Back to Search
Start Over
Clinical characteristics differ between patients with non-traumatic neck pain, patients with whiplash-associated disorders, and pain-free individuals.
- Source :
- Physiotherapy Theory & Practice; Dec2022, Vol. 38 Issue 13, p2592-2602, 11p, 1 Color Photograph, 3 Charts
- Publication Year :
- 2022
-
Abstract
- Evidence is lacking to what extent patients with Whiplash-Associated Disorders (WAD), those with non-traumatic neck pain (NTNP), and pain-free individuals differ regarding type and severity of impairments, disability, and psychological factors. To compare clinical characteristics between patients with WAD, with NTNP, and pain-free individuals in primary care physiotherapy. Additionally, differences between patient groups for both acute and chronic symptoms were assessed. A cross-sectional study was conducted including 168 patients with WAD, 336 matched patients with NTNP, and 336 pain-free individuals. Differences and prevalence rates were calculated for pain intensity, pain distribution, cervical range of motion, neck flexor muscle endurance, self-reported disability, and psychological factors. Patients with WAD had higher pain intensity (median 6/10 vs. 5/10 p<.01), had a wider distribution of their neck pain (p=.02), more restricted cervical flexion-extension (-11.9°) and rotation (-12.4°), less muscle endurance (-5.5 seconds), and more disability (+14.0%), compared to patients with NTNP. More patients with WAD reported low back pain (+9.5%) and headache (+12.2%) as musculoskeletal comorbidities. Regarding anxiety, depression, and stress, most patients (>83%) scored in the normal range. No significant differences between the patient groups were observed (p>.16). Both patient groups scored significantly worse than pain-free individuals on all characteristics. Patients with WAD and NTNP experienced different types of activity limitations and participation restrictions. WAD is a more severe condition than NTNP and should be considered a separate subgroup. A different approach in clinical practice and research is required for WAD and NTNP. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEADACHE risk factors
COMORBIDITY
PAIN & psychology
CERVICAL vertebrae
LUMBAR pain
KRUSKAL-Wallis Test
STATISTICS
WHIPLASH injuries
NECK pain
PAIN measurement
RANGE of motion of joints
CONFIDENCE intervals
PHYSICAL therapy
CHRONIC diseases
CROSS-sectional method
SELF-evaluation
FUNCTIONAL status
ONE-way analysis of variance
PHYSICAL fitness
MANN Whitney U Test
SEVERITY of illness index
T-test (Statistics)
ROTATIONAL motion
MUSCULOSKELETAL pain
MENTAL depression
SCALE analysis (Psychology)
DESCRIPTIVE statistics
CHI-squared test
ANXIETY
DATA analysis
DATA analysis software
ACUTE diseases
PSYCHOLOGICAL stress
DISEASE risk factors
SYMPTOMS
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 09593985
- Volume :
- 38
- Issue :
- 13
- Database :
- Complementary Index
- Journal :
- Physiotherapy Theory & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 160402888
- Full Text :
- https://doi.org/10.1080/09593985.2021.1962464