Head banger's whiplash.
OBJECTIVE
The current trend in dancing includes "head banging" with extreme flexion, extension, and rotation of the head and cervical spine. We suggest that dance-related severe pain in the cervical area may result from head banging.


METHODS
A cohort of 37 eighth graders ages 13 or 14 participated in a dance marathon for charity lasting 7 h. There were 26 girls and 11 boys.


METHODS
During the dance marathon, three "heavy metal" songs were played during which head banging could be done.


METHODS
The painful syndromes that relate to head banging were evaluated by a convenience sample of the 37 marathon dancers in the eighth grade.


METHODS
None.


METHODS
A self-selected age-matched control group is included since 17 adolescents participated in head banging and 20 did not.


RESULTS
Of the head bangers, 81.82% of the girls and 16.6% of the boys had resultant cervical spine pain that lasted 1-3 days. Only 26.2% of non-head-banging girls and 0% of non-head-banging boys had cervical spine pain lasting 1-3 days. Of all the 8th-grade participants, 62.16% had pain somewhere. Other types of pain included leg pain, back pain, and headache. Only three adolescents took any medication for their pain.


CONCLUSIONS
The head-banger's whiplash is a self-limiting painful disorder. The easy resolution of the pain problem in adolescents is a tribute to the resilience of youth.
Kassirer
M R
MR
Department of Neurology, Boston University School of Medicine, Massachusetts.
Manon
N
N
D000293:Adolescent; D003615:Dancing / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology; D014911:Whiplash Injuries / Q000150:complications / Q000473:pathology*