury ranged from 16% to 48% of participants. 21,22,[83][84][85] In MINT, approximately 18% of participants in Step 1 and 32% in Step 2 had persistent symptoms at 12 months (LWS). Forty-eight per cent of people had recovered at 4 months in Step 1 and 41% in…”

Section: External Validity and Generalisability Of The Findingsmentioning

confidence: 99%

Managing Injuries of the Neck Trial (MINT): a randomised controlled trial of treatments for whiplash injuries

Lamb

Williams²,

Williamson³

et al. 2012

Health Technol Assess

View full text Add to dashboard Cite

on behalf of the MINT Trial GroupHow to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are thre...

show abstract

Section: External Validity and Generalisability Of The Findingsmentioning

confidence: 99%

Managing Injuries of the Neck Trial (MINT): a randomised controlled trial of treatments for whiplash injuries

Lamb

Williams²,

Williamson³

et al. 2012

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…[20]-a standard measure of emotional distress in a medical setting [19]. [28,54] and shown to be predictive of poor outcome in the long-term following whiplash [52].…”

Section: Psychological and Quality Of Life Measuresmentioning

confidence: 99%

The clinical presentation of chronic whiplash and the relationship to findings of MRI fatty infiltrates in the cervical extensor musculature: a preliminary investigation

et al. 2009

View full text Add to dashboard Cite

The objective was to determine whether any measurable changes in sensory responses, kinesthetic sense, cervical motion, and psychological features were related to established fatty infiltration values in the cervical extensor musculature in subjects with persistent whiplash. It is unknown if fatty infiltrate is related to any signs or symptoms. Data on motor function, Quantitative Sensory Testing, psychological and general well-being, and pain and disability were collected from 79 female subjects with chronic whiplash. Total fat values were created for all subjects by averaging the muscle fat indices by muscle, level, and side from our MRI dataset of all the cervical extensor muscles. Results of this study indicate the presence of altered physical, kinesthetic, sensory, and psychological features in this cohort of patients with chronic whiplash. Combined factors of sensory, physical, kinesthetic, and psychological features all contributed to a small extent in explaining the varying levels of fatty infiltrate, with cold pain thresholds having the most influence (r 2 = 0.28; P = 0.02). Identifying and relating quantifiable muscular alterations to clinical measures in the chronic state, underpin some clinical hypotheses for possible pathophysiological processes in this group with a chronic and recalcitrant whiplash disorder. Future research investigations aimed at accurate identification, sub-classification, prediction, and management of patients with acute and chronic whiplash is warranted and underway.

show abstract

“…This kind of disorder may explain why individuals with disturbed premorbid personality respond differently to acute physical symptoms, and why these vulnerable individuals are less able to cope with post-accident stressors (Putnam and Millis 1994;Greiffenstein and Baker 2001;Gatchel 1996;Vendrig 2000). Concerning chronic whiplash syndrome, some authors consider that some patients may be predisposed to developing psychological problem after a whiplash injury (Radanov et al 1999;Gargan et al 1997).…”

Section: Psychological Factorsmentioning

confidence: 99%