Document Detail


The nosologic status of the whiplash syndrome: a critical review based on a methodological approach.
MedLine Citation:
PMID:  8979319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Empirical studies concerning the whiplash syndrome are reviewed from the point of view of epidemiologic methodology. OBJECTIVE: To assess the nosologic status of the whiplash syndrome. SUMMARY OF BACKGROUND DATA: Although a large number of studies concerning the syndrome exist, there is still controversy concerning the existence of the syndrome. METHODS: The manner in which each study contributes to the validity of the syndrome is determined on the basis of the methodologic design (descriptive, case-control, cohort, and intervention/experimental) of the study. RESULTS: Whereas the face validity of the syndrome is excellent, the descriptive, construct, and predictive validity are rather poor. In particular, convincing empirical evidence for a causal link (construct validity) between the trauma mechanism and chronic symptoms is sparse. CONCLUSIONS: Carefully conducted studies designed to assess the degree to which head and nec trauma contribute to the development of chronic pain, particularly head and neck pain, are urgently needed.
Authors:
L J Stovner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Spine     Volume:  21     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-03-17     Completed Date:  1997-03-17     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2735-46     Citation Subset:  IM    
Affiliation:
Department of Neurology, Trondheim University Hospital, Norway.
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MeSH Terms
Descriptor/Qualifier:
Case-Control Studies
Cohort Studies
Cross-Sectional Studies
Epidemiologic Methods*
Follow-Up Studies
Humans
Whiplash Injuries / classification,  epidemiology*

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