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dc.contributor.authorPedler, Ashley
dc.contributor.authorSterling, Michele
dc.date.accessioned2017-05-03T12:02:39Z
dc.date.available2017-05-03T12:02:39Z
dc.date.issued2013
dc.date.modified2014-06-12T23:43:49Z
dc.identifier.issn0304-3959
dc.identifier.doi10.1016/j.pain.2013.05.005
dc.identifier.urihttp://hdl.handle.net/10072/60148
dc.description.abstractThe lack of efficacy of rehabilitative approaches to the management of chronic whiplash-associated disorders (WAD) may be in part due to heterogeneity of the clinical presentation of this patient population. The aim of this study was to identify homogeneous subgroups of patients with chronic WAD on the basis of symptoms of PTSD and sensory hypersensitivity and to compare the clinical presentation of these subgroups. Successive k-means cluster analyses using 2, 3 and 4 cluster solutions were performed by using data for 331 (221 female) patients with chronic (>3 months) WAD. The 4 cluster solution was identified as the most clinically relevant, yielding 4 distinct clusters: no to mild posttraumatic stress symptoms and no sensory hypersensitivity (nPnH), no to mild posttraumatic stress symptoms and sensory hypersensitivity (nPH), moderate to severe posttraumatic stress and no sensory hypersensitivity (PnH) and moderate to severe posttraumatic stress and sensory hypersensitivity (PH). The nPnH cluster was the largest cluster, comprising 43.5% of the sample. The PH cluster had significantly worse disability, pain intensity, self-reported mental health status and cervical range of motion in comparison to the nPnH and nPH clusters. These data provide further evidence of the heterogeneity of the chronic WAD population and the association of a more complex clinical presentation with higher disability and pain in this patient group.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.publisherElsevier BV
dc.publisher.placeNetherlands
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1640
dc.relation.ispartofpageto1648
dc.relation.ispartofissue9
dc.relation.ispartofjournalPain
dc.relation.ispartofvolume154
dc.rights.retentionY
dc.subject.fieldofresearchPhysiotherapy
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode110317
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.titlePatients with chronic whiplash can be subgrouped on the basis of symptoms of sensory hypersensitivity and posttraumatic stress
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorSterling, Michele


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