Croatian version of the neck disability index can distinguish between acute, chronic and no neck pain

Aljinović, Jure; Barun, Blaž; Poljičanin, Ana; Marinović, Ivanka; Vlak, Tonko; Pivalica, Dinko; Benzon, Benjamin

doi:10.1007/s00508-021-01908-w

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…Given that the NDI is a subjective tool, patients can use it to aggravate the level of disability when seeking financial compensation. The NDI was previously validated and used by our group of authors and its superiority to SWE in the follow-up of whiplash injury patients has been confirmed [11,20].…”

Section: Discussionmentioning

confidence: 88%

Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?

Aljinović

Barun

Benzon

et al. 2022

JCM

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Background: Painfully decreased cervical range of motion accompanied by muscle spasm is a common presentation of whiplash injury of the neck. Stiffness of the cervical muscles can be assessed by ultrasound shear wave elastography (SWE), expressed in kilopascals (kPa). The hypothesis: SWE of the trapezius muscle is an objective measurement suitable for the initial screening and follow-up of patients who report whiplash injury. Methods and results: A total of 99 patients after whiplash injury were compared to 75 control participants. Mean trapezius stiffness was 82.24 ± 21.11 vs. 57.47 ± 13.82 for whiplash patients and controls, respectively. The cut-off value of SWE of 75.8 kPa showed 77% accuracy in correctly assigning patients to the whiplash or control group. To evaluate whether SWE can be used as a follow-up method of recovery after a whiplash injury, initial and endpoint SWE (after six months, n = 24) was carried out. Patients reporting no recovery showed similar SWE values as completely recovered patients. This finding refutes the second part of our hypothesis. Conclusions: SWE is a method that can be used for the initial screening of patients with whiplash injury, but we are still searching for an objective measurement that can be used in the follow-up of recovery.

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Section: Discussionmentioning

confidence: 88%

Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?

Aljinović

Barun

Benzon

et al. 2022

JCM

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“…NDI-CRO, previously validated in Croatian, was used to quantify disability [17]. The total NDI score was divided by the maximal possible score and expressed in percentages (NDI%).…”

Section: Data Measurementmentioning

confidence: 99%

Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle

et al. 2021

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A prospective observational study comparing shear wave elastography (SWE) of trapezius muscle with Neck Disability Index (NDI) in a prediction model of health status six months after a whiplash injury. Both SWE values, measured by two radiologists, and NDI scores were obtained at baseline and after physical therapy (PT) (6-month period). Those values were compared with a 3-point Likert scale (no, partial or full recovery). Twenty-two subjects completed the study. A decrease in trapezius stiffness was detected by both radiologists, statistically significant for one (Δ10.1 kPa; p = 0.04) but not for the second radiologist (Δ8.63 kPa; p = 0.07). The measurements showed excellent intra-observer (ICC 0.75–0.94) and inter-observer (ICC 0.78–0.88) reliability. After six months, fully recovered patients showed lower NDI scores than partially recovered patients (Δ22.98; p < 0.001). SWE values did not differ with the recovery status (55.6 ± 9.7 vs. 57 ± 15.8, Δ1.45; p = 0.82). The single most accurate variable in classifying health status six months after whiplash injury was the relative change of NDI, and it showed the highest accuracy (73.9%) and low Akaike information criterion (AIC = 39.2). Overall, the most accurate classification was obtained when combining NDI and SWE after physical therapy with an accuracy of 77.3% and a decrease in AIC (32.8).

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Psychometric properties of neck disability index – a systematic review and meta-analysis

Saltychev,

Pylkäs,

Karklins

et al. 2024

Disability and Rehabilitation

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Croatian version of the neck disability index can distinguish between acute, chronic and no neck pain

Cited by 4 publications

References 31 publications

Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?

Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?

Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle

Psychometric properties of neck disability index – a systematic review and meta-analysis

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