COURSE AND PROGNOSTIC FACTORS FOR NECK PAIN IN WHIPLASH-ASSOCIATED DISORDERS (WAD) Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders (Reprinted from Spine, vol 33, pg S83-S92, 2008)

被引：119

作者：

Carroll, Linda J. ^{[1
,2
]}

Holm, Lena W. ^{[3
]}

Hogg-Johnson, Sheilah ^{[4
,5
]}

Cote, Pierre ^{[4
,5
,6
,7
,8
]}

Cassidy, J. David ^{[5
,6
,7
,8
]}

Haldeman, Scott ^{[9
,10
]}

Nordin, Margareta ^{[11
,12
,13
,14
]}

Hurwitz, Eric L. ^{[15
]}

Carragee, Eugene J. ^{[16
,17
,18
]}

van der Velde, Gabrielle ^{[4
,5
,6
,7
]}

Peloso, Paul M. ^{[19
]}

Guzman, Jaime ^{[20
]}

机构：

[1] Univ Alberta, Sch Publ Hlth, Dept Publ Hlth Sci, Edmonton, AB T6G 2E1, Canada

[2] Univ Alberta, Sch Publ Hlth, Alberta Ctr Injury Control & Res, Edmonton, AB T6G 2E1, Canada

[3] Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden

[4] Inst Work & Hlth, Toronto, ON, Canada

[5] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON M5S 1A1, Canada

[6] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON M5S 1A1, Canada

[7] Toronto Western Hosp, Univ Hlth Network Rehabil Solut, CREIDO, Toronto, ON M5T 2S8, Canada

[8] Toronto Western Res Inst, Div Hlth Care & Outcomes Res, Toronto, ON, Canada

[9] Univ Calif Irvine, Dept Neurol, Irvine, CA 92717 USA

[10] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA

[11] NYU, Sch Med, Dept Orthopaed & Environm, New York, NY 10003 USA

[12] NYU, Sch Med, Program Ergon & Biomech, New York, NY 10003 USA

[13] NYU, Grad Sch Arts & Sci, New York, NY 10003 USA

[14] NYU, Med Ctr, OIOC, New York, NY 10003 USA

[15] Univ Hawaii Manoa, Dept Publ Hlth Sci, John A Burns Sch Med, Honolulu, HI 96822 USA

[16] Stanford Univ, Sch Med, Dept Orthopaed Surg, Stanford, CA USA

[17] Stanford Univ, Hosp & Clin, Orthopaed Spine Ctr, Stanford, CA USA

[18] Stanford Univ, Hosp & Clin, Spinal Surg Serv, Stanford, CA USA

[19] Merck & Co Inc, Endocrinol Analgesia & Inflammat, Rahway, NJ 07065 USA

[20] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada

来源：

JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS | 2009年 / 32卷 / 02期

基金：

加拿大健康研究院;

关键词：

neck pain; systematic review; epidemiology; prognosis; whiplash; REAR-END COLLISION; DEPRESSIVE SYMPTOMATOLOGY; GENERAL-POPULATION; TRAFFIC COLLISIONS; COPING STRATEGIES; INJURY; DISABILITY; DETERMINANTS; RECOVERY; BURDEN;

D O I：

10.1016/j.jmpt.2008.11.014

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Study Design: Best evidence synthesis. Objective: To perform a best evidence synthesis on the course and prognostic factors for neck pain and its associated disorders in Grades I-III whiplash-associated disorders (WAD). Summary of Background Data: Knowledge of the course of recovery of WAD guides expectations for recovery. Identifying prognostic factors assists in planning management and intervention strategies and effective compensation policies to decrease the burden of WAD. Methods: The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on neck pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results: We found 226 articles related to course and prognostic factors in neck pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 47 of these studies related to course and prognostic factors in WAD. The evidence suggests that approximately 50% of those with WAD will report neck pain symptoms I year after their injuries. Greater initial pain, more symptoms, and greater initial disability predicted slower recovery. Few factors related to the collision itself (for example, direction of the collision, headrest type) were prognostic; however, postinjury psychological factors such as passive coping style, depressed mood, and fear of movement were prognostic for slower or less complete recovery. There is also preliminary evidence that the prevailing compensation system is prognostic for recovery in WAD. Conclusion: The Neck Pain Task Force undertook a best evidence synthesis to establish a baseline of the current best evidence on the course and prognosis for WAD. Recovery of WAD seems to be multifactorial. (J Manipulative Physiol Ther 2009;32:S97-S107)

引用

页码：S97 / S107

页数：11

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