The Rapid and Progressive Degeneration of the Cervical Multifidus in Whiplash: An MRI Study of Fatty Infiltration

Spine
James M ElliottTodd B Parrish

Abstract

Single-center prospective longitudinal study. To study the (1) temporal development of muscle fatty infiltrates (MFI) in the cervical multifidi after whiplash, (2) differences in multifidi MFI between those who recover or report milder pain-related disability and those who report moderate/severe symptoms at 3 months, and (3) predictive value of multifidi MFI outcomes. The temporal development of MFI on conventional magnetic resonance image has been shown to be associated with specific aspects of pain and psychological factors. The replication of such findings has yet to be explored longitudinally. Thirty-six subjects with whiplash injury were enrolled at less than 1 week postinjury and classified at 3 months using percentage scores on the Neck Disability Index as recovered/mild (0%-28%) or severe (≥30%). A fat/water magnetic resonance imaging measure, patient self-report of pain-related disability, and post-traumatic stress disorder were collected at less than 1 week, 2 weeks, and 3 months postinjury. The effects of time and group (per Neck Disability Index) and the interaction of time by group on MFI were determined. Receiver operating characteristic curve analysis was used to determine a cut-point for MFI at 2 weeks to predic...Continue Reading

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Citations

Jan 1, 2015·Spinal Cord Series and Cases·Andrew C SmithJames M Elliott
Sep 7, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Carrie Ritchie, Michele Sterling
Oct 4, 2016·The Journal of Orthopaedic and Sports Physical Therapy·James M ElliottKenneth A Weber
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