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Article

Does Pain Extent Predict Ongoing Pain and Disability in Patients with Chronic Whiplash-Associated Disorders?

1
Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 1JN, UK
2
Physical Therapy Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah 24382, Saudi Arabia
3
School of Sport, Rehabilitation and Exercise Sciences, Faculty of Physiotherapy, University of Essex, Colchester CO4 3WA, UK
4
Department of Medical and Health Sciences, Linköping University, SE-581 83 Linköping, Sweden
5
Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping University, SE-581 83 Linköping, Sweden
6
Centre for Clinical Research Sörmland, Uppsala University, SE-751 05 Uppsala, Sweden
7
Rehabilitation Research Laboratory, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, 6928 Manno, Switzerland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(3), 555; https://doi.org/10.3390/jcm11030555
Submission received: 14 December 2021 / Revised: 19 January 2022 / Accepted: 20 January 2022 / Published: 22 January 2022
(This article belongs to the Special Issue Recent Advances in Musculoskeletal Pain and Its Management)

Abstract

This study investigates whether baseline pain extent, extracted from an electronic pain drawing, is an independent predictive factor of pain and disability measured 1 year and 2 years later in people with chronic WAD. Participants completed questionnaires assessing neck pain intensity, disability via the Neck Disability Index (NDI), psychological features, and work ability. Participants also completed electronic pain drawings from which their pain extent was extracted. A two-step modelling approach was undertaken to identify the crude and adjusted association between pain extent and NDI measured at 1-year and 2-year follow-ups. A total of 205 participants were included in the analysis. The univariate analysis showed that pain extent was significantly associated with the NDI score at the 1-year (p = 0.006, 95% CI: 0.159–0.909) and 2-year (p = 0.029, 0.057–0.914) follow-ups. These associations were not maintained when we introduced perceived disability, psychological health, and work ability into the model after 1 year (p = 0.56, 95%CI: −0.28–0.499) and 2 years (p = 0.401, −0.226–0.544). Pain extent, as an independent factor, was significantly associated with perceived pain and disability in patients with chronic WAD for up to 2 years. This association was masked by neck disability, psychological health, and work ability.
Keywords: whiplash injury; outcome; widespread pain; pain drawings; prognosis whiplash injury; outcome; widespread pain; pain drawings; prognosis

Share and Cite

MDPI and ACS Style

Alalawi, A.; Evans, D.W.; Liew, B.; Peolsson, A.; Heneghan, N.; Rushton, A.; Peterson, G.; Barbero, M.; Falla, D. Does Pain Extent Predict Ongoing Pain and Disability in Patients with Chronic Whiplash-Associated Disorders? J. Clin. Med. 2022, 11, 555. https://doi.org/10.3390/jcm11030555

AMA Style

Alalawi A, Evans DW, Liew B, Peolsson A, Heneghan N, Rushton A, Peterson G, Barbero M, Falla D. Does Pain Extent Predict Ongoing Pain and Disability in Patients with Chronic Whiplash-Associated Disorders? Journal of Clinical Medicine. 2022; 11(3):555. https://doi.org/10.3390/jcm11030555

Chicago/Turabian Style

Alalawi, Ahmed, David W. Evans, Bernard Liew, Anneli Peolsson, Nicola Heneghan, Alison Rushton, Gunnel Peterson, Marco Barbero, and Deborah Falla. 2022. "Does Pain Extent Predict Ongoing Pain and Disability in Patients with Chronic Whiplash-Associated Disorders?" Journal of Clinical Medicine 11, no. 3: 555. https://doi.org/10.3390/jcm11030555

APA Style

Alalawi, A., Evans, D. W., Liew, B., Peolsson, A., Heneghan, N., Rushton, A., Peterson, G., Barbero, M., & Falla, D. (2022). Does Pain Extent Predict Ongoing Pain and Disability in Patients with Chronic Whiplash-Associated Disorders? Journal of Clinical Medicine, 11(3), 555. https://doi.org/10.3390/jcm11030555

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