An Integrated Model of Chronic Whiplash-Associated Disorder

Walton, David M.; Elliott, James M.

doi:10.2519/jospt.2017.7455

Cited by 53 publications

(52 citation statements)

References 120 publications

(128 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…well as hyperalgesia and central sensitization [56][57][58]. People suffering from chronic WAD can also have symptoms of posttraumatic stress and this can be predictive of development of chronic issues when identified early [57,59].…”

Section: Previous Accident (Mva)mentioning

confidence: 99%

Risk Factors for the Elevation of Psychosocial Barriers in the Recovery of Lumbar Pathology

Keating¹,

Hui²,

Smith³

2019

Phys Ther Rehabil

View full text Add to dashboard Cite

Background/Purpose: The prevalence of low back pain (LBP) continues to rise and an appreciation for a biopsychosocial approach, which takes in multiple facets of a patient presentation, may significantly impact this increase. To the best our knowledge, there are no studies evaluating the relationship between the STarTBack Screening Tool (SBT) and the access point the patient enters the health system. Our hypothesis is that patients that access care through the medical model will exhibit greater psychosocial risk. Methods: A retrospective analysis of 1404 cases of LBP utilizing past medical history, demographic information, and SBT data. A linear regression model to identify potential predictors was utilized followed by analyses using cumulative logistic regression model with potential predictors. Results: Referral source had a positive impact on the SBT score and higher probability of high risk classification. Compared to direct access, accessing care through a primary care physician had an odds ratio of 2.802 and specialist an odds ratio of 3.195. Conclusion: This study provides evidence to the impact that access may have on the psychosocial status of patients with LBP. The approach taken by the healthcare provider may impact long term pain and functional outcomes and costs. of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the maine lumbar spine study. Spine (Phila Pa 1976). 2005; 30:927-35. | Article | PubMed 31. Deyo RA and Mirza SK. The case for restraint in spinal surgery: does quality management have a role to play? Eur Spine J. 2009; 18 Suppl 3:331-7. | Article | PubMed Abstract | PubMed FullText 32. Brox JI, Nygaard OP, Holm I, Keller A, Ingebrigtsen T and Reikeras O. Fouryear follow-up of surgical versus non-surgical therapy for chronic low back pain. Ann Rheum Dis. 2010; 69:1643-8. | Article | PubMed Abstract | PubMed FullText 33. Loupasis GA, Stamos K, Katonis PG, Sapkas G, Korres DS and Hartofilakidis G. Seven-to 20-year outcome of lumbar discectomy. Spine (Phila Pa 1976). 1999; 24:2313-7. | Article | PubMed 34. Mannion AF, Brox JI and Fairbank JC. Comparison of spinal fusion and nonoperative treatment in patients with chronic low back pain: longterm follow-up of three randomized controlled trials. Spine J. 2013; 13:1438-48. | Article | PubMed 35. Anandacoomarasamy A, Caterson I, Sambrook P, Fransen M and March L. The impact of obesity on the musculoskeletal system. Int J Obes (Lond). 2008; 32:211-22. | Article | PubMed 36. Brooks C, Siegler JC, Cheema BS and Marshall PW. No relationship between body mass index and changes in pain and disability after exercise rehabilitation for patients with mild to moderate chronic low back pain. Spine (Phila Pa 1976). 2013; 38:2190-5. | Article | PubMed 37. Fanuele JC, Abdu WA, Hanscom B and Weinstein JN. Association between obesity and functional status in patients with spine disease. Spine (Phila Pa 1976). 2002; 27:306-12. | PubMed 38. Heuts PH, Vlaeyen JW, Roelofs J, de Bie RA, Aretz K, van Weel C and...

show abstract

Section: Previous Accident (Mva)mentioning

confidence: 99%

Risk Factors for the Elevation of Psychosocial Barriers in the Recovery of Lumbar Pathology

Keating¹,

Hui²,

Smith³

2019

Phys Ther Rehabil

View full text Add to dashboard Cite

show abstract

“…WAD and its associated sequelae often present as neck pain, musculoskeletal deficits or neurological signs [2]. It has been estimated that of the individuals who sustain such an injury, 20 to 50 percent will experience chronic alterations of their activities of daily living as much as 1 year later [1,3]. WAD also imposes a large economic burden on the healthcare system, which leads to billions of dollars spent every year for rehabilitation of these injuries, not including the time spent away from work [4].…”

mentioning

confidence: 99%

mentioning

confidence: 99%

“…Despite the socioeconomic burden of WAD, it is unclear as to why some individuals are more predisposed to WAD, or how acute to chronic WAD occurs [3,4,5]. Many traditional models have looked at the biomechanical characteristics of a MVC (e.g., speed/direction of impact, awareness of impending collision) in order to explain the development of WAD [3,4]. The current consensus is that the associations between the biomechanical characteristics of traumatic events, such as a car crash, and clinical symptoms (headache, neck pain) are weak or poorly understood [3,4,5].…”

mentioning

confidence: 99%

“…Many traditional models have looked at the biomechanical characteristics of a MVC (e.g., speed/direction of impact, awareness of impending collision) in order to explain the development of WAD [3,4]. The current consensus is that the associations between the biomechanical characteristics of traumatic events, such as a car crash, and clinical symptoms (headache, neck pain) are weak or poorly understood [3,4,5]. As a result, clinicians struggle to explain to patients how they developed their symptoms.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Exploring immersive technologies: the potential for innovation in whiplash research

Lukacs¹,

Salim²

2018

hsi

View full text Add to dashboard Cite

Effects of childhood trauma on pain‐related distress in adults

Walton

Tremblay

Seo

et al. 2021

European Journal of Pain

View full text Add to dashboard Cite

Background Much of the work in post‐musculoskeletal (MSK) trauma and distress has been conducted through frameworks that start from the injury and go forward to better understand the trajectories and predictors of recovery. However, stress–diatheses models suggest that reactions to trauma are shaped by pre‐existing experiences of the person more than the parameters of the event itself. In this study, we explore the effects of adverse childhood experiences (ACEs) on traumatic threat appraisal, distress and pain‐related functional interference in adulthood. Methods Adult participants with acute, non‐catastrophic musculoskeletal trauma completed a battery of questionnaires that included the Adverse Childhood Experiences Questionnaire (ACEQ), the Brief Illness Perceptions Questionnaire (BIPQ), the Traumatic Injuries Distress Scale (TIDS) and the Brief Pain Inventory (BPI). An a priori model was evaluated through path analysis to determine the variance in BPI Interference scores explained through direct or indirect pathways between these variables (ACEQ‐>BIPQ, BIPQ‐>TIDS, TIDS‐>BPI). The analysis was repeated for the sample when disaggregated by sex. Results In n = 114, the base model was saturated. After removing non‐significant pathways, the ACEQ‐>BIPQ‐>TIDS‐>BPI paths were significant and in the expected direction, explaining 57.1% of variance in acute BPI Interference score. When disaggregated by sex, the effect of ACEs on threat appraisal was only significant in men and not women, although this analysis was exploratory. Conclusions Acute pain‐related interference could be predicted by post‐traumatic distress and threat appraisal. Threat appraisal could be further predicted through ACEs, more childhood adversities were associated with more threatening appraisal of trauma in adulthood. The disaggregated finding that the effects of childhood adversities were only significant in males requires further exploration. Significance This study explores the potential pathways of the stress–diathesis model while focusing on adverse childhood experiences as a novel contribution to the field of acute post‐trauma pain. The findings may inform future research design and interpretation of acute‐to‐chronic pain risk stratification tools.

show abstract

An Integrated Model of Chronic Whiplash-Associated Disorder

Cited by 53 publications

References 120 publications

Risk Factors for the Elevation of Psychosocial Barriers in the Recovery of Lumbar Pathology

Risk Factors for the Elevation of Psychosocial Barriers in the Recovery of Lumbar Pathology

Exploring immersive technologies: the potential for innovation in whiplash research

Effects of childhood trauma on pain‐related distress in adults

Contact Info

Product

Resources

About