Physical and Psychosocial Factors Associated with Neck Pain after Major Accidental Trauma

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Ian A HarrisMichael J Solomon

Abstract

Neck pain after physical trauma is common; but previous research regarding the role of psychological and physical predictors for neck pain is inconsistent. A retrospective survey of consecutive patients presenting to a metropolitan trauma centre with major accidental trauma was performed between 1 and 6 years post injury. Possible predictor variables (demographic, injury severity, and psychosocial factors) were determined from the hospital trauma registry and the questionnaire. The main outcome was a combined score of neck pain severity and functional limitation. Multivariate logistic regression was performed to develop a predictive model for neck pain. A multivariate analysis of 355 patients showed that neck pain was not significantly associated with measures of injury severity. Neck pain was significantly more likely to be severe in patients with a cervical spine fracture, with pre-existing chronic illnesses, those with post-traumatic stress disorder (PTSD) at the time of follow up, those who had retained the services of a lawyer regarding the injury, and those with lower education levels. Psychosocial factors are important predictors of neck pain after major physical trauma. These findings do not support models for post-trau...Continue Reading

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Citations

Aug 23, 2019·Journal of Orthopaedic Trauma·Rebekah BelaynehKenneth A Egol
Sep 19, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Melita J GiummarraBelinda J Gabbe
Oct 11, 2020·International Journal of Environmental Research and Public Health·Thi L NguyenMelita J Giummarra

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