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J Brachial Plex Peripher Nerve Inj 2009; 04(01): e60-e65
DOI: 10.1186/1749-7221-4-10
Research article
Nystrom et al; licensee BioMed Central Ltd.

Pre- and post-operative gait analysis for evaluation of neck pain in chronic whiplash[*]

Ake Nystrom
1   Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha NE 68198, USA
2   Division of Plastic and Reconstructive Surgery, University of Nebraska Medical Center, Omaha NE 68198, USA
,
Glen M Ginsburg
1   Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha NE 68198, USA
3   Munroe-Meyer Motion Analysis Laboratory, University of Nebraska, Lincoln, NE 68588, USA
,
Wayne Stuberg
3   Munroe-Meyer Motion Analysis Laboratory, University of Nebraska, Lincoln, NE 68588, USA
,
Stacey Dejong
3   Munroe-Meyer Motion Analysis Laboratory, University of Nebraska, Lincoln, NE 68588, USA
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22. April 2009

17. Juli 2009

Publikationsdatum:
18. September 2014 (online)

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Abstract

Introduction Chronic neck pain after whiplash is notoriously refractory to conservative treatment, and positive radiological findings to explain the symptoms are scarce. The apparent disproportionality between subjective complaints and objective findings is significant for the planning of treatment, impairment ratings, and judicial questions on causation. However, failure to identify a symptom’s focal origin with routine imaging studies does not invalidate the symptom per se. It is therefore of a general interest both to develop effective therapeutic strategies in chronic whiplash, and to establish techniques for objectively evaluation of treatment outcomes.

Methods Twelve patients with chronic neck pain after whiplash underwent pre- and postoperative computerized 3D gait analysis.

Results Significant improvement was found in all gait parameters, cervical range-of-motion, and self reported pain (VAS).

Conclusion Chronic neck pain is associated with abnormal cervical spine motion and gait patterns. 3D gait analysis is a useful instrument to assess the outcome of treatment for neck pain.

*This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.