Edorium Journal of

Disability and Rehabilitation

 
  Table of Contents    
Original Article
 
Is time of neck pain onset a prognostic factor in whiplash-associated disorders?
Rasmus Elrud1, Eva Skillgate2, Linda J. Carroll3, Lena W. Holm4
1Research associate, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
2Assistant Professor, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
3Associated Research Scientist, Injury Prevention Centre, Director of Graduate Education, and Professor, School of Public Health, University of Alberta, Edmonton, Canada.
4Senior Researcher, Institute of Environmental Medicine, Karolinska Institutet, Sweden.

Article ID: 100004D05RE2015
doi:10.5348/D05-2015-4-OA-4

Address correspondence to:
Lena W. Holm
Institute of Environmental Medicine
Karolinska Institutet
Box 210, Stockholm
Sweden

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article
Elrud R, Skillgate E, Carroll LJ, Holm LW. Is time of neck pain onset a prognostic factor in whiplash-associated disorders? Edorium J Disabil Rehabil 2015;1:16–23.


Abstract
Aims: One possible prognostic factor for whiplash-associated disorders which to date has not been investigated, is time of pain onset. We hypothesized that immediate onset of neck pain post-collision may indicate a different origin of the injury, with a prolonged recovery, compared to an injury with delayed onset of neck pain. Therefore, the aim was to investigate this in a prospective cohort study.
Methods: Data was collected from insurance claimants (n = 1,308). Questionnaires at baseline provided information on time of neck pain onset, and potential confounders. Exposure was time of pain onset, trichotomized into; at the scene of the collision, 1-12 hours, and >12 hours post-collision. At a 6-month follow-up, pain-related disability was assessed with the pain disability index (PDI) and trichotomized into scores based on the median and the 75th percentile; PDI = 0, 1–18 and >18.
Results: Twenty-eight percent of persons with pain onset at the scene of collision rated in the PDI >18 category at follow-up, compared to 21% respectively of those with onset 1–12 hours and those with onset >12 hours post collision. Persons with pain onset at the scene were more likely to rate PDI >18 compared to those with onset >12 hours post-collision. When adjusted for confounders, the result was attenuated and not statistically significant or 1.3 (95% CI; 0.8–2.2).
Conclusion: Time of neck pain onset is not a prognostic factor in recovery from whiplash-associated disorders in this study. Further studies are warranted to confirm the results.

Keywords: Disability, Neck pain, Prognostic factor, Whiplash-associated

[HTML Full Text]   [PDF Full Text]

Author Contributions:
Rasmus Elrud – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Eva Skillgate – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Linda J Carroll – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Lena W Holm – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Rasmus Elrud et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



  Home line About the Journal line Aim and Scope line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.