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Predicting central sensitisation - whiplash patients.
MedLine Citation:
PMID:  21301661     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Central sensitisation is associated with chronic pain in whiplash patients. Predicting which patients will develop central sensitisation is difficult but patient expectations of recovery predict a variety of outcomes in whiplash patients.
METHOD: Ninety-one whiplash patients were assessed within 1 week of their collision in order to ascertain their expectations of recovery and were then re-examined 3 months later with the Brachial Plexus Provocation Test (BPPT) as a sign of central sensitisation.
RESULTS: Adjusting for a number of predictors, patient expectation of recovery was found to predict the results of the BPPT. Subjects who expected 'to get better soon' had a BPPT angle that was 42 degrees less (ie. closer to normal or full range) than any of the subjects who had poor recovery expectations.
DISCUSSION: Whiplash patients who expect 'never to get better' or 'don't know' have a much higher likelihood of developing at least one sign of central sensitisation 3 months after their collision.
Authors:
Robert Ferrari
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian family physician     Volume:  39     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2011-02-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  863-6     Citation Subset:  IM    
Affiliation:
MD, FRCPC, FACP, is Clinical Professor, Department of Medicine, Research Transition Facility, University of Alberta, Edmonton, Alberta, Canada.
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