Format

Send to

Choose Destination
J Manipulative Physiol Ther. 2002 Nov-Dec;25(9):550-5.

Is the sagittal configuration of the cervical spine changed in women with chronic whiplash syndrome? A comparative computer-assisted radiographic assessment.

Author information

1
Faculty of Medicine, University of Iceland, Reykjavík, Iceland. eythork@simnet.is

Abstract

OBJECTIVE:

To reveal whether women with chronic whiplash-associated disorder (WAD) symptoms, grade I-II, demonstrate regional and/or segmental radiographic signs of altered cervical lordosis.

DESIGN:

Case-control study.

SETTING:

Radiography department at a university hospital.

PARTICIPANTS:

Three age-balanced groups comprising 120 women. The case group included women with chronic whiplash syndrome (n = 41), and the control group included women with chronic insidious onset neck pain (n = 39) and an asymptomatic group (n = 40), who were given baseline data. The sample was referred from informed doctors and physiotherapists.

INTERVENTION:

The women sat in a standardized sitting position and radiographs were taken in a lateral position with fluoroscopic control for alignment.

OUTCOME MEASURES:

Two distinct measurements were taken; 1 of the angles of the upper and lower cervical curvatures, respectively, and 1 of the angles between the inferior borders of each pair of vertebrae in the lower cervical spine. The 3 groups were compared on the ratio of the lower to upper cervical spine angles and on the mean angular values for each segment in the cervical spine.

RESULTS:

The whiplash group showed a decreased ratio between the lower versus upper cervical spine but comparisons between groups were not statistically significant. The whiplash group was in a significantly more flexed position at the C4-C5 level compared with the asymptomatic group (P =.007). The reliability measures have to be strengthened to render these results definitely conclusive.

CONCLUSION:

The whiplash group exhibited a different configuration of cervical lordosis. This is clinically important and needs to be studied more closely.

PMID:
12466772
DOI:
10.1067/mmt.2002.128371
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center