@article{ref1,
title="Patterns of acute whiplash-associated disorder in the Lithuanian population after road traffic accidents",
journal="Journal of rehabilitation medicine",
year="2014",
author="Pajediene, Evelina and Janusauskaite, Jolita and Samusyte, Gintaute and Stasaitis, Kestutis and Petrikonis, Kestutis and Bileviciute-Ljungar, Indre",
volume="47",
number="1",
pages="52-57",
abstract="OBJECTIVE: To investigate acute whiplash-associated disorder in the Lithuanian population who are unaware of the phenomenon. <br><br>DESIGN: Controlled cohort study. Subjects/patients: Seventy-one patients were enrolled from the emergency departments of the Kaunas region of Lithuania following road traffic accidents, examined within 3-14 days after the accident, and compared with 53 matched controls. <br><br>METHODS: Clinical neurological examination, including range of motion and motion-evoked pain or stiffness in the neck; spontaneous pain and pain pressure threshold. Questionnaires: Quebec Task Force questionnaire (QTFQ); Disability Rating Index (DRI); Cognitive Failures Questionnaire (CFQ); Hospital Anxiety and Depression Scale (HADS) and health perception. <br><br>RESULTS: Sixty-six of 71 (93%) patients developed acute symptoms. The most frequent symptoms found after road traffic accidents were neck or shoulder pain; reduced or painful neck movements, including decreased range of motion; multiple subjective symptoms according to QTFQ and significantly reduced pain threshold. Perceived health status was decreased and DRI was increased, while HADS showed a significantly higher risk of developing anxiety. Higher grade whiplash-associated disorder was linked with a greater reduction in range of motion and more prominent neck pain. <br><br>CONCLUSION: Road traffic accidents induce whiplash-associated disorder in patients who seek help, but who are unaware of the condition whiplash-associated disorder. Whiplash-associated disorder should be considered and treated as an entity per se.<p /> <p>Language: en</p>",
language="en",
issn="1650-1977",
doi="10.2340/16501977-1892",
url="http://dx.doi.org/10.2340/16501977-1892"
}