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12 records – page 1 of 2.

Alberta rodeo athletes do not develop the chronic whiplash syndrome.

https://arctichealth.org/en/permalink/ahliterature169490
Source
J Rheumatol. 2006 May;33(5):975-7
Publication Type
Article
Date
May-2006
Author
Ashley L Shannon
Robert Ferrari
Anthony S Russell
Author Affiliation
Deppartment uf Rheumatic Diseases, University of Alberta, Edminton,Alberta, Canada.
Source
J Rheumatol. 2006 May;33(5):975-7
Date
May-2006
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - psychology
Adult
Alberta
Chronic Disease
Disability Evaluation
Humans
Male
Middle Aged
Occupations
Psychology
Recovery of Function
Sports - physiology - psychology
Whiplash Injuries - physiopathology - psychology
Abstract
To determine if an unselected group of rodeo athletes would report a more benign outcome to their motor vehicle whiplash injuries than a group of spectators at rodeo events.
This survey compares the self-reported outcome of motor vehicle collision whiplash injuries (neck and/or back sprain) in rodeo athletes and spectators attending rodeo events. Subjects were asked to recall motor vehicle collision experiences, the type of vehicle they were in, the presence of symptoms as a result, and outcomes for those symptoms.
Forty-seven percent of rodeo athletes and 59% of spectators recalled being in a motor vehicle collision. A total of 33% of rodeo athletes who had collisions recalled acute symptoms they associated with the collision compared to a recall of symptoms in 61% of spectators who had collisions. Vehicle types during collisions and occupation type at time of the survey were the same for both groups. Duration of symptoms, however, was 30 days (+/- 14 days) in rodeo athletes and 73 days (+/- 61 days) in spectators. None of the rodeo athletes recalled symptoms lasting for more than 60 days compared to 15% of spectators who had symptoms more than 60 days. Rodeo athletes took no more than 3 weeks off work, whereas among spectators, it was common to take more than 6 weeks off.
Rodeo athletes appear to be in at least as many motor vehicle collisions as rodeo spectators, and 33% suffered the acute whiplash syndrome. Rodeo athletes appear, however, to be more resistant than spectators to developing prolonged pain and disability.
Notes
Comment In: J Rheumatol. 2007 Feb;34(2):451-2; author reply 45217304671
PubMed ID
16652428 View in PubMed
Less detail

Assessing whiplash recovery--the Whiplash Disability Questionnaire.

https://arctichealth.org/en/permalink/ahliterature167987
Source
Aust Fam Physician. 2006 Aug;35(8):653-4
Publication Type
Article
Date
Aug-2006
Author
Robert Ferrari
Anthony Russell
Allan J Kelly
Author Affiliation
Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. rferrari@shaw.ca
Source
Aust Fam Physician. 2006 Aug;35(8):653-4
Date
Aug-2006
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Alberta
Disability Evaluation
Family Practice
Female
Health Surveys
Humans
Insurance, Health
Interviews as Topic
Male
Middle Aged
Primary Health Care
Questionnaires
Treatment Outcome
Whiplash Injuries - physiopathology - rehabilitation
Abstract
General practitioners often need to track outcomes of whiplash patients, and a disability questionnaire may be useful.
Whiplash patients who attended primary care clinics in Edmonton, Canada were interviewed 3 months postcollision. Subjects were asked a global recovery question: "Do you feel you have recovered fully from your accident injuries?" Subjects then completed the Whiplash Disability Questionnaire (WDQ).
A total of 131 subjects participated. Of these, 52 (39.7%) reported that they felt they had recovered. Those who reported complete recovery had a mean WDQ score of 2.5 and those who reported they had not recovered had a mean WDQ score of 29.9. All who responded "yes" to the recovery question had a WDQ score below 13, while all those responding "no" to the recovery question had a WDQ score of 13 or more.
The WDQ as an outcome measure may be useful in clinical practice.
PubMed ID
16894446 View in PubMed
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Measurement of cervical flexor endurance following whiplash.

https://arctichealth.org/en/permalink/ahliterature173367
Source
Disabil Rehabil. 2005 Jul 22;27(14):801-7
Publication Type
Article
Date
Jul-22-2005
Author
Dinesh A Kumbhare
Brad Balsor
William L Parkinson
Peter Harding Bsckin
Michel Bedard
Alexandra Papaioannou
Jonathan D Adachi
Author Affiliation
Department of Medicine, McMaster University and Center for Acute Injury Rehabilitation, St. Joseph's Hospital, Hamilton, Ontario, Canada. acinjury@stjosham.on.ca
Source
Disabil Rehabil. 2005 Jul 22;27(14):801-7
Date
Jul-22-2005
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Canada
Cervical Vertebrae
Female
Humans
Male
Middle Aged
Muscle Contraction
Neck Muscles - physiopathology
Neck Pain - physiopathology
Observer Variation
Physical Endurance - physiology
Range of Motion, Articular - physiology
Reproducibility of Results
Time Factors
Whiplash Injuries - physiopathology - therapy
Abstract
To investigate measurement properties of a practical test of cervical flexor endurance (CFE) in whiplash patients including inter-rater reliability, sensitivity to clinical change, criterion related validity against the Neck Disability Index (NDI), and discriminant validity for injured versus uninjured populations.
Two samples were recruited, 81 whiplash patients, and a convenience sample of 160 subjects who were not seeking treatment and met criteria for normal pain and range of motion. CFE was measured using a stopwatch while the subject, in crook lying, held their head against gravity to fatigue.
Inter-rater reliability in whiplash patients was in a range considered 'almost perfect' (Intraclass Correlation=0.96). CFE had greater inter-subject variability than the NDI or range of motion in any of three planes. However, the effect size for improvement in CFE over treatment was as large as the effect sizes for all of those measures. In multivariate regression, CFE changes accounted for changes on the NDI better than the three ranges of motion. CFE discriminated whiplash patients who were within six months of injury (n=71) from age and gender matched normals with high effect size (ES=1.5).
These findings provide evidence of reliability and validity for CFE measurement, and demonstrate that CFE detects clinical improvements. Variance on CFE emphasizes the need to consider inter-, and intra-subject standard deviations to interpret scores.
PubMed ID
16096232 View in PubMed
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Placebo whiplash data need cautious interpretation.

https://arctichealth.org/en/permalink/ahliterature187865
Source
Int J Legal Med. 2002 Aug;116(4):251; author reply 252
Publication Type
Article
Date
Aug-2002
Author
Gunter P Siegmund
John R Brault
Jeffrey B Wheeler
Source
Int J Legal Med. 2002 Aug;116(4):251; author reply 252
Date
Aug-2002
Language
English
Publication Type
Article
Keywords
Accidents, Traffic
Canada
Humans
Placebos
Whiplash Injuries - physiopathology
Notes
Comment On: Int J Legal Med. 2001;114(6):316-2211508796
PubMed ID
12420707 View in PubMed
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The possibility to use simple validated questionnaires to predict long-term health problems after whiplash injury.

https://arctichealth.org/en/permalink/ahliterature181760
Source
Spine (Phila Pa 1976). 2004 Feb 1;29(3):E47-51
Publication Type
Article
Date
Feb-1-2004
Author
Timo Miettinen
Eeva Leino
Olavi Airaksinen
Karl-August Lindgren
Author Affiliation
Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, Kuopio, Finland. Timo.Miettinen@kuh.fi
Source
Spine (Phila Pa 1976). 2004 Feb 1;29(3):E47-51
Date
Feb-1-2004
Language
English
Publication Type
Article
Keywords
Accidents, Traffic
Adult
Female
Finland
Health Status Indicators
Humans
Male
Middle Aged
Questionnaires
Whiplash Injuries - physiopathology
Abstract
A prospective follow-up study.
To evaluate the relation of the state of health before the accident and the significance of the symptoms reported soon after the injury to the situation 3 years after the injury. To evaluate the possibility of using simple validated questionnaires to predict long-term health problems after the injury.
A whiplash injury is generally benign in its natural course. However, some of the patients have diverse and prolonged symptoms. Although several prognostic factors have been suggested for the poor recovery, in most cases the factors leading to prolonged disability remain unclear.
In collaboration with traffic insurance companies, we gathered information of neck injuries that occurred in traffic accidents in Finland in 1998. After the insurance company received a notification of a neck injury and consent from the injured party to participate in the study, they sent the information to the research team. The first inquiry was sent to the patients as soon as possible. One- and three-year follow-up questionnaires were posted to those who responded to the first inquiry. A total of 144 persons returned the 3-year follow-up questionnaires and form the material of this study. RESULTS A poor state of health or frequent neck pain or headache before the accident did not have any significant relation to the poor outcome 3 years after the accident. The extent of neck pain and lower back pain reported soon after the accident was significantly associated to a poor outcome in the follow-up. The Neck Disability Index questionnaire was significantly related to the poor outcome after 3 years.
The subjective experience of a notably decreased level of activity because of the neck pain when supplemented by the enhanced score of Neck Disability Index questionnaire predicts well poor outcome in long-term follow-up and can be used as a tool to identify persons who are at risk to suffer long-term health problems after whiplash injury.
PubMed ID
14752363 View in PubMed
Less detail

Pressure pain threshold testing demonstrates predictive ability in people with acute whiplash.

https://arctichealth.org/en/permalink/ahliterature131690
Source
J Orthop Sports Phys Ther. 2011 Sep;41(9):658-65
Publication Type
Article
Date
Sep-2011
Author
David M Walton
Joy C Macdermid
Warren Nielson
Robert W Teasell
Hilary Reese
Lenerdene Levesque
Author Affiliation
School of Physical Therapy, The University of Western Ontario, London, Canada. Dwalton5@uwo.ca
Source
J Orthop Sports Phys Ther. 2011 Sep;41(9):658-65
Date
Sep-2011
Language
English
Publication Type
Article
Keywords
Acute Disease
Adult
Aged
Canada
Disability Evaluation
Female
Humans
Longitudinal Studies
Male
Middle Aged
Pain Measurement - instrumentation - methods
Pain threshold
Predictive value of tests
Severity of Illness Index
Treatment Outcome
Whiplash Injuries - physiopathology
Young Adult
Abstract
Longitudinal cohort study.
To determine whether pressure pain threshold (PPT), tested at 2 standardized sites, could provide additional prognostic ability to predict short-term outcomes in people with acute whiplash, after controlling for age, sex, and baseline pain intensity.
PPT may be a valuable assessment and prognostic indicator for people with whiplash-associated disorder. The extent to which PPT can predict short-term disability scores has yet to be explored in people with acute (of less than 30 days in duration) whiplash-associated disorder in a clinical setting.
Eligible patients were recruited from community-based physiotherapy clinics in Canada. Baseline measurements included PPT, as well as pain intensity, age, and sex. Neck-related disability was collected with the Neck Disability Index 1 to 3 months after PPT testing. Multiple linear regression models were constructed to evaluate the unique contribution of PPT in the prediction of follow-up disability scores.
A total of 45 subjects provided complete data. A regression model that included sex, baseline pain intensity, and PPT at the distal tibialis anterior site was the most parsimonious model for predicting short-term Neck Disability Index scores 1 to 3 months after PPT testing, explaining 38.6% of the variance in outcome. None of the other variables significantly improved the predictive power of the model.
Sex, pain intensity, and PPT measured at a site distal to the injury were the most parsimonious set of predictors of short-term neck-related disability score, and represented promising additions to assessment of traumatic neck pain. Neither age nor PPT at the local site was able to explain significant variance beyond those 3 predictors. Limitations to interpretation are addressed.
Notes
Comment In: J Orthop Sports Phys Ther. 2011 Dec;41(12):983; author reply 983-422146590
PubMed ID
21885908 View in PubMed
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Real-world adjustments of driver seat and head restraint in Saab 9-3 vehicles.

https://arctichealth.org/en/permalink/ahliterature284171
Source
Traffic Inj Prev. 2017 May 19;18(4):398-405
Publication Type
Article
Date
May-19-2017
Author
Anna Carlsson
Linda Pipkorn
Anders Kullgren
Mats Svensson
Source
Traffic Inj Prev. 2017 May 19;18(4):398-405
Date
May-19-2017
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - prevention & control
Adult
Biomechanical Phenomena
Equipment Design
Female
Head Protective Devices - utilization
Humans
Male
Middle Aged
Sweden
Whiplash Injuries - physiopathology - prevention & control
Abstract
Whiplash-associated disorder (WAD), commonly denoted whiplash injury, is a worldwide problem. These injuries occur at relatively low changes of velocity (typically
PubMed ID
27617749 View in PubMed
Less detail

A study of five cervicocephalic relocation tests in three different subject groups.

https://arctichealth.org/en/permalink/ahliterature52086
Source
Clin Rehabil. 2003 Nov;17(7):768-74
Publication Type
Article
Date
Nov-2003
Author
Eythor Kristjansson
Paul Dall'Alba
Gwendolen Jull
Author Affiliation
Faculty of Medicine, The University of Iceland, Reykjavík, Iceland. eythork@simnet.is
Source
Clin Rehabil. 2003 Nov;17(7):768-74
Date
Nov-2003
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Case-Control Studies
Electromagnetics
Female
Humans
Male
Middle Aged
Neck - physiology
Neck Pain - physiopathology
Proprioception - physiology
Range of Motion, Articular - physiology
Research Support, Non-U.S. Gov't
Rotation
Software
Whiplash Injuries - physiopathology
Abstract
OBJECTIVE: To compare head relocation accuracy in traumatic (whiplash), insidious onset neck pain patients and asymptomatic subjects when targeting a natural head posture (NHP) and complex predetermined positions. DESIGN: A case-control study. SETTING: University-based musculoskeletal research clinic. PARTICIPANTS: Sixty-three volunteers divided into three groups of similar gender and age: Group 1 (n = 21) an asymptomatic group; group 2 (n = 20) insidious onset neck pain; group 3 (n = 22) a history of whiplash injury. INTERVENTION: Five randomly ordered tests designed to detect relocation accuracy of the head. OUTCOME MEASURES: A 3-Space Fastrak system measured the mean absolute relocation error of three trials of each relocation test. RESULTS: A significant difference was found between groups in one of the tests targeting the NHP (p = 0.001). Post-hoc pairwise comparisons revealed a significant difference (p
PubMed ID
14606744 View in PubMed
Less detail

Vertical posture and head stability in patients with chronic neck pain.

https://arctichealth.org/en/permalink/ahliterature50670
Source
J Rehabil Med. 2003 Sep;35(5):229-35
Publication Type
Article
Date
Sep-2003
Author
P. Michaelson
M. Michaelson
S. Jaric
M L Latash
P. Sjölander
M. Djupsjöbacka
Author Affiliation
Southern Lapland Research Department, Vilhelmina, Sweden.
Source
J Rehabil Med. 2003 Sep;35(5):229-35
Date
Sep-2003
Language
English
Publication Type
Article
Keywords
Adult
Chronic Disease
Female
Head
Humans
Male
Middle Aged
Motor Skills - physiology
Musculoskeletal Equilibrium
Neck Pain - physiopathology
Posture
Research Support, Non-U.S. Gov't
Single-Blind Method
Whiplash Injuries - physiopathology
Abstract
OBJECTIVE: To evaluate postural performance and head stabilization of patients with chronic neck pain. DESIGN: A single-blind comparative group study. SUBJECTS: Patients with work-related chronic neck pain (n = 9), with chronic whiplash associated disorders (n = 9) and healthy subjects (n = 16). METHODS: During quiet standing in different conditions (e.g. 1 and 2 feet standing, tandem standing, and open and closed eyes) the sway areas and the ability to maintain the postures were measured. The maximal peak-to-peak displacement of the centre of pressure and the head translation were analysed during predictable and unpredictable postural perturbations. RESULTS: Patients with chronic neck pain, in particular those with whiplash-associated disorders, showed larger sway areas and reduced ability to successfully execute more challenging balance tasks. They also displayed larger sway areas and reduced head stability during perturbations. CONCLUSION: The results show that disturbances of postural control in chronic neck pain are dependent on the aetiology, and that it is possible to quantify characteristic postural disturbances in different neck pain conditions. It is suggested that the dissimilarities in postural performance are a reflection of different degrees of disturbances of the proprioceptive input to the central nervous system and/or of the central processing of such input.
PubMed ID
14582555 View in PubMed
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Whiplash-associated disorders in frontal impacts: influencing factors and consequences.

https://arctichealth.org/en/permalink/ahliterature172522
Source
Traffic Inj Prev. 2003 Jun;4(2):153-61
Publication Type
Article
Date
Jun-2003
Author
Lotta Jakobsson
Hans Norin
Olle Bunketorp
Author Affiliation
Volvo Car Corporation, Volvo Cars Safety Center, Göteborg, Sweden. ljakobss@volvocars.com
Source
Traffic Inj Prev. 2003 Jun;4(2):153-61
Date
Jun-2003
Language
English
Publication Type
Article
Keywords
Accidents, Traffic
Adult
Affect
Arm - physiology
Biomechanical Phenomena
Body Height - physiology
Female
Humans
Intervertebral Disc Displacement - diagnosis - etiology
Male
Middle Aged
Neck - physiology
Neurodegenerative Diseases - physiopathology - radiography
Pain Measurement
Posture - physiology
Prognosis
Seat Belts
Sex Factors
Stress, Psychological - complications
Sweden
Trauma Severity Indices
Whiplash Injuries - physiopathology
Abstract
This multidisciplinary in-depth investigation of accidents using 24 occupants with neck symptoms shows the complexity of whiplash-associated disorders (WAD) in frontal impacts with respect to factors that influence occurrence as well as duration of symptoms. Several different occupant kinematics have been identified, all resulting in symptoms classified as WAD. Compared to occupants restrained only by a seat belt, occupants with arm resistance influence showed a greater representation of symmetrical neck symptoms. Two cases of unbelted occupants with a neck compression mechanism far from conventional "whiplash" motion were found. Posture as well as physical and psychosocial factors such as strong negative reactions, bad prognosis expectation, and stressed daily activities influenced the duration of symptoms. Occupant characteristics and sitting posture and behavior at the time of impact are important factors when analyzing and understanding WAD.
PubMed ID
16210200 View in PubMed
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12 records – page 1 of 2.