Is the sagittal configuration of the cervical spine changed in women with chronic whiplash syndrome? A comparative computer-assisted radiographic assessment.

2.50
Hdl Handle:
http://hdl.handle.net/2336/30892
Title:
Is the sagittal configuration of the cervical spine changed in women with chronic whiplash syndrome? A comparative computer-assisted radiographic assessment.
Authors:
Kristjansson, E; Jonsson, H
Citation:
J Manipulative Physiol Ther. 20002, 25(9):550-5
Issue Date:
1-Nov-2002
Abstract:
OBJECTIVE: To reveal whether women with chronic whiplash-associated disorder (WAD) symptoms, grade I-II, demonstrate regional and/or segmental radiographic signs of altered cervical lordosis. DESIGN: Case-control study. SETTING: Radiography department at a university hospital. PARTICIPANTS: Three age-balanced groups comprising 120 women. The case group included women with chronic whiplash syndrome (n = 41), and the control group included women with chronic insidious onset neck pain (n = 39) and an asymptomatic group (n = 40), who were given baseline data. The sample was referred from informed doctors and physiotherapists. INTERVENTION: The women sat in a standardized sitting position and radiographs were taken in a lateral position with fluoroscopic control for alignment. Outcome Measures: Two distinct measurements were taken; 1 of the angles of the upper and lower cervical curvatures, respectively, and 1 of the angles between the inferior borders of each pair of vertebrae in the lower cervical spine. The 3 groups were compared on the ratio of the lower to upper cervical spine angles and on the mean angular values for each segment in the cervical spine. RESULTS: The whiplash group showed a decreased ratio between the lower versus upper cervical spine but comparisons between groups were not statistically significant. The whiplash group was in a significantly more flexed position at the C4-C5 level compared with the asymptomatic group (P =.007). The reliability measures have to be strengthened to render these results definitely conclusive. CONCLUSION: The whiplash group exhibited a different configuration of cervical lordosis. This is clinically important and needs to be studied more closely.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.sciencedirect.com/science/article/B6WK1-47MS8CX-3/1/dc8b58fe6e7149cba6ff0e88c2a45f9e

Full metadata record

DC FieldValue Language
dc.contributor.authorKristjansson, E-
dc.contributor.authorJonsson, H-
dc.date.accessioned2008-07-03T13:16:51Z-
dc.date.available2008-07-03T13:16:51Z-
dc.date.issued2002-11-01-
dc.date.submitted2008-07-03-
dc.identifier.citationJ Manipulative Physiol Ther. 20002, 25(9):550-5en
dc.identifier.issn0161-4754-
dc.identifier.pmid12466772-
dc.identifier.doi10.1067/mmt.2002.128371-
dc.identifier.urihttp://hdl.handle.net/2336/30892-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractOBJECTIVE: To reveal whether women with chronic whiplash-associated disorder (WAD) symptoms, grade I-II, demonstrate regional and/or segmental radiographic signs of altered cervical lordosis. DESIGN: Case-control study. SETTING: Radiography department at a university hospital. PARTICIPANTS: Three age-balanced groups comprising 120 women. The case group included women with chronic whiplash syndrome (n = 41), and the control group included women with chronic insidious onset neck pain (n = 39) and an asymptomatic group (n = 40), who were given baseline data. The sample was referred from informed doctors and physiotherapists. INTERVENTION: The women sat in a standardized sitting position and radiographs were taken in a lateral position with fluoroscopic control for alignment. Outcome Measures: Two distinct measurements were taken; 1 of the angles of the upper and lower cervical curvatures, respectively, and 1 of the angles between the inferior borders of each pair of vertebrae in the lower cervical spine. The 3 groups were compared on the ratio of the lower to upper cervical spine angles and on the mean angular values for each segment in the cervical spine. RESULTS: The whiplash group showed a decreased ratio between the lower versus upper cervical spine but comparisons between groups were not statistically significant. The whiplash group was in a significantly more flexed position at the C4-C5 level compared with the asymptomatic group (P =.007). The reliability measures have to be strengthened to render these results definitely conclusive. CONCLUSION: The whiplash group exhibited a different configuration of cervical lordosis. This is clinically important and needs to be studied more closely.en
dc.language.isoenen
dc.publisherMosby, Inc.,en
dc.relation.urlhttp://www.sciencedirect.com/science/article/B6WK1-47MS8CX-3/1/dc8b58fe6e7149cba6ff0e88c2a45f9een
dc.subject.meshAdulten
dc.subject.meshCase-Control Studiesen
dc.subject.meshCervical Vertebraeen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshLordosisen
dc.subject.meshNeck Painen
dc.subject.meshRadiographic Image Interpretation, Computer-Assisteden
dc.subject.meshRange of Motion, Articularen
dc.subject.meshRotationen
dc.subject.meshWhiplash Injuriesen
dc.titleIs the sagittal configuration of the cervical spine changed in women with chronic whiplash syndrome? A comparative computer-assisted radiographic assessment.en
dc.typeArticleen
dc.contributor.departmentFaculty of Medicine, University of Iceland, Reykjavík, Iceland. eythork@simnet.isen
dc.identifier.journalJournal of manipulative and physiological therapeuticsen
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