Review: High initial pain intensity is associated with persisting symptoms after whiplash

March 2004
ACP Journal Club;Mar/Apr2004, Vol. 140 Issue 2, p49
Academic Journal
The article focuses on the factors determining the prognosis of patients who have had whiplash injury. Outcome of various studies are reported in the article. Levels of evidence were categorized as strong, moderate, limited and inconclusive. Of more than 100 prognostic factors examined, strong evidence showed that high initial pain intensity was associated with persisting symptoms and that older age, female sex, high acute psychological response, rear-end collision, angular deformity of the neck, and compensation were not associated with delayed functional recovery.


Related Articles

  • The relation between initial symptoms and signs and the prognosis of whiplash. Suissa, Samy; Harder, Susan; Veilleux, Martin // European Spine Journal;Feb2001, Vol. 10 Issue 1, p44 

    Whiplash, a common injury following motor vehicle crashes, is associated with high costs and a prognosis that is variable and difficult to predict. We studied the profile of recovery from whiplash and assessed whether presenting signs and symptoms directly after the crash were predictive of...

  • Correlation of clinical findings, collision parameters, and psychological factors in the outcome of whiplash associated disorders. Richter, M.; Ferrari, R.; Otte, D.; Kuensebeck, H.-W.; Blauth, M.; Krettek, C. // Journal of Neurology, Neurosurgery & Psychiatry;May2004, Vol. 75 Issue 5, p758 

    Objective: To determine prognostic factors for the duration and severity of acute symptoms in subjects with grade 1 or 2 whiplash injuries.Methods: Collision victims presenting to a trauma centre with spinal pain or stiffness were assessed clinically (including a visual...

  • Pain discriminates between the sexes. Cohen, Philip // New Scientist;11/02/96, Vol. 152 Issue 2054, p16 

    Reports on findings by researchers in California on the possible different pain mechanisms in men and women. Differences in the response to kappa-opioids in men and women; Implications for the manufacture of designer drugs.

  • Grin and bear it. Holmes, Bob // New Scientist;10/18/97, Vol. 156 Issue 2104, p19 

    Cites a study on a gene for a female-only system of pain relief. Different treatment of pain for male and female; Possibility of a different nonopioid system in females.

  • Women more sensitive to pain, but handle it better.  // Jet;04/27/98, Vol. 93 Issue 22, p55 

    Focuses on a study which indicated that women are more sensitive to pain, but handle it better than men. How the study was conducted; Information on the participants in the study who all suffered from arthritis; Comments from Francis Keefe, of Ohio University and author of a study on this issue.

  • Gender and pain. Criste, Amy // AANA Journal;Dec2002, Vol. 70 Issue 6, p475 

    Identifies the differences between males and females in their reports of pain. Adverse physical effects of pain; Differences in response to opioids between males and females; Differences in pain perception between males and females; Variables that may interfere with the accurate assessment of pain.

  • The Lingering Effects of Whiplash. Murphy, Dan // American Chiropractor;Jun2006, Vol. 28 Issue 6, p16 

    The article offers information on the effects of whiplash injury. The long-term symptoms include neck pain, arm paraesthesia, back pain, headache and soft-tissue injuries to the cervical spine. Women and older patients have a worse outcome from whiplash. Degenerative changes are linked with a...

  • Review: High initial pain intensity is associated with persisting symptoms after whiplash: COMMENTARY. Yelland, Michael // ACP Journal Club;Mar/Apr2004, Vol. 140 Issue 2, p49 

    The article comments on a study conducted to examines the factors determining the prognosis of patients who have had whiplash injury. The findings of the study may alert the clinician to the types of patients who may need more attention. It infers that early intervention may prevent chronicity...

  • Chronic whiplash associated disorders. Brauer, Sandra // Australian Journal of Physiotherapy;2009, Vol. 55 Issue 1, p67 

    The article provides information on a document which offers direction for the assessment, prognosis and treatment of acute and chronic whiplash associated disorders (WAD). The document details pathways of care for patients with an acute and chronic WAD. The document presents evidence for...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics