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

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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