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Titolo:
Handicap after acute whiplash injury - A 1-year prospective study of risk factors
Autore:
Kasch, H; Bach, FW; Jensen, TS;
Indirizzi:
Aarhus Univ Hosp, Danish Pain Res Ctr, Dept Neurol, DK-8000 Aarhus C, Denmark Aarhus Univ Hosp Aarhus Denmark C Dept Neurol, DK-8000 Aarhus C, Denmark Univ Aarhus, Danish Pain Res Ctr, DK-8000 Aarhus, Denmark Univ Aarhus Aarhus Denmark DK-8000 Pain Res Ctr, DK-8000 Aarhus, Denmark
Titolo Testata:
NEUROLOGY
fascicolo: 12, volume: 56, anno: 2001,
pagine: 1637 - 1643
SICI:
0028-3878(20010626)56:12<1637:HAAWI->2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
BEHAVIORAL HEALTH INVENTORY; MCGILL PAIN QUESTIONNAIRE; CHRONIC NECK PAIN; COMMON WHIPLASH; CERVICAL-SPINE; MOTION; RANGE; INTERVENTION; RELIABILITY; ACCIDENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Kasch, H Aarhus Univ Hosp, Danish Pain Res Ctr, Dept Neurol, Noerrebrogade44,Bldg 1C, DK-8000 Aarhus C, Denmark Aarhus Univ Hosp Noerrebrogade 44,Bldg 1C Aarhus Denmark C nmark
Citazione:
H. Kasch et al., "Handicap after acute whiplash injury - A 1-year prospective study of risk factors", NEUROLOGY, 56(12), 2001, pp. 1637-1643

Abstract

Background: Exposure to a whiplash injury implies a risk for development of chronic disability and handicap, with reported frequencies ranging from 0% to 50% in follow-up studies. The exact risk for development of chronic whiplash syndrome is not known. Objective: To prospectively determine the sensitivity and specificity of five possible predictors for handicap followinga whiplash injury. Methods: In a 1-year prospective study of persons with acute whiplash injury (n = 141) and control subjects who had acute ankle distortion (n = 40), pain intensity, number of nonpainful neurologic complaints, cervical mobility, workload during extension and flexion of the neck, and results of psychometric assessment were recorded. The consecutively sampled injured persons were assessed with structured and semistructured questionnaires, and underwent neurologic examination after 1 week and 1, 3, 6, and 12 months. After 3 to 4 years, participants with whiplash injury were questioned about legal issues. Results: After 1 year, 11 (7.8%) persons with whiplash injury had not returned to usual level of activity or work. The best single estimator of handicap was the cervical range-of-motion test, whichhad a sensitivity of 73% and a specificity of 91% (p < 0.01, Cox regression analysis). Accuracy and specificity increased to 94% and 99% when combined with pain intensity and other complaints. This increase was gained at theexpense of a reduced sensitivity. Initiation of lawsuit within first monthafter injury did not influence recovery. Conclusion: The cervical range-of-motion test has a high sensitivity in prediction of handicap after acute whiplash injury. The value of cervical range-of-motion test is further improved by additional recording of symptoms and pain intensity.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 20:06:44