Neck sprain:​ a major cause of disability following car accidents

Deans, G. T.; Magalliard, J. N.; Kerr, Malcolm; Rutherford, W. H.

Affiliations

¹The Accident and Emergency Department, Royal Victoria Hospital, Belfast UK

Abstract

One hundred and thirty-seven patients attending hospital following road traffic accidents were contacted regarding pain in the neck between 1 and 2 years later. Eighty-five (62 per cent) stated that they had suffered pain in the neck at some time following their accident compared with 42 (30.6 per cent) who were noted to have pain in the neck when examined soon after the accident. Thirty-one patients (22.6 per cent) still felt occasional pain 1 year after the accident and 5 had continuous pain at 1 year. Pain in the neck occurred irrespective of the direction of impact but was disproportionately common in rear impact accidents. Patients wearing seat belts experienced pain more frequently than unbelted patients.

Links

DOI: 10.1016/0020-1383(87)90375-5

PubMed: 3440606

WoS: A1987F663000004

History

Accepted: 1986-04-21

Online: 2004-02-14

Cited Works (8)

Year	Entry
1983	Norris SH, Watt I. The prognosis of neck injuries resulting from rear-end vehicle collisions. J Bone Joint Surg. November 1983;65B(5):608-611.
1965	MacNab I. Whiplash injuries of the neck. In: 9th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 22-23, 1965; Rochester, MN.11-15.
1956	Gotten N. Survey of one hundred cases of whiplash injury after settlement of litigation. JAMA. October 27, 1956;162(9):865-867.
1985	Larder DR, Twiss MK, Mackay GM. Neck injury to car occupants using seat belts. In: 29th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 7-9, 1985; Washington, DC.153-165.
1983	Nygren Å. Injuries to car occupants: some aspects of the interior safety of cars: a study of a five-year material from an insurance company. Acta Otolaryngol. 1983;95(suppl 395):1-135.
1982	Thomas C, Faverjon G, Hartemann F, Tarriere C, Patel A, Got C. Protection against rear-end accidents. In: Proceedings of the 1982 International IRCOBI Conference on the Biomechanics of Impact. September 8-10, 1982; Cologne, Germany.17-29.
1969	States JD, Korn MW, Masengill JB. The enigma of whiplash injuries. In: 13th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 16, 1969; Minneapolis, MN.83-108.
1981	Juhl M, Seerup KK. Cervical spine injuries: epidemiological investigation, medical and social consequences. In: Proceedings of the 1981 International IRCOBI Conference on the Biomechanics of Impact. September 8-10, 1981; Salon de Provence, France.49-58.

Cited By (41)

Year	Entry
2015	King AI. Introduction to and applications of injury biomechanics. In: Yoganandan N, Nahum AM, Melvin JW, eds. Accidental Injury: Biomechanics and Prevention. 3rd ed. New York: Springer; 2015:1-31.
1993	Maag U, Laberge-Nadeau C, Tao X-T. Neck sprains in car crashes: incidence, associations, length of compensation and costs to the insurer. In: 37th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). November 4-6, 1993; San Antonio, TX.15-26.
1997	Bylund P-O, Björrnstig U. Sick leave and disability pension among passenger car occupants injured in urban traffic. In: 41st Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). November 10-11, 1997; Orlando, FL.233-247.
2000	Boyd RJ, Massey R, Duane L, Yates DW. Whiplash associated disorders in children attending the emergency department. In: 44th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 2-4, 2000; Chicago, IL.
2001	Tencer AF, Mirza S, Cummings P. Do “whiplash” victims with neck pain differ from those with neck pain and other symptoms? In: 45th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 24-26, 2001; San Antonio, TX.
2003	Tencer AF, Huber P, Mirza SK. A comparison of biomechanical mechanisms of whiplash injury from rear impacts. In: 47th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 22-24, 2003; Lisbon, Portugal.383-398.
1994	Svensson MY. Discussion of “an assessment of the crash protection afforded by neck collars for racing car drivers” In discussion of: Glaister DH, Neil LP, Waugh PJ. An assessment of the crash protection afforded by neck collars for racing car drivers. In: Advances in Occupant Restraint Technologies: Joint AAAM-IRCOBI Special Session. September 22, 1994; Lyon, France.159-168. In: Advances in Occupant Restraint Technologies: Joint AAAM-IRCOBI Special Session. September 22, 1994; Lyon, France.169-171.
2003	Tencer AF, Mirza S, Huber P. A comparison of injury criteria used in evaluating seats for whiplash protection. In: Proceedings of the 18th International Technical Conference on the Enhanced Safety of Vehicles (ESV). May 19-22, 2003; Nagoya, Japan.
1990	Maag U, Desjardins D, Bourbeau R, Laberge-Nadeau C. Seat belts and neck injuries. In: Proceedings of the 1990 International IRCOBI Conference on the Biomechanics of Impact. September 12-14, 1990; Lyon, France.1-13.
1994	Ryan GA, Moore VM, Dolinis J, Taylor GW. Crash severity and neck strain in car occupants. In: Proceedings of the 1994 International IRCOBI Conference on the Biomechanics of Impact. September 21-23, 1994; Lyon, France.97-107.
1996	Boström O, Svensson MY, Aldman B, Hansson HA, Håland Y, Lövsund P, Seeman T, Suneson A, Säljö A, Örtengren T. A new neck injury criterion candidate based on injury findings in the cervical spinal ganglia after experimental neck extension trauma. In: Proceedings of the 1996 International IRCOBI Conference on the Biomechanics of Impact. September 11-13, 1996; Dublin, Ireland.123-136.
1999	Winkelstein BA, Nightingale RW, Richardson WJ, Myers BS. Cervical facet joint mechanics: its application to whiplash injury. In: Proceedings of the 43rd Stapp Car Crash Conference. October 25-27, 1999; San Diego, CA. Warrendale, PA: Society of Automotive Engineers:243-252. SAE 99SC15.
2000	Deng B, Begeman PC, Yang KH, Tashman S, King AI. Kinematics of human cadaver cervical spine during low speed rear-end impacts. Stapp Car Crash J. 2000;44:171-188. SAE 2000-01-SC13.
2004	Sundararajan S, Prasad P, Demetropoulos CK, Tashman S, Begeman PC, Yang KH, King AI. Effect of head-neck position on cervical facet stretch of post mortem human subjects during low speed rear end impacts. Stapp Car Crash J. 2004;48:331-372. SAE 2004-22-0015.
2013	Zhang S, Nicholson KJ, Smith JR, Gilliland TM, Syré PP, Winkelstein BA. The roles of mechanical compression and chemical irritation in regulating spinal neuronal signaling in painful cervical nerve root injury. Stapp Car Crash J. November 2013;57:219-242.
2000	Svensson MY, Boström O, Davidsson J, Hansson H-A, Håland Y, Lövsund P, Suneson A, Säljö A. Neck injuries in car collisions: a review covering a possible injury mechanism and the development of a new rear-impact dummy. Accid Anal Prev. March 2000;32(2):167-175.
1998	Brault JR, Wheeler JB, Siegmund GP, Brault EJ. Clinical response of human subjects to rear-end automobile collisions. Arch Phys Med Rehabil. January 1998;79(1):72-80.
1988	Maimaris C, Barnes MR, Allen MJ. “Whiplash injuries” of the neck: a retrospective study. Injury. November 1988;19(6):393-396.
1989	Otremski I, Marsh JL, Wilde BR, McLardy-Smith PD, Newman RJ. Soft tissue cervical spinal injuries in motor vehicle accidents. Injury. November 1989;20(6):349-351.
1991	Watkinson A, Gargan MF, Bannister GC. Prognostic factors in soft tissue injuries of the cervical spine. Injury. July 1991;22(4):307-309.
1998	Harder S, Veilleux M, Suissa S. The effect of socio-demographic and crash-related factors on the prognosis of whiplash. J Clin Epidemiol. May 1998;51(5):377-384.
1995	Sturzenegger M, Radanov BP, Di Stefano G. The effect of accident mechanisms and initial findings on the long-term course of whiplash injury. J Neurol. 1995;242(7):443-449.
1996	Schrader H, Obelieniene D, Bovim G, Surkiene D, Mickeviciene D, Miseviciene I, Sand T. Natural evolution of late whiplash syndrome outside the medicolegal context. Lancet. May 4, 1996;347(9010):1207-1211.
1995	Radanov BP, Sturzenegger M, Di Stefano G. Long-term outcome after whiplash injury: a 2-year follow-up considering features of injury mechanism and somatic, radiologic, and psychosocial findings. Medicine. September 1995;74(5):281-297.
1994	Sturzenegger M, DiStefano G, Radanov BP, Schnidrig A. Presenting symptoms and signs after whiplash injury: the influence of accident mechanisms. Neurology. April 1994;44(4):688-693.
1994	Barnsley L, Lord S, Bogduk N. Whiplash injury. Pain. September 1994;58(3):283-307.
1995	Spitzer O Walter, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, Zeiss E. Scientific monograph of the Quebec task force on whiplash-associated disorders: redefining “whiplash” and its management. Spine. 1995;20(suppl 8):2S-73S.
1999	Jordan A, Mehlsen J, Bülow PM, Østergaard K, Danneskiold-Samsøe B. Maximal isometric strength of the cervical musculature in 100 healthy volunteers. Spine. July 1, 1999;24(13):1343-1348.
2000	Winkelstein BA, Nightingale RW, Richardson WJ, Myers BS. The cervical facet capsule and its role in whiplash injury: a biomechanical investigation. Spine. May 15, 2000;25(10):1238-1246.
2003	Siegmund GP, Sanderson DJ, Myers BS, Inglis JT. Awareness affects the response of human subjects exposed to a single whiplash-like perturbation. Spine. April 1, 2003;28(7):671-679.
2012	Carlsson A. Addressing Female Whiplash Injury Protection: A Step Towards 50th Percentile Female Rear Impact Occupant Models [PhD thesis]. Gothenburg, Sweden: Chalmers University of Technology; 2012.
1999	Winkelstein BA. A Mechanical Basis for Whiplash Injury: The Cervical Facet Joint, Spinal Motion Segment, and Combined Loading [PhD thesis]. Duke University; 1999.
2009	DeRosia JJ. Role of Gender and Size in Biomechanics of Rear Impact Marquette University; May 2009.
2004	Mordaka JK. Finite Element Analysis of Whiplash Injury for Women [PhD thesis]. Nottingham, UK: Nottingham Trent University; September 2004.
1996	de Jager MKJ. Mathematical Head-Neck Models for Acceleration Impacts [PhD thesis]. Eindhoven, The Netherlands: Eindhoven University of Technology; 1996.
2001	Siegmund GP. The Reflex Response of Human Neck Muscles to Whiplash-Like Perturbations [PhD thesis]. Vancouver, BC: University of British Columbia; June 2001.
2019	Fice JB. Neuromechanics of Neck Muscles: Implications for Whiplash Injury [PhD thesis]. Vancouver, BC: University of British Columbia; April 2019.
2010	Fice JB. Numerical Modeling of Whiplash Injury [Master's thesis]. University of Waterloo; 2010.
2020	Fewster KM. Exploring Low to Moderate Velocity Motor Vehicle Rear Impacts as a Viable Injury Mechanism in the Lumbar Spine [PhD thesis]. University of Waterloo; 2020.
1999	Deng B. Kinematics of Human Cadaver Cervical Spine During Low-Speed Rear-End Impacts [PhD thesis]. Detroit, MI: Wayne State University; 1999.
2005	Sundararajan S. Effect of Head-Neck Position on Cervical Facet Stretch of Post Mortem Human Subjects During Low Speed Rear End Impacts [PhD thesis]. Detroit, MI: Wayne State University; 2005.