scholarly journals Do measures of physical function enhance the prediction of persistent pain and disability following a whiplash injury? Protocol for a prospective observational study in Spain

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035736
Author(s):  
Ahmed Alalawi ◽  
Alejandro Luque-Suarez ◽  
Manuel Fernandez-Sanchez ◽  
Alessio Gallina ◽  
David Evans ◽  
...  
Keyword(s):  
Observational Study ◽  
Physical Function ◽  
Predictive Factors ◽  
Whiplash Injury ◽  
Prospective Observational Study ◽  
Neck Disability Index ◽  
Persistent Pain ◽  
Physical Factors ◽  
Post Injury ◽  
Neck Disability

IntroductionNot all factors that predict persistent pain and disability following whiplash injury are known. In particular, few physical factors, such as changes in movement and muscle behaviour, have been investigated. The aim of this study is to identify predictive factors that are associated with the development of persistent pain and disability following a whiplash injury by combining contemporary measures of physical function together with established psychological and pain-related predictive factors.Methods and analysisA prospective observational study will recruit 150 consecutive eligible patients experiencing whiplash-related symptoms, admitted to a private physiotherapy clinic in Spain within 15 days of their whiplash injury. Poor outcome will be measured using the Neck Disability Index (NDI), defined as an NDI score of 30% or greater at 6 months post injury. Candidate predictors, including demographic characteristics, injury characteristics, pain characteristics, self-reported psychosocial factors and physical factors, will be collected at baseline (within 15 days of inception). Regression analyses will be performed to identify factors that are associated with persistent neck pain and disability over the study period.Ethics and disseminationThe project has been approved by the Ethics Committee of the province of Malaga, Spain (#30052019). The results of this study will be published in peer-reviewed journals.

Incidence and predictors of chronic headache attributed to whiplash injury

Cephalalgia ◽  
2009 ◽  
Vol 30 (5) ◽  
pp. 528-534 ◽  
Author(s):  
M Obermann ◽  
K Nebel ◽  
A Riegel ◽  
D Thiemann ◽  
M-S Yoon ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Chronic Headache ◽  
Whiplash Injury ◽  
Task Force ◽  
Neck Disability Index ◽  
Primary Headache ◽  
Control Group ◽  
Headache Disorders ◽  
Primary Headache Disorders ◽  
Neck Disability

We identified clinical, demographic and psychological predictive factors that may contribute to the development of chronic headache associated with mild to moderate whiplash injury [Quebec Task Force (QTF) ≤ II] and determined the incidence of this chronic pain state. Patients were recruited prospectively from six participating accident and emergency departments. While 4.6% of patients developed chronic headache attributed to whiplash injury according to the International Classification of Headache Disorders, 2nd edn criteria, 15.2% of patients complained about headache lasting > 42 days (QTF criteria). Predictive factors were pre-existing facial pain [odds ratio (OR) 9.7, 95% confidence interval (CI) 2.1, 10.4; P = 0.017], lack of confidence to recover completely (OR 5.5, 95% CI 2.0, 13.2; P = 0.005), sore throat (OR 5.0, 95% CI 1.5, 8.9; P = 0.013), medication overuse (OR 4.2, 95% CI 1.4, 12.3; P = 0.009), high Neck Disability Index (OR 4.0, 95% CI 1.3, 12.6; P = 0.019), hopelessness/anxiety (OR 3.8, 95% CI 1.3, 8.7; P = 0.024), and depression (OR 3.3, 95% CI 1.2, 9.4; P = 0.024). The lack of a control group limits the conclusions that can be drawn from this study. Identified predictors closely resemble those found in chronic primary headache disorders.

Cervical radiofrequency neurotomy in patients with chronic whiplash: a study of multiple outcome measures

2006 ◽  
Vol 4 (5) ◽  
pp. 365-373 ◽  
Author(s):  
Tamara Prushansky ◽  
Evgeny Pevzner ◽  
Carlos Gordon ◽  
Zeevi Dvir
Keyword(s):  
Outcome Measures ◽  
Whiplash Injury ◽  
Neck Disability Index ◽  
Pressure Pain Threshold ◽  
Self Report ◽  
Radiofrequency Neurotomy ◽  
Symptom Check List ◽  
Chronic Whiplash ◽  
Neck Disability ◽  
Rate Of Success

Object Cervical radiofrequency neurotomy (CRFN) is used in the treatment of patients with chronic pain and disability due to whiplash injury. Confirmation of its efficiency has, however, been based solely on pain and psychological distress factors. The aim of the present study was to extend the assessment of CRFN efficacy by adding other outcome measures to shed light on neuromotor-functional-psychological interactions by undertaking comparison of pre- and 1-year postintervention data. Methods Forty patients with chronic whiplash injury–associated disorders were evaluated prior to and at two separate sessions after CRFN. The evaluation included Neck Disability Index, cervical range of motion, isometric cervical muscle strength, cervical pressure pain threshold, Symptom Check List–90-Revised, and subjective Self-Report of Improvement (SRI). The authors found that the CRFN had a significantly positive effect on all measured parameters. A case-by-case analysis revealed improvement in 70% of the patients at the final follow-up examination. Using stringent cutoff values, between 30 and 60% of the patients experienced measurable improvement. Evaluation of SRI results indicated that more than 80% of the patients were satisfied with the procedure. Conclusions Approximately 1 year after intervention, CRFN was associated with an acceptable rate of success, as reflected by objective and subjective outcome measures.

scholarly journals Using Wearable Devices to Monitor Physical Activity in Patients Undergoing Aortic Valve Replacement: Protocol for a Prospective Observational Study

10.2196/20072 ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. e20072
Author(s):  
Giulia Lorenzoni ◽  
Danila Azzolina ◽  
Chiara Fraccaro ◽  
Alessandro Di Liberti ◽  
Augusto D'Onofrio ◽  
...  
Keyword(s):  
Physical Activity ◽  
Aortic Valve ◽  
Observational Study ◽  
Aortic Valve Replacement ◽  
Physical Function ◽  
Valve Replacement ◽  
Prospective Observational Study ◽  
Wearable Devices ◽  
Postoperative Changes

Background In last few decades, several tools have been developed to measure physical function objectively; however, their use has not been well established in clinical practice. Objective This study aims to describe the preoperative physical function and to assess and compare 6-month postoperative changes in the physical function of patients undergoing treatment for aortic stenosis with either surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR). The study also aims to evaluate the feasibility of wearable devices in assessing physical function in such patients. Methods This is a prospective observational study. The enrollment will be conducted 1 month before patients’ SAVR/TAVR. Patients will be provided with the wearable device at baseline (activity tracker device, Garmin vívoactive 3). They will be trained in the use of the device, and they will be requested to wear it on the wrist of their preferred hand until 12 months after SAVR/TAVR. After baseline assessment, they will undergo 4 follow-up assessments at 1, 3, 6, and 12 months after SAVR/TAVR. At baseline and each follow-up, they will undergo a set of standard and validated tests to assess physical function, health-related quality of life, and sleep quality. Results The ethics committee of Vicenza in Veneto Region in Italy approved the study (Protocol No. 943; January 4, 2019). As of October 2020, the enrollment of participants is ongoing. Conclusions The use of the wearable devices for real-time monitoring of physical activity of patients undergoing aortic valve replacement is a promising opportunity for improving the clinical management and consequently, the health outcomes of such patients. Trial Registration Clinicaltrials.gov NCT03843320; https://tinyurl.com/yyareu5y International Registered Report Identifier (IRRID) DERR1-10.2196/20072

scholarly journals Is the Neck Disability Index an Appropriate Measure for Changes in Physical Function After Surgery for Cervical Spondylotic Myelopathy?

10.14444/7007 ◽  
2020 ◽  
Vol 14 (1) ◽  
pp. 53-58
Author(s):  
DHRUV K.C. GOYAL ◽  
HAMADI A. MURPHY ◽  
DOUGLAS A. HOLLERN ◽  
SRIKANTH N. DIVI ◽  
KRISTEN NICHOLSON ◽  
...  
Keyword(s):  
Physical Function ◽  
Cervical Spondylotic Myelopathy ◽  
Neck Disability Index ◽  
Neck Disability

scholarly journals Predictive Factors for Anastomotic Leakage After Colorectal Surgery: Study Protocol for a Prospective Observational Study (REVEAL Study)

2016 ◽  
Vol 5 (2) ◽  
pp. e90 ◽  
Author(s):  
Audrey CHM Jongen ◽  
Joanna WAM Bosmans ◽  
Serdar Kartal ◽  
Tim Lubbers ◽  
Meindert Sosef ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Observational Study ◽  
Anastomotic Leakage ◽  
Study Protocol ◽  
Predictive Factors ◽  
Prospective Observational Study ◽  
Reveal Study
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