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Journal Article

Citation

HincapiƩ CA, Cassidy JD, Cote PE, Carroll LJ, Guzman J. J. Occup. Environ. Med. 2010; 52(4): 434-440.

Affiliation

Division of Health Care and Outcomes Research, Toronto Western Research Institute, University Health Network, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Department of Public Health Sciences and Alberta Centre for Injury Control and Research, School of Public Health, University of Alberta, Edmonton, Alberta, Canada; Toronto Rehabilitation Institute, Toronto, Ontario, Canada; and Occupational Health and Safety Agency for Healthcare in British Columbia, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Copyright

(Copyright © 2010, Lippincott Williams and Wilkins)

DOI

10.1097/JOM.0b013e3181bb806d

PMID

20357684

Abstract

OBJECTIVES:: To describe the distribution of bodily pain and identify common patterns of pain localization after traffic injury. METHODS:: Cross-sectional analysis of a population-based cohort of 6481 Saskatchewan residents who were treated or filed an auto insurance claim within 30 days of traffic injury or both. The prevalence of pain in each of 13 body areas was calculated and compared with pain confined exclusively to each of these areas. Principal component analysis was used to identify the main patterns of pain localization after traffic injury. RESULTS:: Irrespective of pain in other areas, 86% of respondents reported posterior neck pain, 72% indicated head pain, and 60% noted lumbar back pain. Ninety-five percent of claimants reported some pain within the posterior trunk region, comprising the posterior neck, shoulder, mid-back, lumbar, and buttock areas. Only 0.4% of respondents reported posterior neck pain only. Four main patterns accounted for 60% of the variance in pain localization: 1) upper anterior trunk and upper extremity pain; 2) head, posterior neck, and upper posterior trunk pain; 3) low back pain; and 4) lower anterior trunk and lower extremity pain. CONCLUSION:: Pain after traffic injury is most commonly reported in multiple body areas; isolated neck pain is extremely rare. These results have implications for clinical management of traffic injuries and interpretation of whiplash-related trials.


Language: en

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