Alalawi Ahmed, Luque-Suarez Alejandro, Fernandez-Sanchez Manuel, Gallina Alessio, Evans David, Falla Deborah
Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Physiotherapy, University of Malaga, Malaga, Spain.
BMJ Open. 2020 Oct 7;10(10):e035736. doi: 10.1136/bmjopen-2019-035736.
Not 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.
A 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.
The 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.
并非所有预测挥鞭伤后持续性疼痛和残疾的因素都已明确。特别是，很少有身体因素，如运动和肌肉行为的变化，得到研究。本研究的目的是通过将当代身体功能测量方法与既定的心理和疼痛相关预测因素相结合，确定与挥鞭伤后持续性疼痛和残疾发展相关的预测因素。
一项前瞻性观察性研究将招募150名连续符合条件的有挥鞭伤相关症状的患者，这些患者在挥鞭伤后15天内被收治到西班牙一家私人物理治疗诊所。不良结局将使用颈部残疾指数（NDI）进行测量，定义为伤后6个月时NDI评分达到或超过30%。候选预测因素，包括人口统计学特征、损伤特征、疼痛特征、自我报告的心理社会因素和身体因素，将在基线时（开始后15天内）收集。将进行回归分析，以确定在研究期间与持续性颈部疼痛和残疾相关的因素。
该项目已获得西班牙马拉加省伦理委员会批准（#30052019）。本研究结果将发表在同行评审期刊上。
