Atherton et al identified factors associated with persistent neck pain following whiplash injury. The authors are from the University of Aberdeen.
Patient selection: history of whiplash injury with neck pain
Predictors of persistent neck pain:
(1) high level of general psychological distress
(2) pre-collision history of widespread body pain
(3) vehicle other than car
(4) number of whiplash related symptoms (>= 5 symptoms, out of 10)
(5) initial neck disability (initial Neck Disability Index >= 19)
Number of Factors
Percent with Persistent Pain
0
14%
1
19%
2
28%
3
52%
4
80%
Other factors present soon after injury:
(1) cervical bone tenderness
(2) presence of neurological signs and symptoms
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Specialty: Otolaryngology
