The myth of chronic whiplash syndrome

Pearce, John

doi:10.1038/sj.sc.3100934

Cited by 15 publications

(8 citation statements)

References 32 publications

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“…Nineteen of the remaining articles [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] included a discussion about the cultural aspects of whiplash and were explored to determine which articles were used as a basis for the whiplash culture. Eight studies [24][25][26][27][28][29][30][31] were found that met this final criterion, which are recorded in Table 1.…”

Section: Resultsmentioning

confidence: 99%

The notion of a “whiplash culture”: a review of the evidence

Haneline

2009

Journal of Chiropractic Medicine

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There are many unanswered questions about the basis of chronic whiplash, and the notion of a whiplash culture is controversial. Chronic whiplash symptoms are surely not caused entirely by cultural issues, yet they are probably not entirely physical. Presumably, a tissue injury component exists in most chronic whiplash-associated disorder victims that becomes aggravated in those who are susceptible to biopsychosocial factors. As with many other controversial health care topics, the answer to the debate probably lies somewhere in the middle.

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Section: Resultsmentioning

confidence: 99%

The notion of a “whiplash culture”: a review of the evidence

Haneline

2009

Journal of Chiropractic Medicine

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“…6 Also it has been suspected that the role of psychological factors in chronic WAD has been underestimated 7 and even it has been proposed that chronic WAD is an overdiagnosed 'pseudosyndrome'. 8 It seems to be clear that the incidence of chronic WAD differs dramatically in different countries 9,10 and that different insurance policies have at least some effect on the prognosis after whiplash injuries. 11 Overall it can be estimated that the information regarding chronic WAD is, to say the least, somewhat confusing.…”

Section: Introductionmentioning

confidence: 99%

Whiplash injuries in Finland--the possibility of some sociodemographic and psychosocial factors to predict the outcome after one year

Miettinen

Airaksinen

Lindgren

et al. 2004

Disability and Rehabilitation

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“…6,7 Studies on somatic theories and mechanical aspects of the trauma are still being published, but recently more articles have focused on psychological, cultural, and social factors as an explanation for the various characteristics of this syndrome. 1,5,[8][9][10][11][12][13] Although still subject to debate, a general consensus is building that post-whiplash syndrome should be regarded as a functional somatic syndrome with etiologic factors known to be involved in similar syndromes. 1,14,15 A recent systematic review of prognostic factors stated that high initial pain intensity, restricted cervical range of motion, high number of symptoms, previous psychological problems, and nervousness are considered risk factors for delayed recovery, although the available evidence is not very strong.…”

mentioning

confidence: 99%

“…[1][2][3][4][5] Although the term ''whiplash'' is widely used, it is not so much a diagnosis as a description of an injury process. The chronic syndrome, with long-lasting symptoms and without evidence of structural or somatic trauma, is often referred to as late or post-whiplash syndrome.…”

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confidence: 99%

Can Kinesiophobia Predict the Duration of Neck Symptoms in Acute Whiplash?

Buitenhuis

Jaspers²,

Fidler³

2006

The Clinical Journal of Pain

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Objectives: In low back pain, clinical studies suggest that kinesiophobia (fear of movement/(re)injury) is important in the etiology of chronic symptoms. In this prospective cohort study, the predictive role of kinesiophobia in the development of late whiplash syndrome was examined.Methods: Victims of car collisions with neck symptoms who initiated compensation claim procedures with a Dutch insurance company were sent a questionnaire containing symptom-related questions and the Tampa Scale of Kinesiophobia (TSK-DV). Follow-up questionnaires were administered 6 and 12 months after the collision. Survival analysis was used to study the relationship between the duration of neck symptoms and explanatory variables.Results: Of the 889 questionnaires sent, 590 (66%) were returned and 367 used for analysis. The estimated percentage of subjects with neck symptoms persisting 1 year after the collision was 47% (SE 2.7%). In a regression model without symptom-related variables, kinesiophobia was found to be related to a longer duration of neck symptoms (P = 0.001). However, when symptom-related information was entered into the model, the effect of kinesiophobia did not reach statistical significance (P = 0.089).Conclusions: Although a higher score on the TSK-DV was found to be associated with a longer duration of neck symptoms, information on early kinesiophobia was not found to improve the ability to predict the duration of neck symptoms after motor vehicle collisions.

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The myth of chronic whiplash syndrome

Cited by 15 publications

References 32 publications

The notion of a “whiplash culture”: a review of the evidence

The notion of a “whiplash culture”: a review of the evidence

Whiplash injuries in Finland--the possibility of some sociodemographic and psychosocial factors to predict the outcome after one year

Can Kinesiophobia Predict the Duration of Neck Symptoms in Acute Whiplash?

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