Neck pain and disability following motor vehicle accidents?a cohort study

Bunketorp, Lina; Stener-Victorin, Elisabet; Carlsson, Johanna

doi:10.1007/s00586-004-0766-5

Cited by 37 publications

(54 citation statements)

References 23 publications

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“…Although there is still a difference of opinion on this aspect, more authors -in the last few years in particular -have reported on this association. 3,6 Contrary to prior belief, most individuals with neck pain CJ Vos, AP Verhagen, J Passchier and BW Koes do not experience complete resolution of their symptoms and disability. According to the 2007 guidelines of the New South Wales Motor Accidents Authority in Australia, most patients can expect a favourable outcome but recurrences are common and 10% can have persistent problems.…”

Section: Comparison With Existing Literaturementioning

confidence: 87%

“…10 Studies on recovery indicate that the outcome is twofold: either the neck pain will resolve in the first few months or it will persist with a high probability of becoming a chronic complaint. 6,9 The chance of recovery is less favourable for women and decreases with age -14% for every decade according to Harder et al 15 Longer-term (for example, after 5 years) recovery figures are comparable with the figures after 1-year follow-up. 13,16 The majority of patients in these studies reported hardly any change over the years but, if change occurs, deterioration outbalances improvement.…”

Section: Introductionmentioning

confidence: 95%

“…5 The majority of patients reported pain at more than one site with a considerable overlap between different sites. 5 A motor vehicle accident (MVA) is a frequently reported factor that might have a substantial impact on persistent neck pain and disability, 6 although it is not the only risk factor. All types of neck trauma seem to be associated with chronic neck pain.…”

Section: Introductionmentioning

confidence: 99%

“…3 The concept and prevalence of residual neck complaints caused by an accident-related injury is one of the most debated conditions in medicine. 6 Although an MVA is not equal to a whiplash.…”

Section: Introductionmentioning

confidence: 99%

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Impact of motor vehicle accidents on neck pain and disability in general practice

Vos¹,

Verhagen²,

Passchier³

et al. 2008

Br J Gen Pract

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BackgroundHigh levels of continuous neck pain after a motor vehicle accident (MVA) are reported in cross-sectional studies. Knowledge of this association in general practice is limited. AimTo compare the differences in perceived pain and disability in patients with acute neck pain due to an MVA versus other self-reported causes. The secondary aim was to identify prognostic factors for continuous neck pain. Design of studyProspective cohort study with 1-year follow-up. SettingGeneral practices in Rotterdam and its suburban region. MethodPatients with non-specific acute neck pain were invited to participate. Questionnaires were collected at baseline and after 6, 12, 26, and 52 weeks. The numerical pain-rating scale (NRS) and the neck disability index (NDI) were measured. Regression analysis was used to identify prognostic factors for continuous neck pain. ResultsA total of 187 patients were included. The MVA subgroup (n = 42) was significantly younger (P = 0.007), reported more sick leave (P = 0.037), higher levels of headache (P<0.001) and higher NDI scores at baseline (P = 0.018) but lower scores for previous neck pain (P = 0.015) compared to the remaining cohort. At follow-up the MVA subgroup had higher scores for continuous neck pain (63% versus 40%) and at the NDI (11.0 versus 7.1). After multivariate analysis 'pain in the upper part of the neck' (odds ratio [OR] = 1.6), 'duration of complaints at baseline longer than 2 weeks' (OR = 5.3), and an 'MVA' (OR = 5.3) were significantly correlated with outcome. ConclusionIndividuals exposed to MVAs constitute a relevant subgroup of patients with neck pain. An MVA and a longer duration of complaints are prognostic factors for continuous neck pain.

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Section: Comparison With Existing Literaturementioning

confidence: 87%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of motor vehicle accidents on neck pain and disability in general practice

Vos¹,

Verhagen²,

Passchier³

et al. 2008

Br J Gen Pract

View full text Add to dashboard Cite

show abstract

“…That degeneration can be accelerated after a whiplash trauma has been shown in a study by Watkinson et al [11] and by Hamer et al [12]. In addition, it has been shown that approximately one third of patients with chronic neck pain have a previous neck trauma in their history [13,14].…”

Section: The Possibility For An Injury To Occurmentioning

confidence: 90%

WAD – Criteria for Evaluation of Causality

Bunketorp¹

2017

Open J Trauma

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Exposure to a Motor Vehicle Collision and the Risk of Future Neck Pain: A Systematic Review and Meta‐Analysis

Nolet

Emary

Kristman

et al. 2019

PM&R

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ObjectiveTo summarize the literature that has examined the association between a motor vehicle collision (MVC) related neck injury and future neck pain (NP) in comparison with the population that has not been exposed to neck injury from an MVC.Literature SurveyNeck injury resulting from an MVC is associated with a high rate of chronicity. Prognosis studies indicate 50% of injured people continue to experience NP a year after the collision. This is difficult to interpret due to the high prevalence of NP in the general population.MethodologyWe performed a systematic review of the literature using five electronic databases, searching for risk studies on exposure to an MVC and future NP published from 1998 to 2018. The outcome of interest was future NP. Eligible risk studies were critically appraised using the modified Quality in Prognosis Studies (QUIPS) instrument. The results were summarized using best‐evidence synthesis principles, a random effects meta‐analysis, metaregression, and testing for publication bias was performed with the pooled data.SynthesisEight articles were identified of which seven were of lower risk of bias. Six studies reported a positive association between a neck injury in an MVC and future NP compared to those without a neck injury in an MVC. Pooled analysis of the six studies indicated an unadjusted relative risk of future NP in the MVC exposed population with neck injury of 2.3 (95% CI [1.8, 3.1]), which equates to a 57% attributable risk under the exposed. In two studies where exposed participants were either not injured or injury status was unknown, there was no increased risk of future NP.ConclusionsThere was a consistent positive association among studies that have examined the association between MVC‐related neck injury and future NP. These findings are of potential interest to clinicians, insurers, patients, governmental agencies, and the courts.Level of EvidenceI.

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Neck pain and disability following motor vehicle accidents?a cohort study

Cited by 37 publications

References 23 publications

Impact of motor vehicle accidents on neck pain and disability in general practice

Impact of motor vehicle accidents on neck pain and disability in general practice

WAD – Criteria for Evaluation of Causality

Exposure to a Motor Vehicle Collision and the Risk of Future Neck Pain: A Systematic Review and Meta‐Analysis

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