TY  - JOUR
PY  - 2011//
TI  - Does cervical kyphosis relate to symptoms following whiplash injury?
JO  - Manual therapy
A1  - Johansson, Mats Peter
A1  - Baann Liane, Martin Skogheim
A1  - Bendix, Tom
A1  - Kasch, Helge
A1  - Kongsted, Alice
SP  - 378
EP  - 383
VL  - 16
IS  - 4
N2  - 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>
LA  - en
SN  - 1356-689X
UR  - http://dx.doi.org/10.1016/j.math.2011.01.004
ID  - ref1
ER  -