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Title
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Cervical motor dysfunction and its predictive value for long-term recovery in patients with acute whiplash-associated disorders : a systematic review
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Author
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Abstract
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| OBJECTIVE: To study the presence of cervical motor dysfunctions in acute whiplash-associated disorders, evaluate their course and assess their predictive value for long-term recovery. DESIGN: Systematic literature review. METHODS: PubMed and Web of Science databases were used to select studies of the presence of cervical motor dysfunctions within the acute stage (< 6 weeks) after whiplash trauma and/or their predictive value for the development of chronic whiplash-associated disorders. RESULTS: The presence of cervical motor dysfunctions in the acute stage after whiplash trauma was investigated in 4 cohorts. The course of cervical motor dysfunctions in whiplash-associated disorders was examined in 4 cohorts, and the predictive value on outcome 1 year post-whiplash trauma was assessed in 3 cohorts. Reduced cervical mobility, disturbed kinaesthesia, and altered muscle activity were found in the acute stage, and these persisted over time in the moderate/severe group. The predictive value of examining the presence of cervical motor dysfunctions was doubtful. The course and predictive value of initial reduced cervical mobility was inconsistent. CONCLUSION: Cervical motor dysfunctions are present soon after whiplash trauma persisting in those with moderate/severe symptoms. However, these dysfunctions have limited predictive value, and hence may not explain the complex clinical picture of whiplash-associated disorders. This systematic review highlights the need for differentiating between patients with acute whiplash-associated disorders taking into account the biopsychological framework. |
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Language
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English
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Source (journal)
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Journal of rehabilitation medicine. - Basingstoke
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Publication
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Basingstoke
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2013
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ISSN
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1650-1977
[Print]
1651-2081
[Online]
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Volume/pages
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45
:2
(2013)
, p. 113-122
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ISI
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000315179700001
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Full text (Publisher's DOI)
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Full text (open access)
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