What Factors Have Influence on Persistence of Neck Pain After a Whiplash?

Pleguezuelos, Eulogio; Mesquida, M.E. Pérez; Fanegas, Elisabet Palomera; Atanasio, Eva Moreno; Pastor, Marcellus; Pont, C. Perucho; Prieto, Carlos Matarrubia; Gómez, Genoveva Reverón; Cano, Lluis Guirao

doi:10.1097/brs.0b013e3181c9b075

Cited by 25 publications

(31 citation statements)

References 33 publications

(25 reference statements)

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“…Further, dizziness, proprioceptive and balance deficits do not appear to be a consequence of long term problems but occur early after injury , Dehner et al , 2008, Cobo et al , 2009) and may be related to persistent symptoms and a poorer prognosis following a whiplash injury often termed whiplash associated disorder (WAD) (Pleguezuelos et al , 2008, Schreiber and Fried, 2009, Cobo et al , 2010, Phillips et al , 2010.…”

Section: Introductionmentioning

confidence: 99%

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Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs

et al. 2016

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Section: Introductionmentioning

confidence: 99%

“…Nevertheless, high pain levels and the presence of dizziness have often been combined as predictors of a poorer outcome following whiplash trauma and may be related factors (Cobo et al, 2010, Phillips et al, 2010.…”

Section: Introductionmentioning

confidence: 99%

Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs

et al. 2016

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“…15,50,77,83,100 Thus, appropriate assessment, differential diagnosis, and management of clinical features may be important, especially when trying to prevent transition to chronicity.…”

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confidence: 99%

Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain

Treleaven¹

2017

Journal of Orthopaedic & Sports Physical Therapy

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Synopsis There is considerable evidence to support the importance of cervical afferent dysfunction in the development of dizziness, unsteadiness, visual disturbances, altered balance, and altered eye and head movement control following neck trauma, especially in those with persistent symptoms. However, there are other possible causes for these symptoms, and secondary adaptive changes should also be considered in differential diagnosis. Understanding the nature of these symptoms and differential diagnosis of their potential origin is important for rehabilitation. In addition to symptoms, the evaluation of potential impairments (altered cervical joint position and movement sense, static and dynamic balance, and ocular mobility and coordination) should become an essential part of the routine assessment of those with traumatic neck pain, including those with concomitant injuries such as concussion and vestibular or visual pathology or deficits. Once adequately assessed, appropriate tailored management should be implemented. Research to further assist differential diagnosis and to understand the most important contributing factors associated with abnormal cervical afferent input and subsequent disturbances to the sensorimotor control system, as well as the most efficacious management of such symptoms and impairments, is important for the future. J Orthop Sports Phys Ther 2017;47(7):492–502. Epub 16 Jun 2017. doi:10.2519/jospt.2017.7052

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“…Both the TSK and PCS have been Rasch analyzed by our group and have demonstrated good to excellent congruence with axioms of quantitative measurement in neck pain [26,27]. The HADS has been used extensively in research on people with mechanical neck pain [28][29][30][31].…”

Section: Methodsmentioning

confidence: 99%

Exploring the Causes of Neck Pain and Disability as Perceived by Those Who Experience the Condition: A Mixed-Methods Study

Walton

Balsor

Etruw

2012

ISRN Rehabilitation

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Designing effective treatment protocols for neck-related disability has proven difficult. Disability has been examined from structural, emotional, and cognitive perspectives, with evidence supporting a multidimensional nature. The patient's perspective of their condition has found increasing value for patient-centred, evidence-informed care. This cross-sectional study utilized descriptive thematic analysis to examine perceptions of causation in 118 people with neck pain. The Brief Illness Perceptions Questionnaire was used to capture perceptions of causation for neck pain symptoms. The Neck Disability Index, the Pain Catastrophizing Scale, the Hospital Anxiety and Depression Scale, and the P4 pain intensity numeric rating scale were also collected. Eight main themes were found for the cause(s) of neck pain: posture and movement, structure and mechanism, emotions, predisposition and lifestyle, symptoms, fatigue and insomnia, treatment, and environment. A series of regression models stratified by perceived cause suggested that disability could be explained by different constructs across the larger of the main themes. The findings are discussed in terms of the false view that mechanical neck pain should be considered a homogenous condition and potential application to treatment decision making based on patient perspectives.

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What Factors Have Influence on Persistence of Neck Pain After a Whiplash?

Abstract: Our findings indicate that factors that allow us to identify patients at risk for poor recovery are age, dizziness, and initial evaluation of neck pain with VAS and cervical column functionality with NPH.

Cited by 25 publications

References 33 publications

Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs

Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs

Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain

Exploring the Causes of Neck Pain and Disability as Perceived by Those Who Experience the Condition: A Mixed-Methods Study

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