3,394 results match your criteria Journal of Whiplash & Related Disorders [Journal]


Comparison of CPG's for the diagnosis, prognosis and management of non-specific neck pain: a systematic review.

BMC Musculoskelet Disord 2019 Feb 14;20(1):81. Epub 2019 Feb 14.

Department of Health Science, McMaster University, Hamilton, ON, Canada.

Background: Neck pain (NP) is a very common musculoskeletal condition with potential for a high burden in disability and length of disorder. Clinical practice guidelines (CPG) give recommendations to clinicians for providing optimal care for patients however best practice recommendations are often contradictory. The purpose for this review was to conduct a SR of CPGs to assess the management recommendations for NP (diagnosis, treatment, prognosis, imaging). Read More

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http://dx.doi.org/10.1186/s12891-019-2441-3DOI Listing
February 2019

Pathophysiology behind prolonged whiplash associated disorders: study protocol for an experimental study.

BMC Musculoskelet Disord 2019 Feb 2;20(1):51. Epub 2019 Feb 2.

Department of Medical and Health Sciences, Physiotherapy, Linköping University, Linköping, Sweden.

Background: There is insufficient knowledge of pathophysiological parameters to understand the mechanism behind prolonged whiplash associated disorders (WAD), and it is not known whether or not changes can be restored by rehabilitation. The aims of the projects are to investigate imaging and molecular biomarkers, cervical kinaesthesia, postural sway and the association with pain, disability and other outcomes in individuals with longstanding WAD, before and after a neck-specific exercise intervention. Another aim is to compare individuals with WAD with healthy controls. Read More

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http://dx.doi.org/10.1186/s12891-019-2433-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359872PMC
February 2019
1 Read

Laterality judgment performance between people with chronic pain and pain-free individuals. A systematic review and meta-analysis.

Physiother Theory Pract 2019 Jan 27:1-21. Epub 2019 Jan 27.

a Physiotherapy Department , University of Witwatersrand , Johannesburg , South Africa.

Background: Treatment of chronic pain is challenging and there is often failure of recovery, with the need to look at different approaches in its management. Central mechanisms may contribute to chronicity (i.e. Read More

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http://dx.doi.org/10.1080/09593985.2019.1570575DOI Listing
January 2019
1 Read

Is a government-regulated rehabilitation guideline more effective than general practitioner education or preferred-provider rehabilitation in promoting recovery from acute whiplash-associated disorders? A pragmatic randomised controlled trial.

BMJ Open 2019 Jan 24;9(1):e021283. Epub 2019 Jan 24.

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Objective: To evaluate the effectiveness of a government-regulated rehabilitation guideline compared with education and activation by general practitioners, and to a preferred-provider insurance-based rehabilitation programme on self-reported global recovery from acute whiplash-associated disorders (WAD) grade I-II.

Design: Pragmatic randomised clinical trial with blinded outcome assessment.

Setting: Multidisciplinary rehabilitation clinics and general practitioners in Ontario, Canada. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-021283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347946PMC
January 2019
3 Reads

Bilateral Lower Cranial Nerve Palsy after Closed Head Injury: A Case Report and Review of Literature.

Indian J Crit Care Med 2018 Dec;22(12):879-882

Department of Critical Care Medicine, Narayana Multispeciality Hospital, Bengaluru, Karnataka, India.

Paralysis of the lower cranial nerves is uncommon after closed head injuries. Most cases reported are unilateral and associated with base of skull fractures, usually involving the occipital condyles. Bilateral lower cranial nerve palsy is even less common, with only a handful of cases reported in literature. Read More

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http://www.ijccm.org/text.asp?2018/22/12/879/247753
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http://dx.doi.org/10.4103/ijccm.IJCCM_476_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311977PMC
December 2018
6 Reads

Physiotherapist-delivered stress inoculation training integrated with exercise versus physiotherapy exercise alone for acute whiplash-associated disorder (StressModex): a randomised controlled trial of a combined psychological/physical intervention.

Br J Sports Med 2019 Jan 19. Epub 2019 Jan 19.

School of Psychology, The University of Queensland, Brisbane, Queensland, Australia.

Objective: There are few effective treatments for acute whiplash-associated disorders (WAD). Early symptoms of postinjury stress predict poor recovery. This randomised controlled trial (StressModex) investigated whether physiotherapist-led stress inoculation training integrated with exercise is more effective than exercise alone for people with acute WAD. Read More

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http://dx.doi.org/10.1136/bjsports-2018-100139DOI Listing
January 2019
1 Read

A predictive model to analyze factors affecting the presence of mild whiplash-associated disorders in minor motor vehicle crashes based on the Korean In-Depth Accidents Study (KIDAS) Database.

Traffic Inj Prev 2019 Jan 11:1-7. Epub 2019 Jan 11.

a Department of Emergency Medicine, Wonju College of Medicine , Yonsei University , Wonju , Korea.

Objectives: We aimed to analyze factors affecting the severity of mild whiplash-associated disorders (WADs) and to develop a predictive model to evaluate the presence of mild WAD in minor motor vehicle crashes (MVCs).

Methods: We used the Korean In-Depth Accident Study (KIDAS) database, which collects data from 4 regional emergency centers, to obtain data from 2011 to 2017. The Collision Deformation Classification code was obtained as vehicle's damage information, and Abbreviated Injury Scale (AIS), Maximum Abbreviated Injury Scale (MAIS), and Injury Severity Score (ISS) were used as occupant's injury information. Read More

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https://www.tandfonline.com/doi/full/10.1080/15389588.2018.1
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http://dx.doi.org/10.1080/15389588.2018.1519554DOI Listing
January 2019
2 Reads

Cervical spine findings on MRI in people with neck pain compared with pain-free controls: A systematic review and meta-analysis.

J Magn Reson Imaging 2019 Jan 5. Epub 2019 Jan 5.

RECOVER Injury Research Centre, NHMRC Centre for Research Excellence in Recovery Following Road Traffic Injuries, University of Queensland, Brisbane, Australia.

Background: There is uncertainty regarding the clinical significance of findings on MRI in patients with whiplash associated disorder (WAD) or nonspecific neck pain (NSNP).

Purpose: To compare the presence of cervical spine MRI findings in people with WAD or NSNP with pain-free controls.

Study Type: Systematic review and meta-analysis. Read More

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http://dx.doi.org/10.1002/jmri.26567DOI Listing
January 2019

Cervical rotator muscle activity with eye movement at different speeds is distorted in whiplash.

PM R 2019 Jan 4. Epub 2019 Jan 4.

NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia.

Background: People with whiplash associated disorders (WAD) report difficulty with quick head movements and cervico-ocular dysfunctions. Changes in coordination between eye movement and neck muscle activity may be involved.

Objective: To examine whether activity of superficial and deep neck muscles increases with eye movement when the head is held in a fixed position, whether this differs between directions and speed of eye movement, and whether this is modified in WAD. Read More

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http://dx.doi.org/10.1002/pmrj.12059DOI Listing
January 2019
5 Reads

Neck muscle responses of driver and front seat passenger during frontal-oblique collisions.

PLoS One 2018 31;13(12):e0209753. Epub 2018 Dec 31.

Department of Movement Science, University of Münster, Münster, Germany.

Background: Low-velocity motor vehicle crashes often lead to severe and chronic neck disorders also referred to as whiplash-associated disorders (WAD). The etiology of WAD is still not fully understood. Many studies using a real or simulated collision scenario have focused on rear-end collisions, whereas the kinematics and muscular responses during frontal-oblique collisions have hardly been investigated. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209753PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312215PMC
December 2018

Pre-collision Medical Diagnoses Predict Chronic Neck Pain Following Acute Whiplash-trauma.

Clin J Pain 2018 Dec 26. Epub 2018 Dec 26.

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, 8000 Aarhus C, Denmark.

Objectives: The reason why some individuals develop chronic symptoms, whiplash-associated disorder, following whiplash trauma is poorly understood. We explored whether pre-collision pain-related diagnoses, medically unexplained symptoms and psychiatric diagnoses are related to whiplash-associated disorder.

Methods: A cohort of 719 individuals exposed to whiplash trauma and subsequently experiencing symptoms within 72 hours (whiplash-exposed cohort) and 3595 matched controls were included in this observational prospective study. Read More

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http://dx.doi.org/10.1097/AJP.0000000000000683DOI Listing
December 2018
5 Reads
2.527 Impact Factor

A 20-year prospective longitudinal MRI study on cervical spine after whiplash injury: Follow-up of a cross-sectional study.

J Orthop Sci 2018 Dec 12. Epub 2018 Dec 12.

Dept. of Orthopedic Surgery, Keio University School of Medicine, Shinanomachi 35, Shinjuku, Tokyo, #160-8582, Japan. Electronic address:

Background: Some patients suffer from long-lasting symptoms after whiplash injury. However, there are few reports on the long-term changes in the cervical spine after whiplash injury using imaging tests. The purpose of this longitudinal study was to determine the changes on MRI of the cervical spine 20 years after whiplash injury, and to examine the relationships between changes in the cervical spine on MRI and changes in related clinical symptoms. Read More

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http://dx.doi.org/10.1016/j.jos.2018.11.011DOI Listing
December 2018

Short- and long-term reproducibility of diffusion-weighted magnetic resonance imaging of lower extremity musculature in asymptomatic individuals and a comparison to individuals with spinal cord injury.

BMC Musculoskelet Disord 2018 Dec 6;19(1):433. Epub 2018 Dec 6.

Department of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Background: Diffusion-weighted magnetic resonance imaging (DW-MRI) of skeletal muscle has the potential to be a sensitive diagnostic and/or prognostic tool in complex, enigmatic neuromusculoskeletal conditions such as spinal cord injury and whiplash associated disorder. However, the reliability and reproducibility of clinically accessible DW-MRI parameters in skeletal muscle remains incompletely characterized - even in individuals without neuromusculoskeletal injury - and these parameters have yet to be characterized for many clinical populations. Here, we provide normative measures of the apparent diffusion coefficient (ADC) in healthy muscles of the lower limb; assess the rater-based reliability and short- and long-term reproducibility of the ADC in the same muscles; and quantify ADC of these muscles in individuals with motor incomplete spinal cord injury. Read More

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http://dx.doi.org/10.1186/s12891-018-2361-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284280PMC
December 2018
1 Read

Medicine use during acute and chronic post-injury periods in whiplash injured individuals.

Pain 2018 Dec 7. Epub 2018 Dec 7.

Recover Injury Research Centre, The University of Queensland, Australia.

Medicine use as part of multimodal management for whiplash-associated disorders (WAD) is common: neck pain is the cardinal symptom, mental health conditions are common, and some individuals may have neurological signs and symptoms. Almost half of WAD individuals have on-going pain and disability. However, medicine use during acute and chronic recovery periods for WAD management is unknown. Read More

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http://Insights.ovid.com/crossref?an=00006396-900000000-9879
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http://dx.doi.org/10.1097/j.pain.0000000000001460DOI Listing
December 2018
4 Reads

Agreement is very low between a clinical prediction rule and physiotherapist assessment for classifying the risk of poor recovery of individuals with acute whiplash injury.

Musculoskelet Sci Pract 2019 Feb 19;39:73-79. Epub 2018 Nov 19.

Menzies Health Institute Queensland, Griffith University, G05, 3.20E Parklands Drive, Southport, 4222, Australia; Recover Injury Research Centre, NHMRC Centre of Research Excellence in Recovery Following Road Traffic Injuries, The University of Queensland, Level 7 Oral Health Centre, 288 Herston Road, Herston, Queensland, 4006, Australia. Electronic address:

Background: A prognostic clinical prediction rule (whiplash CPR) has been validated for use in individuals with acute whiplash associated disorders (WAD). The clinical utility of this tool is unknown.

Objectives: To investigate: 1) the level of agreement between physiotherapist- and whiplash CPR-determined prognostic risk classification of people with acute WAD; 2) which clinical findings are used by physiotherapists to classify prognostic risk; and 3) whether physiotherapists plan to differ the number of treatment sessions provided based on prognostic risk classification. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687812183009
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http://dx.doi.org/10.1016/j.msksp.2018.11.003DOI Listing
February 2019
9 Reads

Has the quality of physiotherapy care in patients with Whiplash-associated disorders (WAD) improved over time? A retrospective study using routinely collected data and quality indicators.

Patient Prefer Adherence 2018 8;12:2291-2308. Epub 2018 Nov 8.

Department of Medical Psychology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.

Purpose: To develop valid quality indicators (QIs) for physiotherapy care based on best available evidence, and to use these QIs to explore trends in the quality of physiotherapy care of patients with Whiplash-associated disorders (WAD) using guideline-based routinely collected data (RCD) gathered between 1996 and 2011.

Materials And Methods: The study consisted of two phases: 1) development of QIs and 2) analysis of patient records. A set of QIs was developed based on recommendations in the scientific literature and the Dutch Clinical Practice Guideline (CPG) "Physiotherapy Management and WAD". Read More

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https://www.dovepress.com/has-the-quality-of-physiotherapy-c
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http://dx.doi.org/10.2147/PPA.S179808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233472PMC
November 2018
14 Reads

Altered trunk head co-ordination in those with persistent neck pain.

Musculoskelet Sci Pract 2019 Feb 20;39:45-50. Epub 2018 Nov 20.

Dept. of Radiation Sciences, Radiation Physics and Biomedical Engineering, Umeå University, Umeå, Sweden.

Background: Decreased neck motion and sensorimotor deficits have been identified in those with neck pain. It is thought that these might be related to altered reflex mechanisms between the neck, eyes and the vestibular system. Trunk, head co-ordination might also be altered in neck pain. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687812183028
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http://dx.doi.org/10.1016/j.msksp.2018.11.010DOI Listing
February 2019
9 Reads

The impact of musculoskeletal injuries sustained in road traffic crashes on work-related outcomes: a protocol for a systematic review.

Syst Rev 2018 Nov 20;7(1):202. Epub 2018 Nov 20.

RECOVER Injury Research Centre, The University of Queensland, Oral Health Centre, Herston, QLD, 4006, Australia.

Background: Musculoskeletal injuries (strains/sprains, contusions, dislocations, and fractures) are the most common injury sustained in a road traffic crash. They can have a long-term impact upon the ability to engage in work. Persisting symptoms as well as poor physical and psychological recovery may reduce the ability to return to or remain at work necessitating the use of sick leave or alternate duties to enable a gradual return to full duties. Read More

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http://dx.doi.org/10.1186/s13643-018-0869-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247704PMC
November 2018
2 Reads

A core outcome set for clinical trials in whiplash-associated disorders (WAD): a study protocol.

Trials 2018 Nov 19;19(1):635. Epub 2018 Nov 19.

Recover Injury Research Centre, NHMRC Centre of Research Excellence in Recovery Following Road Traffic Injuries, The University of Queensland, Herston, QLD, Australia.

Background: Whiplash-associated disorders (WAD) as a consequence of a motor vehicle crash are a costly health burden in Western societies. Up to 50% of injured people do not fully recover. There have been numerous clinical trials and cohort studies conducted for WAD with many varied outcome measures used, making data pooling difficult and hindering meta-analysis. Read More

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https://trialsjournal.biomedcentral.com/articles/10.1186/s13
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http://dx.doi.org/10.1186/s13063-018-3019-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245537PMC
November 2018
10 Reads

A Cryptic Cause of Cardiac Arrest.

J Emerg Med 2019 Jan 9;56(1):e1-e4. Epub 2018 Nov 9.

Department of Pediatric Critical Care, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York.

Background: RIPPLY2-associated spondylocostal dysostosis is a rare disorder that leads to segmentation defects of the vertebrae. These vertebral defects can result in severe instability of the cervical spine, leading to cardiac arrest after only minor whiplash injury.

Case Report: We present the case of a healthy 7-year-old child who experienced an out-of-hospital cardiac arrest. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183096
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http://dx.doi.org/10.1016/j.jemermed.2018.09.044DOI Listing
January 2019
11 Reads

Muscle tenderness score in temporomandibular disorders patients: A case-control study.

J Oral Rehabil 2019 Mar 20;46(3):209-218. Epub 2018 Nov 20.

Center for Orofacial Pain and Temporomandibular Disorders, Rutgers School of Dental Medicine, Rutgers, The State University of New Jersey, Newark, New Jersey.

Background: The total tenderness score (TTS) is commonly used in headache practice and contributes valuable information.

Objective: To assess muscle tenderness scores in patients diagnosed with Temporomandibular disorders (TMD) and analyse their associations with various demographic and clinical parameters.

Methods: Masticatory (MTS), cervical (CTS) and TTSs were analysed in this case-control study among 192 TMD patients and 99 controls. Read More

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http://doi.wiley.com/10.1111/joor.12743
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http://dx.doi.org/10.1111/joor.12743DOI Listing
March 2019
9 Reads
1.934 Impact Factor

Instant reduction in postural sway during quiet standing by intraoral dental appliance in patients with Whiplash associated Disorders and non-trauma neck pain.

Arch Oral Biol 2019 Jan 19;97:109-115. Epub 2018 Oct 19.

Department of Odontology, Clinical Oral Physiology, Faculty of Medicine, Umeå University, Umeå, Sweden; Department of Informatics, County Council of Västerbotten, Umeå, Sweden.

Objectives: This study tested the hypothesis that modulation of jaw sensorimotor control by intraoral dental appliance can reduce postural sway during quiet standing and hence improve standing balance, in patients with whiplash associated disorders (WAD) and non-trauma neck pain.

Design: Postural sway during quiet standing with feet together was examined in 54 WAD patients (40 females) and 10 non-trauma patients (8 females) using wireless 3D movement recording technique. Recordings were performed alternating without and with intraoral dental appliance, and with closed eyes and open eyes, respectively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00039969183023
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http://dx.doi.org/10.1016/j.archoralbio.2018.10.018DOI Listing
January 2019
1 Read

Relationship Between Psychosocial Factors and Pain in the Jaw and Neck Regions Shortly After Whiplash Trauma.

J Oral Facial Pain Headache 2018 Oct 26. Epub 2018 Oct 26.

Aims: To assess jaw pain shortly after whiplash trauma in relation to neck pain, physical symptoms, depression, and jaw pain-related disability.

Methods: A total of 181 cases (106 women and 75 men, mean ages 33.7 and 36. Read More

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http://quintpub.com/journals/ofph/abstract.php?iss2_id=1474&
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http://dx.doi.org/10.11607/ofph.2226DOI Listing
October 2018
2 Reads

Whiplash Patients' Responses on the Impact of Events Scale-R: Congruent With Pain or PTSD Symptoms?

Clin J Pain 2019 Mar;35(3):229-237

Recover Injury Research Centre, The University of Queensland, Brisbane, Australia.

Objectives: Posttraumatic stress disorder (PTSD) symptoms are common among people with whiplash following a motor vehicle crash. The Impact of Events Scale-Revised (IES-R) screens for PTSD symptoms with psychologist referral recommended for above-threshold scores. Recent data indicate that PTSD symptoms post-whiplash may relate more to pain and disability than the crash itself. Read More

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http://dx.doi.org/10.1097/AJP.0000000000000665DOI Listing
March 2019
14 Reads

Thin posterior capsule in persistent fetal vasculature causing an appearance of spontaneous posterior capsular rupture.

Indian J Ophthalmol 2018 Nov;66(11):1616-1617

ICARE Eye Hospital and Postgraduate Institute, E3A, Sector-26, Noida, Uttar Pradesh, India.

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http://dx.doi.org/10.4103/ijo.IJO_590_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213705PMC
November 2018
1 Read

Trajectories of posttraumatic stress symptoms after whiplash: A prospective cohort study.

Eur J Pain 2019 Mar 4;23(3):515-525. Epub 2018 Dec 4.

Department of Psychology, University of Southern Denmark, Odense, Denmark.

Background: Posttraumatic stress disorder (PTSD) symptoms are highly prevalent after whiplash and associated with pain-related symptoms. While mutual maintenance between pain and PTSD has been suggested, knowledge on individual differences in the course of these symptoms is needed. The present study aimed to identify trajectories of PTSD symptoms following whiplash and test predictors and functional outcomes of such trajectories. Read More

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http://doi.wiley.com/10.1002/ejp.1325
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http://dx.doi.org/10.1002/ejp.1325DOI Listing
March 2019
13 Reads

Use of and attitudes to the role of medication for acute whiplash injury: A preliminary survey of emergency department doctors.

Emerg Med Australas 2018 Oct 14. Epub 2018 Oct 14.

RECOVER Injury Research Centre, The University of Queensland, Brisbane, Queensland, Australia.

Objective: Describe current practice of medication prescribing for acute whiplash-associated disorders (WAD) in the ED and explore attitudes towards pregabalin prescription for WAD.

Methods: Questionnaire-based survey in two EDs collected data on demographics and self-reported medication prescribing for WAD. Comfort in various scenarios for pregabalin prescribing was rated. Read More

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http://doi.wiley.com/10.1111/1742-6723.13190
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http://dx.doi.org/10.1111/1742-6723.13190DOI Listing
October 2018
3 Reads

Can cortisol levels predict the severity of acute whiplash-associated disorders?

Eur J Trauma Emerg Surg 2018 Oct 12. Epub 2018 Oct 12.

Department of General Surgery and Trauma Unit, Soroka University Medical Center, Ben-Gurion University, Beer Sheva, Israel.

Background: The exact underlying mechanism of whiplash-associated disorders still remains obscure. Central sensitization of the brain to painful stimulus and disturbances in the hypothalamic-pituitary-adrenal axis has been suggested to contribute to the development of whiplash-associated disorders. Although cortisol is a well-known factor in the acute stress response and its effects on chronic pain sensation were studied, information is lacking regarding the relation between acute phase cortisol concentrations and the intensity of whiplash-associated disorders. Read More

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http://dx.doi.org/10.1007/s00068-018-1028-2DOI Listing
October 2018
20 Reads

Acupuncture for treating whiplash-associated disorder: A systematic review and meta-analysis protocol.

Medicine (Baltimore) 2018 Oct;97(41):e12654

Department of Acupuncture & Moxibustion, School of Korean Medicine, Pusan National University, Yangsan, South Korea.

Background: This review aims to evaluate the effectiveness and safety of acupuncture treatment for patients with whiplash-associated disorder (WAD).

Methods: We will search the following databases from their inception to October 2018: MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, the Cumulative Index to Nursing and Allied Health Literature, the Allied and Complementary Medicine Database, 1 Chinese database (China National Knowledge Infrastructure), 1 Japanese database (Japan Science and Technology Information Aggregator, Electronic), and 5 Korean databases (KoreaMed, Research Information Service System, Korean Studies Information Service System, Database Periodical Information Academic, and Oriental Medicine Advanced Searching Integrated System). All randomized controlled trials of acupuncture for WAD will be considered for inclusion without language restrictions. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0003
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http://dx.doi.org/10.1097/MD.0000000000012654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203494PMC
October 2018
2 Reads

Can a Chronic BPPV With a History of Trauma be the Trigger of Symptoms in Vestibular Migraine, Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), and Whiplash Associated Disorders (WAD)? A Retrospective Cohort Study.

Otol Neurotol 2019 Jan;40(1):96-102

University of Boraas, School of Health Sciences, Sweden.

Background: In patients with chronic benign paroxysmal positional vertigo (BPPV), i.e., chronic vestibular multicanalicular canalithiasis (CVMCC), abnormal signals are transmitted from diseased labyrinths via the healthy vestibular nuclei complex to their end organs. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002020DOI Listing
January 2019
3 Reads

Performing and analysing tone-induced cervical and ocular vestibular-evoked myogenic potentials in traumatic and non-traumatic vestibular pathology.

J Laryngol Otol 2018 Oct 9;132(10):896-900. Epub 2018 Oct 9.

Division of Otolaryngology,Department of Surgery,Faculty of Medicine,University of British Columbia,Vancouver,and Neuro-otology Unit,Vancouver General Hospital,Canada.

Objective: This paper discusses our technique of carrying out cervical and ocular vestibular-evoked myogenic potential testing in a single position. The described technique allows for a symmetrical, natural flexion of the neck muscles, which is helpful as many of our patients have suffered traumatic deceleration injures.

Methods: Patients with suspected vestibular pathology referred by specialists were sequentially assessed in a tertiary referral neuro-otology unit within a teaching hospital using our technique and our previously established normative database. Read More

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http://dx.doi.org/10.1017/S0022215118001706DOI Listing
October 2018

Tone-induced cervical and ocular vestibular-evoked myogenic potentials: comparing abnormalities in traumatic and non-traumatic vestibular disease.

J Laryngol Otol 2018 Oct 8;132(10):906-910. Epub 2018 Oct 8.

Division of Otolaryngology, Department of Surgery,Faculty of Medicine,University of British Columbia,Vancouver,and Neuro-otology Unit,Vancouver General Hospital,Canada.

Background: Otolithic function is poorly understood, but vestibular-evoked myogenic potential testing has allowed the documentation of pathology in patients who complain of imbalance.

Methods: Seventy-four patients with traumatic and non-traumatic vestibular disease were sequentially assessed at a tertiary referral neuro-otology unit in a teaching hospital. A detailed history of all patients was taken and standard vestibular assessment was conducted using the technique described in the companion paper. Read More

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http://dx.doi.org/10.1017/S002221511800172XDOI Listing
October 2018

An Integrative Model Accounting for the Symptom Cluster Triggered After an Acoustic Shock.

Trends Hear 2018 Jan-Dec;22:2331216518801725

4 Faculté de médecine de Nancy, Université de Lorraine, Nancy, France.

Acoustic shocks and traumas sometimes result in a cluster of debilitating symptoms, including tinnitus, hyperacusis, ear fullness and tension, dizziness, and pain in and outside the ear. The mechanisms underlying this large variety of symptoms remain elusive. In this article, we elaborate on the hypothesis that the tensor tympani muscle (TTM), the trigeminal nerve (TGN), and the trigeminal cervical complex (TCC) play a central role in generating these symptoms. Read More

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http://journals.sagepub.com/doi/10.1177/2331216518801725
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http://dx.doi.org/10.1177/2331216518801725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156190PMC
February 2019
25 Reads

The effect of three exercise approaches on health-related quality of life, and factors associated with its improvement in chronic whiplash-associated disorders: analysis of a randomized controlled trial.

Qual Life Res 2019 Feb 17;28(2):357-368. Epub 2018 Sep 17.

Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, 58183, Linköping, Sweden.

Purpose: The aim was to evaluate whether neck-specific exercise, with (NSEB) or without (NSE) a behavioural approach, improves health-related quality of life (HRQoL) compared to physical activity prescription (PPA) in chronic whiplash-associated disorders (WAD) grades 2 and 3. A secondary aim was to identify factors associated with HRQoL and HRQoL improvement following exercise interventions.

Methods: This is a secondary analysis of a multicentre randomized clinical trial. Read More

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http://link.springer.com/10.1007/s11136-018-2004-3
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http://dx.doi.org/10.1007/s11136-018-2004-3DOI Listing
February 2019
11 Reads

Physiotherapist-delivered Stress Inoculation Training for acute whiplash-associated disorders: A qualitative study of perceptions and experiences.

Musculoskelet Sci Pract 2018 12 6;38:30-36. Epub 2018 Sep 6.

Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland Australia; Recover Injury Research Centre, NHMRC Centre of Research Excellence in Recovery Following Road Traffic Injuries, The University of Queensland, Brisbane, Queensland Australia. Electronic address:

Background: Formally trained and accredited physiotherapists delivered Stress Inoculation Training (SIT) integrated with guideline-based physiotherapy management to individuals with acute whiplash associated disorders (WAD) as part of a randomised controlled trial. The delivery of SIT by physiotherapists is new.

Objectives: To investigate physiotherapists' perspectives on delivering SIT as part of the trial and in routine practice. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687812183024
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http://dx.doi.org/10.1016/j.msksp.2018.09.005DOI Listing
December 2018
4 Reads

Relationship between neck motion and self-reported pain in patients with whiplash associated disorders during the acute phase.

Musculoskelet Sci Pract 2018 12 6;38:23-29. Epub 2018 Sep 6.

Instituto de Biomecánica de Valencia, Universitat Politècnica de València, Valencia, Spain; CIBER de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Spain.

Background: Biomechanical measures quantify motor control and functional deficits in Whiplash Associated Disorders (WAD), but few studies relate those measures to the clinical scales that are routinely used to assess patients. Most studies are limited to chronic neck pain, and report poor to moderate correlations.

Objective: To define a statistical model that relates measures of neck kinematics with clinical scales of neck pain, in WAD patients during the rehabilitation process in the acute phase (less than 3 months since the accident). Read More

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http://dx.doi.org/10.1016/j.msksp.2018.09.004DOI Listing
December 2018

Incidence and Treatment Outcomes of Post Traumatic BPPV in Traumatic Brain Injury Patients.

Indian J Otolaryngol Head Neck Surg 2018 Sep 3;70(3):337-341. Epub 2018 Apr 3.

2Medical Trust Hospital, Kochi, Kerala India.

The aim of this study is to assess the incidence of post traumatic BPPV and evaluate its treatment outcomes in mild and moderate traumatic head injury patients. The study population consisted of 128 patients (89 male:39 female) who were admitted with head and neck injury (Motor Vehicle Accident, Blow to the head, Fall from Height, Whiplash injury) as inpatients in Department of Neurosurgery in Tertiary care hospital in Kerala during a 2 month period from 1st April 2014 to 31st May 2014. The age range was 10-70 years and mean 39. Read More

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http://dx.doi.org/10.1007/s12070-018-1329-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127059PMC
September 2018
3 Reads

Review article: Best practice management of neck pain in the emergency department (part 6 of the musculoskeletal injuries rapid review series).

Emerg Med Australas 2018 12 30;30(6):754-772. Epub 2018 Aug 30.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Neck pain and whiplash injuries are a common presentation to the ED, and a frequent cause of disability globally. This rapid review investigated best practice for the assessment and management of musculoskeletal neck pain in the ED. PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites, were searched in 2017. Read More

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http://doi.wiley.com/10.1111/1742-6723.13131
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http://dx.doi.org/10.1111/1742-6723.13131DOI Listing
December 2018
9 Reads

Factors associated with work ability following exercise interventions for people with chronic whiplash-associated disorders: Secondary analysis of a randomized controlled trial.

J Rehabil Med 2018 Sep;50(9):828-836

Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, 4072 Brisbane, Australia.

Objective: To investigate the efficacy of exercise interventions and factors associated with changes in work ability for people with chronic whiplash-associated disorders.

Design: Secondary analysis of a single-blind, randomized multi-centre controlled trial.

Setting: Interventions were conducted in Swedish primary care settings. Read More

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http://dx.doi.org/10.2340/16501977-2374DOI Listing
September 2018
1 Read

Validation of an index of Sensitivity to Movement-Evoked Pain in patients with whiplash injuries.

Pain Rep 2018 Jul-Aug;3(4):e661. Epub 2018 Jun 20.

Department of Psychology, McGill University, Montréal, QC, Canada.

Sensitivity to Movement-Evoked Pain is a pain summation phenomenon identified in various chronic pain populations. This study investigated the validity of a procedure used to assess pain summation in response to a repeated lifting task in individuals with whiplash injuries. Sixty-five participants completed measures of pain severity and duration, Temporal Summation (TS) of pinprick pain, pain catastrophizing and fear of movement, and work-related disability before lifting a series of 18 weighted canisters. Read More

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http://dx.doi.org/10.1097/PR9.0000000000000661DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085141PMC
June 2018
9 Reads

Neck-specific exercise may reduce radiating pain and signs of neurological deficits in chronic whiplash - Analyses of a randomized clinical trial.

Sci Rep 2018 Aug 17;8(1):12409. Epub 2018 Aug 17.

Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden.

Up to 90% of people with neurological deficits following a whiplash injury do not recover and cervical muscle dysfunction is common. The aim of this multicentre, randomized controlled trial was to examine whether two versions of neck-specific exercise or prescription of physical activity (PPA) can improve radiating arm pain and clinical signs that can be associated with neurological deficits in people with chronic whiplash associated disorders (WAD). Participants with chronic WAD, arm symptoms and signs associated with neurological deficits (n = 171) were randomized to: 12 weeks of neck-specific exercise without (NSE) or with a behavioural approach (NSEB), or PPA. Read More

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http://dx.doi.org/10.1038/s41598-018-30556-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6098137PMC

Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management.

Authors:
K Devaraja

Eur Arch Otorhinolaryngol 2018 Oct 9;275(10):2421-2433. Epub 2018 Aug 9.

Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, 576104, India.

Purpose: Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other. Read More

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http://link.springer.com/10.1007/s00405-018-5088-z
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http://dx.doi.org/10.1007/s00405-018-5088-zDOI Listing
October 2018
8 Reads

Adoption and use of guidelines for whiplash: an audit of insurer and health professional practice in New South Wales, Australia.

BMC Health Serv Res 2018 08 8;18(1):622. Epub 2018 Aug 8.

Faculty of Health Sciences, The University of Sydney, 75 East Street, Sydney, Australia.

Background: In Australia, the New South Wales (NSW) State Insurance Regulatory Authority has been continuously developing and implementing clinical practice guidelines to address the health and economic burden from whiplash associated disorders (WAD). Despite this, it is uncertain the extent to which the guidelines are followed. This study aimed to determine insurer and health professional compliance with recommendations of the 2014 NSW clinical practice guidelines for the management of acute WAD; and explore factors related to adherence. Read More

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http://dx.doi.org/10.1186/s12913-018-3439-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083615PMC
August 2018
1 Read

Nonoperative Management of Brachiocephalic Artery Dissection.

Ann Thorac Surg 2019 Feb 3;107(2):e97-e99. Epub 2018 Aug 3.

Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh; and Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. Electronic address:

A 68-year-old man presented with complaints of right-sided neck and chest pain with systolic blood pressure greater than 200 mm Hg but denied any recent blunt trauma or whiplash events. A computed tomography angiography demonstrated an acute dissection involving the origin of the right brachiocephalic artery that extended into the right common carotid and right subclavian arteries. The patient was neurologically intact and computed tomography angiography of the brain demonstrated a stable arachnoid cyst and a brain perfusion scan demonstrated homogenous perfusion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183105
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http://dx.doi.org/10.1016/j.athoracsur.2018.06.047DOI Listing
February 2019
6 Reads

SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY FINDINGS IN A CASE OF WHIPLASH MACULOPATHY WITH INCOMPLETE RESOLUTION.

Retin Cases Brief Rep 2018 Aug 1. Epub 2018 Aug 1.

Ophthalmic Unit, San Bassiano Hospital, Bassano Del Grappa, Vicenza, Italy.

Purpose: To report spectral domain optical coherence tomography (OCT) findings of a patient who experienced bilateral visual loss after a motorcycle accident.

Methods: A 51-year-old man presented to the emergency department complaining of bilateral visual loss after a motorcycle falling down. A complete ophthalmologic examination and OCT testing were made on the same day of the accident. Read More

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http://dx.doi.org/10.1097/ICB.0000000000000805DOI Listing

Exploring patients' experiences of the whiplash injury-recovery process - a meta-synthesis.

J Pain Res 2018 29;11:1263-1271. Epub 2018 Jun 29.

Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, Sweden.

Purpose: The aim of this study was to conduct a meta-synthesis to analyze qualitative research findings and thereby understand patients' experiences of whiplash-associated disorders (WAD) and the injury-recovery process.

Materials And Methods: A qualitative meta-synthesis, which is an interpretive integration of existing qualitative findings, was performed. The databases PubMed, PsychINFO, Scopus, and Web of Science were searched. Read More

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http://dx.doi.org/10.2147/JPR.S158807DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029586PMC
June 2018
5 Reads

Head postures during naturalistic driving.

Traffic Inj Prev 2018 27;19(6):637-643. Epub 2018 Sep 27.

a University of British Columbia , School of Kinesiology , Vancouver , British Columbia , Canada.

Objective: A rotated head posture at the time of a rear-end impact is associated with a higher risk of acute and chronic whiplash injury. The objective of this study was to quantify the amplitude and duration of rotated head postures observed in drivers during naturalistic driving.

Methods: Twenty volunteers (14 males: 36 ± 12 years, 6 females: 27 ± 5 years) drove a 2010 Subaru Impreza on public roads while their 3D head angular position relative to the car was recorded using inertial measurement units. Read More

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http://dx.doi.org/10.1080/15389588.2018.1493582DOI Listing
September 2018
1 Read

Neck-specific exercise improves impaired interactions between ventral neck muscles in chronic whiplash: A randomized controlled ultrasound study.

Sci Rep 2018 Jun 25;8(1):9649. Epub 2018 Jun 25.

Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden.

Chronic pain and disability is common in whiplash-associated disorders (WAD), leading to personal suffering, sick leave, and social cost. The cervical spine is heavily dependent on muscular support and whiplash injury can cause damage to the neck muscles, but diagnostic tools to measure neck muscle impairment and evaluate exercise interventions are lacking. Therefore, the present study investigated ventral neck muscle interactions in 26 individuals with chronic WAD randomized to neck-specific exercise (NSE) or remaining on a waiting list (WL) in 3 months. Read More

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http://dx.doi.org/10.1038/s41598-018-27685-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018626PMC

Patient-Reported Outcome Measures Used for Neck Disorders: An Overview of Systematic Reviews.

J Orthop Sports Phys Ther 2018 Oct 22;48(10):775-788. Epub 2018 Jun 22.

Background: The evaluation of patient-reported outcome measures for the neck from multiple systematic reviews will provide a broader view of, and may identify potential conflicting or consistent results for, their psychometric properties.

Objectives: The purpose of this study was to conduct an overview of systematic reviews and synthesize evidence to establish the current state of knowledge on psychometric properties of patient-reported outcome measures for patients with neck disorders.

Methods: In this overview of systematic reviews, an electronic search of 6 databases (MEDLINE, Embase, CINAHL, ILC, the Cochrane Central Register of Controlled Trials, and LILACS) was conducted to identify reviews that addressed at least one measurement property of outcome measures for people with neck pain. Read More

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http://dx.doi.org/10.2519/jospt.2018.8131DOI Listing
October 2018
76 Reads
3.011 Impact Factor

Diagnostic blocks for chronic pain.

Scand J Pain 2010 Oct 1;1(4):186-192. Epub 2010 Oct 1.

University of Newcastle, Newcastle Bone and Joint Institute, Royal Newcastle Centre, Newcastle, NSW 2300, Australia.

Many conditions associated with chronic pain have no detectable morphological correlate. Consequently, the source of pain cannot be established by clinical examination or medical imaging. However, for some such conditions, the source of pain can be established using diagnostic blocks. Read More

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http://dx.doi.org/10.1016/j.sjpain.2010.07.001DOI Listing
October 2010
20 Reads