Biopsychosocial sequelae and recovery trajectories from whiplash injury following a motor vehicle collision

被引:2
|
作者
Elliott, J. M. [1 ,2 ,10 ,11 ]
Walton, D. M. [3 ,4 ]
Albin, S. R.
Courtney, D. M. [5 ]
Siegmund, G. P. [6 ]
Carroll, L. J. [7 ]
Weber II, K. A. [8 ]
Smith, A. C. [9 ]
机构
[1] Univ Sydney, Kolling Inst, Fac Med & Hlth, Northern Sydney Local Hlth Dist, 10 Westbourne St, St Leonards, NSW 2065, Australia
[2] Northwestern Univ, Feinberg Sch Med, Phys Therapy & Human Movement Sci, 645 N Michigan Ave, Chicago, IL 60611 USA
[3] Western Univ Canada, Fac Hlth Sci, Sch Phys Therapy, Schulich Sch Med & Dent, 1151 Richmond St, London, ON N6A 5C1, Canada
[4] Western Univ Canada, Dept Psychiat, 151 Richmond St, London, ON N6A 5C1, Canada
[5] Univ Texas Southwestern Med Ctr, Dept Emergency Med, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
[6] MEA Forens, 11151 Horseshoe Way, Richmond, BC V7A 4S5, Canada
[7] Univ Alberta, Sch Publ Hlth, 11405 87 Ave NW, Edmonton, AB T6G 1C9, Canada
[8] Stanford Sch Med, Div Pain Med, 900 Blake Wilbur Dr, Palo Alto, CA 94304 USA
[9] Univ Colorado, Sch Med, Dept Phys Med & Rehabil, Phys Therapy Program, 12631 E 17th Ave, Aurora, CO 80045 USA
[10] Northern Sydney Local Hlth Dist, Fac Med & Hlth, Sch Hlth Sci, Level 13,10 Westbourne St, St Leonards, NSW 2065, Australia
[11] Univ Sydney, Kolling Inst, Level 13,10 Westbourne St, St Leonards, NSW 2065, Australia
来源
SPINE JOURNAL | 2023年 / 23卷 / 07期
基金
美国国家卫生研究院;
关键词
Distress; MRI; Muscle; Pain; Trauma; Whiplash; MUSCLE FAT INFILTRATION; CHRONIC MUSCULOSKELETAL PAIN; CERVICAL EXTENSOR MUSCLES; FEAR-AVOIDANCE MODEL; SPINAL-CORD-INJURY; LOW-BACK-PAIN; NECK PAIN; MULTIFIDUS; SCALE; QUANTIFICATION;
D O I
10.1016/j.spinee.2023.03.005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND CONTEXT: Five out of 10 injured in a motor vehicle collision (MVC) will develop persistent pain and disability. It is unclear if prolonged symptoms are related to peritrauPURPOSE: To test if widespread muscle fat infiltration (MFI) was (1) unique to those with poor recovery, (2) present in the peritraumatic stage, (3) related to known risk factors. PATIENT SAMPLES: A total of 97 men and women (age 18-65) presenting to an urban academic emergency medicine department following MVC, but not requiring inpatient hospitalization. PRIMARY OUTCOME MEASURE: Neck disability at 12-months. METHODS: Participants underwent magnetic resonance imaging (MRI) to quantify neck and lower extremity MFI, completed questionnaires on pain/disability and psychological distress (< 1week, 2-weeks, 3-, and 12-months) and underwent maximum volitional torque testing of their lower extremities (2-weeks, 3-, and 12-months). Percentage score on the Neck Disability Index at 12-months was used for a model of (1) Recovered (0%-8%), (2) Mild (10%-28%), and (3) Moderate/Severe (& GE; 30%). This model was adjusted for BMI and age. RESULTS: Significant differences for neck MFI were revealed, with the Recovered group having significantly lower neck MFI than the Mild and Moderate/Severe groups at all time points. The Mild group had significantly more leg MFI at 12-months (p=.02) than the Recovered group. There were no other significant differences at any other time point. Lower extremity torques revealed no group differences. The Traumatic Injury Distress Scale (TIDS) and MFI of the neck at 1-week post injury significantly predicted NDI score at 12-months. CONCLUSIONS: Higher neck MFI and distress may represent a risk factor though it is unclear whether this is a pre-existing phenotype or result of the trauma. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02157038. & COPY; 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:1028 / 1036
页数:9
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