Abstract
Introduction
A cohort of 134 patients presenting in medico-legal practice with whiplash neck injury following a motor vehicle accident was studied prospectively by personal interviewing.
Materials and methods
Injury- and patient-related factors with possible influence to the timing of recovery were analysed with univariate and multivariate statistical methods.
Results
Logistic regression showed significant association between high physical demand patient occupation and recovery within 6 months from injury (P = 0.036, coefficient 1.5, odds ratio 4.47) while initiation of physiotherapy treatment was associated with prolongation of symptoms for more than 6 months following injury (P < 0.001, coefficient −2.6, odds ratio 0.08). An association between development of arm pain (P = 0.01), upper limb numbness or paraesthesia (P = 0.03) and bilateral trapezius pain (P = 0.04) and persistence of whiplash-related symptoms was also observed. These findings must be taken into account in evaluation and treatment of patients with acute whiplash injuries pursuing litigation.
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References
Atherton K, Wiles NJ, Lecky FE et al (2006) Predictors of persistent neck pain after whiplash injury. Emerg Med J 23:195–201
Borchgrevink GE, Kaasa A, McDonagh D et al (1998) Acute treatment of whiplash neck strain injuries. A randomised trial of treatment during the first 14 days after a car accident. Spine 23:25–31
Cote P, Hogg-Johnson S, Cassidy JD et al (2005) Initial patterns of clinical care and recovery from whiplash injuries: a population-based cohort study. Arch Intern Med 165:2257–2263
Deans GT, Magalliard JN, Kerr M, Rutherford WH (1987) Neck sprain—a major cause of disability following car accidents. Injury 18:10–12
Ferrari R, Russell AS, Carroll LJ, Cassidy JD (2005) A re-examination of the whiplash associated disorders (WAD) as a systemic illness. Ann Rheum Dis 64:1337–42
Gozzard C, Bannister G, Langkamer G et al (2001) Factors affecting employment after whiplash injury. J Bone Joint Surg Br 83B:506–509
Harder S, Veilleux M, Suissa S (1998) The effect of socio-demographic and crash-related factors on the prognosis of whiplash. J Clin Epidemiol 51:377–384
Hendriks EJ, Scholten-Peeters GG, van der Windt DA et al (2005) Prognostic factors for poor recovery in acute whiplash patients. Pain 114:408–416
Holm L, Cassidy JD, Sjogren Y, Nygren A (1999) Impairment and work disability due to whiplash injury following traffic collisions. An analysis of insurance material from the Swedish Road Traffic Injury Commission. Scand J Public Health 27:116–23
Khan S, Bannister GC, Asopa V, Edwards A (2000) Prognosis following a second whiplash injury. Injury 31:249–251
Lankester BJ, Garneti N, Gargan MF, Bannister GC (2006) Factors predicting outcome after whiplash injury in subjects pursuing litigation. Eur Spine J 15:902–907
Osti OL, Gun RT, Abraham G et al (2005) Potential risk factors for prolonged recovery following whiplash injury. Eur Spine J 14:90–94
Radanov BP, Di Stefano G, Schindrig A, Ballinari P (1991) Role of psychosocial stress in recovery from common whiplash. Lancet 338:712–714
Spitzer WO, Skovron ML, Salmi LR et al (1995) Scientific monograph of the Quebec task force on whiplash-associated disorders. Spine 20:1–73
Squires B, Gargan MF, Bannister GC (1996) Soft tissue injuries of the cervical spine. 15 year follow up. J Bone Joint Surg Br 78B:955–957
Suissa S (2003) Risk factors of poor prognosis after whiplash injury. Pain Res Manag 8:69–75
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Karnezis, I.A., Drosos, G.I. & Kazakos, K.I. Factors affecting the timing of recovery from whiplash neck injuries: study of a cohort of 134 patients pursuing litigation. Arch Orthop Trauma Surg 127, 633–636 (2007). https://doi.org/10.1007/s00402-007-0344-5
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DOI: https://doi.org/10.1007/s00402-007-0344-5