Risk Factors for Persistent Problems Following Whiplash Injury: Results of a Systematic Review and Meta-analysis.

Walton DM, Pretty J, Macdermid JC, Teasell RW.

This review aimed to identify risk factors for persistent problems following whiplash injury.  9 factors were found to be significant predictors based on the odds ratio and confidence limits: no postsecondary education, female gender, history of previous neck pain,baseline neck pain intensity greater than 55/100, presence of neck pain at baseline, presence of headache at baseline, catastrophizing, WAD grade 2 or 3, and no seat belt in use at time of collision. Neck pain intensity, WAD grade, headache, and no postsecondary education were robust to publication bias.

Using a rigorous process for the identification and extraction of data from a homogenous subset of the prognostic WAD literature, this study identifed several factors for which information is easy to collect clinically and could provide clinicians with a good sense of prognosis following whiplash injury.

J Orthop Sports Phys Ther. 2009 May;39(5):334-50.

Link to abstract

Sensorimotor Impairment in Neck Pain

Join Chris Worsfold in this short online course to learn about the evaluation and rehabilitation of sensorimotor impairment in patients with neck pain.