Do "whiplash" victims with neck pain differ from those with neck pain and other symptoms?
Studying 432 patients with "whiplash" neck pain after a low speed rear-end crash, we determined whether those who reported associated symptoms (arm or low back pain) differed from those with neck pain only. Exposure variables were: age, gender, height, weight, surprised by impact, rotated position of the head, and pre-existing cervical or lumbar spinal degeneration. Immediate symptoms were considered. Odds ratios (OR) were derived from logistic regression. Only pre-existing lumbar spinal degeneration was associated with having arm symptoms (OR = 9.6, CI = 1.1, 83.6) or low back pain (OR = 23.3, CI = 2.6, 206.7) along with neck pain.
Tencer
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Orthopedic Sciences Laboratory, Harborview Medical Center, University of Washington, Seattle, WA, USA.
Mirza
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Cummings
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D000063:Accidents, Traffic; D000328:Adult; D001132:Arm; D015897:Comorbidity; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000453:epidemiology*; D016017:Odds Ratio; D010146:Pain / Q000453:epidemiology; D012307:Risk Factors; D014911:Whiplash Injuries / Q000150:complications*