Can long-term impairment in general practitioner whiplash patients be predicted using screening and patient-reported outcomes?

Charles P Gabel; Brendan J Burkett; Anne H Neller; M Yelland

doi:10.1097/MRR.0b013e3282f44e10

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Can long-term impairment in general practitioner whiplash patients be predicted using screening and patient-reported outcomes?

Journal article

Open access

Peer reviewed

Can long-term impairment in general practitioner whiplash patients be predicted using screening and patient-reported outcomes?

Charles P Gabel, Brendan J Burkett, Anne H Neller and M Yelland

International Journal of Rehabilitation Research, Vol.31(1), pp.79-80

2008

DOI: https://doi.org/10.1097/MRR.0b013e3282f44e10

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Abstract

whiplash-associated disorder

prediction

screening

patient-reported outcome

The objective of this prospective pilot study was to investigate the predictors of outcome at 6 months for whiplash-associated disorder in a general practitioner primary care population. Psychosocial screening questionnaires, patient-reported outcomes of cervical functional impairment, demographic and accident-specific data have been indicated as predictive of future recovery status and treatment requirements. Participants (n=30, age=37+/-14 years, 77% females) from eight general practitioners were initially screened with a modified Orebro Musculoskeletal Pain Questionnaire, and had recovery status monitored and classified for 6 months using both patient-reported outcomes, quantitatively (Neck Disability Index) and qualitatively (patient status self-classification). Analysis at two separate cutoff levels showed 30% of participants nonrecovered and 17% with moderate/severe impairment. Nonrecovery status and increased treatment was predicted by a 109-point screening score cutoff while moderate/severe impairment was predicted by including the presence of cervical rotation at impact. Initial cervical functional impairment status measured with the Neck Disability Index was sensitive but not specific for prediction. A larger population study investigating these protocols is warranted.

Details

Title: Can long-term impairment in general practitioner whiplash patients be predicted using screening and patient-reported outcomes?
Authors: Charles P Gabel (Author) - University of the Sunshine Coast - Faculty of Science, Health and Education
Brendan J Burkett (Author) - University of the Sunshine Coast - Faculty of Science, Health and Education
Anne H Neller (Author) - University of the Sunshine Coast - Faculty of Science, Health and Education
M Yelland (Author) - Griffith University
Publication details: International Journal of Rehabilitation Research, Vol.31(1), pp.79-80
Publisher: Lippincott Williams & Wilkins
Date published: 2008
DOI: 10.1097/MRR.0b013e3282f44e10
ISSN: 0342-5282
Copyright note: Copyright © 2008 Lippincott, Williams & Wilkins. This accepted manuscript is reproduced here in accordance to the publisher's copyright policy. The definitive version is available from http://www.lww.com
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health - Sports & Exercise Science; Sustainability Research Cluster
Language: English
Record Identifier: 99449292202621
Output Type: Journal article

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Web Of Science research areas: Rehabilitation

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