Head- and neck-related symptoms post-motor vehicle collision (MVC): Separate entities or two-sides of the same coin?

Kuperman, Pora; Granovsky, Yelena; Fadel, Shiri; Bosak, Noam; Buxbaum, Chen; Hadad, Rafi; Sprecher, Elliot; Bahouth, Hany; Lulu, Hen Ben; Yarnitsky, David; Granot, Michal

doi:10.1016/j.injury.2021.03.003

Cited by 5 publications

(5 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The last two scores relate to distinct PCS clusters,where the RPQ-3 describes more early, predominantly physical symptoms, the RPQ-13 describes more late, predominantly psychological symptoms [ 20 ]. The current study employed a widely-used Hebrew translated version of the RPQ (see also [ 35 , 50 ].) The Post-Traumatic Diagnostic Scale for DSM IV [ 22 , 23 ] is a self-report measure of PTSD related to a single identified traumatic event (Cronbach’s Alpha reliability = 0.92).…”

Section: Phasementioning

confidence: 99%

See 1 more Smart Citation

Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks

et al. 2023

View full text Add to dashboard Cite

Background Blast-explosion may cause traumatic brain injury (TBI), leading to post-concussion syndrome (PCS). In studies on military personnel, PCS symptoms are highly similar to those occurring in post-traumatic stress disorder (PTSD), questioning the overlap between these syndromes. In the current study we assessed PCS and PTSD in civilians following exposure to rocket attacks. We hypothesized that PCS symptomatology and brain connectivity will be associated with the objective physical exposure, while PTSD symptomatology will be associated with the subjective mental experience. Methods Two hundred eighty nine residents of explosion sites have participated in the current study. Participants completed self-report of PCS and PTSD. The association between objective and subjective factors of blast and clinical outcomes was assessed using multivariate analysis. White-matter (WM) alterations and cognitive abilities were assessed in a sub-group of participants (n = 46) and non-exposed controls (n = 16). Non-parametric analysis was used to compare connectivity and cognition between the groups. Results Blast-exposed individuals reported higher PTSD and PCS symptomatology. Among exposed individuals, those who were directly exposed to blast, reported higher levels of subjective feeling of danger and presented WM hypoconnectivity. Cognitive abilities did not differ between groups. Several risk factors for the development of PCS and PTSD were identified. Conclusions Civilians exposed to blast present higher PCS/PTSD symptomatology as well as WM hypoconnectivity. Although symptoms are sub-clinical, they might lead to the future development of a full-blown syndrome and should be considered carefully. The similarities between PCS and PTSD suggest that despite the different etiology, namely, the physical trauma in PCS and the emotional trauma in PTSD, these are not distinct syndromes, but rather represent a combined biopsychological disorder with a wide spectrum of behavioral, emotional, cognitive and neurological symptoms.

show abstract

Section: Phasementioning

confidence: 99%

Section: Phasementioning

confidence: 99%

Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Inpatients had a higher ratio of codes related to concussions (S06.00) than outpatients, suggesting that patients with head trauma were more likely to require hospitalization. Symptoms related to head trauma such as headache, dizziness, and memory impairment make social activities difficult, [ 21 ] resulting in patients with head trauma preferring hospitalization because of psychological concerns about the occurrence of traumatic brain injury. [ 22 ]…”

Section: Discussionmentioning

confidence: 99%

“…*P < .05. www.md-journal.com related to concussions (S06.00) than outpatients, suggesting that patients with head trauma were more likely to require hospitalization. Symptoms related to head trauma such as headache, dizziness, and memory impairment make social activities difficult, [21] resulting in patients with head trauma preferring hospitalization because of psychological concerns about the occurrence of traumatic brain injury. [22] In the analysis of Korean medicine interventions, HM, whose prescription is limited to a maximum of 7 days per accident, was performed in 90% of inpatients and only 43% of outpatients.…”

Section: Outcome Admission Day Pain Discharge Day Pain Changes P Valuementioning

confidence: 99%

Characteristics of Korean medical care utilization in patients with traffic injury: Analysis of 3 hospital electronic health record databases

Lee,

Sul,

Lee

et al. 2024

Medicine

View full text Add to dashboard Cite

This retrospective study aimed to identify the characteristics of Korean medical care utilization in patients with traffic injury (TI) and to explore the clinical effectiveness of Korean medical interventions for TI through a multicenter chart review. This multicenter, retrospective registry study gathered electronic health records from 3 hospitals between January 1, 2018 and December 31, 2021. Data included treatment dates, demographic information, the Korean Standard Classification of Diseases codes, collision data, Korean medicine treatment modalities, and treatment outcomes. In total, 384 patients (182 inpatients and 202 outpatients) were included in the analysis. Patients were categorized into acute (207 patients, 53.9%), subacute (77 patients, 20.1%), and chronic (100 patients, 26.0%) phases based on the period until the visit. The most frequent Korean Standard Classification of Diseases code was “sprain and strain of cervical spine (S13.4).” All patients, except one, received Korean physiotherapy, followed by acupuncture and cupping. Comparative intragroup analysis revealed significant pain reduction in patients treated with the combination of Chuna manual therapy, herbal medicine, and pharmacopuncture and those treated with pharmacopuncture and herbal medicine only. This study highlights the characteristics of patients with TI visiting medical institutions providing Korean medicine and describes the effectiveness of Korean medicine interventions. Further comprehensive analysis with more data is necessary for future research.

show abstract

“…Additionally, blood was drawn for genetics and patients’ demographic and clinical baseline assessments (i.e., socio-demographic information, self-reported pain levels, areas of post-accident body pain, and use of analgesics) were obtained. For more information on the full study protocol please see our previous work [ 17 , 35 , 36 ].…”

Section: Methodsmentioning

confidence: 99%

Dispositional and situational personal features and acute post-collision head and neck pain: Double mediation of pain catastrophizing and pain sensitivity

et al. 2022

Self Cite

View full text Add to dashboard Cite

Pain variability can be partially attributed to psycho-cognitive features involved in its processing. However, accumulating research suggests that simple linear correlation between situational and dispositional factors may not be sufficiently explanatory, with some positing a role for mediating influences. In addition, acute pain processing studies generally focus on a post-operative model with less attention provided to post-traumatic injury. As such, this study aimed to investigate a more comprehensive pain processing model that included direct and indirect associations between acute pain intensity in the head and neck, pain catastrophizing (using pain catastrophizing scale (PCS)), and pain sensitivity (using the pain sensitivity questionnaire (PSQ)), among 239 patients with post-motor vehicle collision pain. The effect of personality traits (using Ten Items Personality Inventory (TIPI)) and emotional status (using Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale (PSS)) on that model was examined as well. To this end, three Structural Equation Modeling (SEM) analyses were conducted. Overall, the data had good fit to all the models, with only PSQ found to have a direct correlation with acute pain intensity. The SEM analyses conversely revealed several mediations. Specifically, that: first, PSQ fully mediated the relationship between PCS and pain intensity; second, PCS and PSQ together fully mediated the relationship between conscientiousness (personality trait) and pain intensity; and finally, emotional status had direct and indirect links with PSQ and pain intensity. In conclusion, these models suggest that during the acute post-collision phase, pain sensitivity intermediates between emotional states and personality traits, partially via elevated pain catastrophizing thoughts.

show abstract

Head- and neck-related symptoms post-motor vehicle collision (MVC): Separate entities or two-sides of the same coin?

Cited by 5 publications

References 33 publications

Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks

Neuro-psychiatric symptoms in directly and indirectly blast exposed civilian survivors of urban missile attacks

Characteristics of Korean medical care utilization in patients with traffic injury: Analysis of 3 hospital electronic health record databases

Dispositional and situational personal features and acute post-collision head and neck pain: Double mediation of pain catastrophizing and pain sensitivity

Contact Info

Product

Resources

About