@article{ref1,
title="Physical and psychosocial factors associated with neck pain after major accidental trauma",
journal="European journal of trauma and emergency surgery",
year="2008",
author="Harris, Ian A. and Young, Jane M. and Rae, Hamish and Jalaludin, Bin B. and Solomon, Michael J.",
volume="34",
number="5",
pages="498-503",
abstract="Neck pain after physical trauma is common; but previous research regarding the role of psychological and physical predictors for neck pain is inconsistent. A retrospective survey of consecutive patients presenting to a metropolitan trauma centre with major accidental trauma was performed between 1 and 6 years post injury. Possible predictor variables (demographic, injury severity, and psychosocial factors) were determined from the hospital trauma registry and the questionnaire. The main outcome was a combined score of neck pain severity and functional limitation. Multivariate logistic regression was performed to develop a predictive model for neck pain. A multivariate analysis of 355 patients showed that neck pain was not significantly associated with measures of injury severity. Neck pain was significantly more likely to be severe in patients with a cervical spine fracture, with pre-existing chronic illnesses, those with post-traumatic stress disorder (PTSD) at the time of follow up, those who had retained the services of a lawyer regarding the injury, and those with lower education levels. Psychosocial factors are important predictors of neck pain after major physical trauma. These findings do not support models for post-traumatic neck pain that are restricted to physical factors.<p /> <p>Language: en</p>",
language="en",
issn="1863-9933",
doi="10.1007/s00068-007-7047-z",
url="http://dx.doi.org/10.1007/s00068-007-7047-z"
}