The impact of non–injury-related factors on disability secondary to whiplash associated disorder type II: a retrospective file review

Busse, Jason W.; Dufton, John A.; Kilian, Brendan Carney; Bhandari, Mohit

doi:10.1016/j.jmpt.2003.12.001

Cited by 10 publications

(3 citation statements)

References 16 publications

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“…Whiplash-associated disorder (WAD) describes a spectrum of head and neck symptoms triggered by an accident with an acceleration-deceleration energy transfer including MVCs. 24 Consistent with the present findings, nonrecovery after whiplash injury has been associated with cervical degeneration seen in patients of older age, 25 , 26 ongoing litigation including worker's compensation cases, 27 – 29 and psychological factors such as ADHD. 30 Unique to this investigation, identified patients with severe neck symptoms and concussions had a higher incidence of reported motion sickness history and scored higher on concussion indices (CP screen, VOMS, and ImPACT).…”

Section: Discussionsupporting

confidence: 88%

Neck Symptoms and Associated Clinical Outcomes in Patients Following Concussion

Oyekan

Eagle

Trbovich

et al. 2023

Journal of Head Trauma Rehabilitation

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Objective: To examine the frequency and association of neck pain symptoms in patients with a concussion. Study Setting and Participants: Three-hundred and thirty-one consecutively enrolled patients aged 9 to 68 years with a diagnosed concussion 1 to 384 days post-injury were enrolled at a concussion clinic from a single integrated healthcare system in Western Pennsylvania between 2019 and 2021. Design: Retrospective cohort analysis of prospectively collected concussion screening tool intake survey responses and clinical outcomes data. The primary outcome was self-reported neck pain or difficulty with neck movement on the Concussion Clinical Profiles Screening (CP Screen) tool, recovery time, and incidence of treatment referral. Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) composite scores, Vestibular/Ocular Motor Screening (VOMS) item scores, type and severity of neck symptoms, mechanism of injury, time from injury to clinic presentation, medical history, and concussion symptom profile were secondary outcomes. Results: Of the 306 consecutively enrolled eligible patients in the registry, 145 (47%) reported neck pain, 68 (22.2%) reported difficulty moving their neck, and 146 (47.7%) reported either symptom. A total of 47 (15.4%) participants reported more severe neck symptoms, and this group took longer to recover (40 ± 27 days) than those not reporting neck symptoms (30 ± 28 days; U = 8316, P < .001). Stepwise logistic regression predicting more severe neck symptoms was significant (Nagelkerke R2 = 0.174, χ2 = 9.315, P = .316) with older age (P = .019) and mechanism of injury including motor vehicle collisions (MVCs) (P = .047) and falls (P = .044) as risk factors. MVCs and falls were associated with over 4 times and 2 times greater risk, respectively, for reporting more severe neck symptoms. Conclusion: Neck pain and stiffness symptoms are common in patients with a concussion following high-energy mechanisms of injury including MVCs or falls from height. These symptoms are associated with prolonged recovery. Providers should evaluate neck symptoms and consider targeted treatment strategies to limit their effects in patients with a concussion.

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Section: Discussionsupporting

confidence: 88%

Neck Symptoms and Associated Clinical Outcomes in Patients Following Concussion

Oyekan

Eagle

Trbovich

et al. 2023

Journal of Head Trauma Rehabilitation

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“…The acuity of neck pain, setting, age, percentage radiculopathy, percentage of litigation, and workers compensation in the above-mentioned studies were different. Litigation and workers compensation may play a negative role in perceived disability of patients with nonspecific neck pain, chronic pain, or back pain (Tait et al, 1990;Rainville et al, 1997;Riddle and Stratford, 1998;Teasell, 2001;Hee et al, 2002;Blyth et al, 2003;Busse et al, 2004;Landers et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

The construct validity of the Short Form-36 Health Survey for patients with nonspecific chronic neck pain

Vries¹,

Jorritsma

Dijkstra

et al. 2015

International Journal of Rehabilitation Research

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Self-reported disability related to neck pain can be measured using general health questionnaires. The validity of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) in patients with nonspecific chronic neck pain (CNP) in a tertiary outpatient rehabilitation setting is unknown. This study investigates construct validity of the SF-36 in these patients using 16 a-priori formulated hypotheses. Ninety-one patients admitted for rehabilitation completed the SF-36 before the rehabilitation program. SF-36 domain scores of patients with CNP were compared with general population reference values and standardized differences were calculated. For both the SF-36 physical and the mental component summary (PCS and MCS), differences between primary and tertiary care setting, men and women, age groups, litigants and nonlitigants, patients with and without compensation, and with ≥3 versus≤2 concomitant complaints were analyzed using independent t-tests. Differences between PCS and MCS scores were analyzed using a paired t-test. Twelve hypotheses were not rejected and four were rejected. All SF-36 domain scores were significantly lower than the general population references values. The domain scores 'role physical', 'bodily pain', 'vitality', 'social functioning,' and 'role emotional' were relevantly (≥1 SD) lower. SF-36-PCS and SF-36-MCS scores were significantly lower in tertiary care. The SF-36-PCS score was significantly lower for patients with workers compensation and patients with at least three concomitant complaints. The SF-36-MCS score was significantly lower for the age group of at least 39 years. The SF-36 has good construct validity and can be used to measure self-reported general health in patients with nonspecific CNP in outpatient tertiary rehabilitation.

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“…Importantly, several studies have found that initial pain severity is predictive of development of many chronic pain problems, suggesting that sensitization effects at onset may account for ongoing problems (Nicholson, 2000b). Busse, Dufton, Kilian, and Bhandari (2004) reviewed a total of 1,101 consecutive files of patients presenting to a single chiropractor's practice with whiplash-associated disorder and found that, among the many variables studied, higher self-reported disability on initial assessment was associated with being female and, in particular, with retaining a lawyer. Of note, female gender is associated with a greater incidence or severity of most chronic pain problems (Nicholson, 2000b).…”

mentioning

confidence: 99%