@article{ref1,
title="Does cervical kyphosis relate to symptoms following whiplash injury?",
journal="Manual therapy",
year="2011",
author="Johansson, Mats Peter and Baann Liane, Martin Skogheim and Bendix, Tom and Kasch, Helge and Kongsted, Alice",
volume="16",
number="4",
pages="378-383",
abstract="The mechanisms for developing long-lasting neck pain after whiplash injuries are still largely unrevealed. In the present study it was investigated whether a kyphotic deformity of the cervical spine, as opposed to a straight or a lordotic spine, was associated with the symptoms at baseline, and with the prognosis one year following a whiplash injury. MRI was performed in 171 subjects about 10 d after the accident, and 104 participated in the pain recording at 1-year follow-up. It was demonstrated that postures as seen on MRI can be reliably categorized and that a straight spine is the most frequent appearance of the cervical spine in supine MRI. In relation to symptoms it was seen that a kyphotic deformity was associated with reporting the highest intensities of headache at baseline, but not with an increased risk of long-lasting neck pain or headache. In conclusion, a kyphotic deformity is not significantly associated with chronic whiplash associated pain. Moreover, it is a clear clinical implication that pain should not be ascribed to a straight spine on MRI. We suggest that future trials on cervical posture focus upon the presence of kyphotic deformity rather than just on the absence of lordosis.<p /> <p>Language: en</p>",
language="en",
issn="1356-689X",
doi="10.1016/j.math.2011.01.004",
url="http://dx.doi.org/10.1016/j.math.2011.01.004"
}