Pain, Transportation Issues and Whiplash

  • Michele Sterling

The development of pain following a motor vehicle crash (MVC) is a common occurrence. The most frequently reported and investigated pain condition following such trauma is neck pain or whiplash associated disorders (WAD), which are usually associated with rear-end collision. However, WAD can also be caused by any event that results in the hyperextension and flexion of the cervical spine (Malanga & Peter, 2005; Sizer, Poorbaugh, & Phelps, 2004). Following such injuries the development of chronic musculoskeletal pain affects many and this condition is also burdensome both in terms of the financial costs associated with those who develop chronic symptoms and personal costs to these individuals (Ferrari, Russell, Carroll, & Cassidy, 2005).

Some studies suggest that the development of more widespread musculoskeletal pain (that is pain throughout numerous body areas) is also associated with MVC trauma. Buskila, Neumann, Vaisberg, Alkalay, and Wolfe (1997) reported a 10-fold increased risk...


Neck Pain Whiplash Injury Posttraumatic Stress Symptom Motor Vehicle Crash Whiplash Associate Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Banic, B., Petersen-Felix, S., Andersen, O., Radanov, B., Villiger, P., Arendt-Nielsen, L., et al. (2004). Evidence for spinal cord hypersensitivity in chronic pain after whiplash injury and in fibromyalgia. Pain, 107(1–2), 7–15.PubMedCrossRefGoogle Scholar
  2. Barnsley, L., Lord, S., & Bogduk, N. (1998). The pathophysiology of whiplash. Spine; State of the Art Reviews, 12(2), 209–242.Google Scholar
  3. Bennett, G. (2006). Can we distinguish between inflammatory and neuropathic pain? Pain Research and Managment, 11(Supp A), 11–15.Google Scholar
  4. Blanchard, E., Hickling, E., Devineni, T., Veazey, C., Galovski, T., Mundy, E., et al. (2003). A controlled evaluation of cognitive behaviour therapy for posttraumatic stress in motor vehicle accident survivors. Behavior Research and Therapy, 41, 7996.CrossRefGoogle Scholar
  5. Bogduk, N. (2002). Point of view. Spine, 27(17), 1940–1941.CrossRefGoogle Scholar
  6. Borchgrevink, G., Kaasa, A., McDonagh, D., Stiles, T., Haraldseth, O., & Lereim, I. (1998). Acute treatment of whiplash neck sprain injuries. A randomized trial of treatment during the first 14 days after a car accident. Spine, 23(1), 25–31 *LHM: Herston Medical, Biological Sciences *LHC: RD768.S767.PubMedCrossRefGoogle Scholar
  7. Borchgrevink, G., Stiles, T., Borchgrevink, P., & Lereim, I. (1997). Personality profile among symptomatic and recovered patients with neck sprain injury, measured by mcmvi acutely and 6 months after car accidents. Journal of Psychosomatic Research, 42(4), 357–367.PubMedCrossRefGoogle Scholar
  8. Brison, R., Hartling, L., Dostaler, S., Leger, A., Rowe, B., Stiell, I., et al. (2005). A randomised controlled trial of an educational intervention to prevent the chronic pain of whiplash associated disorders following rear-end motor vehicle collisions. Spine, 30(16), 1799–1807.PubMedCrossRefGoogle Scholar
  9. Buitenhuis, J., DeJong, J., Jaspers, J., & Groothoff, J. (2006). Relationship between posttraumatic stress disorder symptoms and the course of whiplash complaints. Journal of Psychosomatic Research, 61(3), 681–689.PubMedCrossRefGoogle Scholar
  10. Buitenhuis, J., Spanjer, J., & Fidler, V. (2003). Recovery from acute whiplash – the role of coping styles. Spine, 28(9), 896–901.PubMedCrossRefGoogle Scholar
  11. Buskila, D., Neumann, L., Vaisberg, G., Alkalay, D., & Wolfe, F. (1997). Increased rates of fibromyalgia following cervical spine injury. A controlled study of 161 cases of traumatic injury. Arthritis and Rheumatism, 40(3), 446–452 *LHM: Herston Medical, PA Hospital, Mater Hospital *LHC: RC927.A447.PubMedCrossRefGoogle Scholar
  12. Carli, G., Suman, A., Biasi, G., & Marcolongo, R. (2002). Reactivity to superficial and deep stimuli in patients with chronic musculoskeletal pain. Pain, 100, 259–269.CrossRefGoogle Scholar
  13. Carroll, L., Cassidy, D., & Cote, P. (2006). The role of pain coping strategies in prognosis after whiplash injury: Passive coping predicts slowed recovery. Pain, 124(1–2), 18–26.PubMedCrossRefGoogle Scholar
  14. Cassidy, J. D., Carroll, L. J., Cote, P., Lemstra, M., Berglund, A., & Nygren, A. (2000). Effect of eliminating compensation for pain and suffering on the outcome of insurance claims for whiplash injury. The New England Journal of Medicine, 20, 1179–1213.Google Scholar
  15. Chien, A., Eliav, E., & Sterling, M. (2005). Sensory function in chronic whiplash associated disorders. Paper presented at the 11th World Congress on Pain, Sydney.Google Scholar
  16. Chien, A., Eliav, E., & Sterling, M. (2008a). Whiplash (Grade II) and Cervical Radiculopathy Share a similar sensory presentation: An investigation using quantitative sensory testing. Clinical Journal of Pain (in press).Google Scholar
  17. Chien, A., Eliav, E., & Sterling, M. (2008b). Hypoaesthesia occurs with sensory hypersensitivity in chronic whiplash-further evidence of a neuropathic condition. Manual Therapy (in press) doi:10.1016/j.math.2007.12.004/.Google Scholar
  18. Chiu, Y., Sillman, A., Macfarlane, G., Ray, D., Gupta, A., Dickens, C., et al. (2005). poor sleep and depression are independently associated with a reduced pain threshold. results of a population based study. Pain, 115(3), 316–321.PubMedCrossRefGoogle Scholar
  19. Chu, J., Eun, S., & Schwartz, J. (2005). Quantitative motor unit action potentials (QUAMP) in whiplash patients with neck and upper limb pain. Electromyography and clinical neurophysiology, 45(6), 323–328.PubMedGoogle Scholar
  20. Cote, P., Cassidy, D., Carroll, L., Frank, J., & Bombardier, C. (2001). A systematic review of the prognosis of acute whiplash and a new conceptual framework to synthesize the literature. Spine, 26(19), E445–E458.PubMedCrossRefGoogle Scholar
  21. Curatolo, M., Arendt-Nielsen, L., & Petersen-Felix, S. (2006). Central hypersensitivity in chronic pain: Mechanisms and clinical implications. Physical Medicine Rehabilitation Clinics of North America, 17, 287–302.Google Scholar
  22. Curatolo, M., Petersen-Felix, S., Arendt-Nielsen, L., Giani, C., Zbinden, A., & Radanov, B. (2001). Central hypersensitivity in chronic pain after whiplash injury. Clinical Journal of Pain, 17(4), 306–315.PubMedCrossRefGoogle Scholar
  23. Cusick, J., Pintar, F., & Yoganandan, N. (2001). Whiplash syndrome: Kinematic factors influencing pain patterns. Spine, 26(11), 1252–1258.PubMedCrossRefGoogle Scholar
  24. Dall’Alba, P., Sterling, M., Trealeven, J., Edwards, S., & Jull, G. (2001). Cervical range of motion discriminates between asymptomatic and whiplash subjects. Spine, 26(19), 2090–2094.PubMedCrossRefGoogle Scholar
  25. Drottning, M., Staff, P., Levin, L., & Malt, U. (1995). Acute emotional response to common whiplash predicts subsequent pain complaints: A prospective study of 107 subjects sustaining whiplash injury. Nordic Journal of Psychiatry, 49(4), 293–299.CrossRefGoogle Scholar
  26. Dufton, J., Kopec, J., Wong, H., Cassidy, J., Quon, J., McIntosh, G., et al. (2006). Prognostic factors associated with minimal improvement following acute whiplash associated disorders. Spine, 31(20), E759–765.PubMedCrossRefGoogle Scholar
  27. Elliott, J., Jull, G., Noteboom, T., Darnell, R., Galloway, G., & Gibbon, W. (2006). Fatty infiltration in the cervical extensor muscles in persistent whiplash associated disorders: An MRI analysis. Spine, 31(22).Google Scholar
  28. Ferrari, R., Russell, A., Carroll, L., & Cassidy, D. (2005). A re-examination of the whiplash associated disorders (WAD) as a systemic illness. Annals of Rheumatic Disease, 64(9), 1337–1142.CrossRefGoogle Scholar
  29. Freidenberg, B., Hickling, E., Blanchard, E., & Malta, L. (2006). Posttraumatic stress disorder and whiplash after motor vehicle accidents. In G. Young, A. Kane & K. Nicholson (Eds.), Psychological knowledge in court (pp. 215–224). New York: Springer.CrossRefGoogle Scholar
  30. Gaab, J., Baumann, S., Budnoik, A., Gmunder, H., Hottinger, N., & Ehlert, U. (2005). Reduced reactivity and ehnanced negative feedback sensitivity of the hypothalamus-pituitary-adrenal axis in chronic whiplash associated disorders. Pain, 119, 219–224.CrossRefGoogle Scholar
  31. Greening, J., Dilley, A., & Lynn, B. (2005). In vivo study of nerve movement and mechanosensitivity of the median nerve in whiplash and non-specific arm pain patients. Pain, 115(3), 248–253.PubMedCrossRefGoogle Scholar
  32. Harvey, A., & Bryant, R. (2002). Acute stress disorder: A synthesis and critique. Psychological Bulletin, 128(6), 886–902.PubMedCrossRefGoogle Scholar
  33. Heikkila, H., & Astrom, P. (1996). Cervicocephalic kinesthetic sensibility in patients with whiplash injury. Scandinavian Journal of Rehabilitation, 28, 133–138.Google Scholar
  34. Hendricks, E., Scholten-Peeters, G., van der Windt, D., Neeleman-van der Steen, C., Oostendorp, R., & Verhagen, A. (2005). Prognostic factors for poor recovery in acute whiplash patients. Pain, 114, 408–416.Google Scholar
  35. Holm, L., Carroll, L., Cassidy, D., Skillgate, E., & Ahlbom, A. (2007). Widespread pain following whiplash associated disorders: Incidence, course and risk factors. Journal of Rheumatology, 34, 193–200.Google Scholar
  36. Ide, M., Ide, J., Yamaga, M., & Takagi, K. (2001). Symptoms and signs of irritation of the brachial plexus in whiplash injuries. The Journal of Bone and Joint Surgery (British), 83, 226–229.Google Scholar
  37. Iribarren, J., Prolo, P., Neagos, N., & Chiappelli, F. (2005). Post-traumatic stress disorder: Evidence based research for the third millennium. Evidence Based Complementary and Alternative Medicine, 2(4), 503–512.PubMedCrossRefGoogle Scholar
  38. Ivancic, P., & Panjabi, M. (2006). Cervical spine loads and intervertebral motions during whiplash. Traffic Injury Prevention, 7, 389–399.Google Scholar
  39. Jensen, T., & Baron, R. (2003). Translation of symptoms and signs into mechanisms in neuropathic pain. Pain, 102(2), 1–8.PubMedCrossRefGoogle Scholar
  40. Johansson, B. (2006). Whiplash injuries can be visible by functional magnetic resonance imaging. Pain Research and Managment, 11(3), 197–199.Google Scholar
  41. Jull, G., Kristjansson, E., & Dall’Alba, P. (2004). Impairment in the cervical flexors: A comparison of whiplash and insidious onset neck pain patients. Manual Therapy, 9(2), 89–94.PubMedCrossRefGoogle Scholar
  42. Jull, G., Sterling, M., Kenardy, J., & Beller, E. (2007). Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic whiplash? – A preliminary RCT. Pain, 129, 28–34.Google Scholar
  43. Kaale, B., Krakenes, J., Albrektsen, G., & Webster, K. (2005). WAD impairment rating: Neck Disability Index score according to severity of MRI findings of ligements and membranes in the upper cervical spine. Journal of Neurotrauma, 4, 466–475.Google Scholar
  44. Kasch, H., Flemming, W., & Jensen, T. (2001). Handicap after acute whiplash injury. Neurology, 56, 1637–1643.Google Scholar
  45. Kasch, H., Qerama, E., Bach, F., & Jensen, T. (2005). Reduced cold pressor pain tolerance in non-recovered whiplash patients: A 1 year prospective study. European Journal of Pain, 9(5), 561–569.PubMedCrossRefGoogle Scholar
  46. Kasch, H., Stengaard-Pedersen, K., Arendt-Nielsen, L., & Staehelin Jensen, T. (2001). Pain thresholds and tenderness in neck and head following acute whiplash injury: A prospective study. Cephalalgia, 21, 189–197.CrossRefGoogle Scholar
  47. Kivioja, J., Jensen, I., & Lindgren, U. (2005). Early coping strategies do not influence the prognosis after whiplash injuries. Injury, 36, 935–940.CrossRefGoogle Scholar
  48. Koelbaek-Johansen, M., Graven-Nielsen, T., Schou-Olesen, A., & Arendt-Nielsen, L. (1999). Muscular hyperalgesia and referred pain in chronic whiplash syndrome. Pain, 83, 229–234.CrossRefGoogle Scholar
  49. Krakenes, J., Kaale, B., Moen, G., Nordli, H., Gilhus, N., & Rorvik, J. (2002). MRI assessment of the alar ligaments in the late stage of whiplash injury – a study of structural abnormalities and observer agreement. Neuroradiology, 44(7), 617–624.PubMedCrossRefGoogle Scholar
  50. Krakenes, J., Kaale, B., Moen, G., Nordli, H., Gilhus, N., & Rorvik, J. (2003). MRI of the tectorial and posterior atlanto-occipital membranes in the late stage of whiplash injury. Neuroradiology, 44(6), 637–644.Google Scholar
  51. Kuch, K., Cox, B., Evans, R., & Shulman, I. (1994). Phobias, panic and pain in 55 survivors of road vehicle accidents. Journal of Anxiety Disorders, 8(2), 181–187.CrossRefGoogle Scholar
  52. Linton, S. (2000). A review of psychological risk factors in back and neck pain. Spine, 25(9), 1148–1156.PubMedCrossRefGoogle Scholar
  53. Lord, S., Barnsley, L., Wallis, B., & Bogduk, N. (1996). Chronic cervical zygapophysial joint pain after whiplash: A placebo-controlled prevalence study... including commentary by Derby R Jr. Spine, 21(15), 1737–1745.PubMedCrossRefGoogle Scholar
  54. Lord, S., Barnsley, L., Wallis, B., McDonald, G., & Bogduk, N. (1996). Percutaneous radiofrequency neurotomy for chronic cervical zygapophyseal joint pain. New England Journal of Medicine, 335(23), 1721–1726.PubMedCrossRefGoogle Scholar
  55. MAA. (2007). Guidelines for the management of whiplash associated disorders. Sydney: Motor accidents authority.Google Scholar
  56. Malanga, G., & Peter, J. (2005). Whiplash Injuries. Current Pain and Headache Reports, 9(5), 322–325.PubMedCrossRefGoogle Scholar
  57. McLean, S., Clauw, D., Abelson, J., & Liberzon, I. (2005). The development of persistent pain and psychological morbidity after motor vehicle collision: Intergrating the potential rle of stress response systems into a biopsychosocial model. Psychosomatic Medicine, 67, 783–790.CrossRefGoogle Scholar
  58. McLean, S., Williams, D., & Clauw, D. (2005). Fibromyalgia after motor vehicle collision: Evidence and implications. Traffic Injury Prevention, 6(2), 97–104.PubMedCrossRefGoogle Scholar
  59. Moog, M., Quintner, J., Hall, T., & Zusman, M. (2002). The late whiplash syndrome: A psychophysical study. European Journal of Pain, 6(4), 283–294.PubMedCrossRefGoogle Scholar
  60. Nederhand, M., Hermens, H., Ijzerman, M., Groothuis, K., & Turk, D. (2006). The effect of fear of movement on mucle activation in posttraumatic neck pain disability. Clinical Journal of Pain, 22(6), 519–525.PubMedCrossRefGoogle Scholar
  61. Nederhand, M., Hermens, H., Ijzerman, M., Turk, D., & Zilvold, G. (2002). Cervical muscle dysfunction in chronic whiplash associated disorder grade 2. The relevance of trauma. Spine, 27(10), 1056–1061.PubMedCrossRefGoogle Scholar
  62. Nederhand, M., Ijzerman, M., Hermens, H., Turk, D., & Zilvold, G. (2004). Predictive value of fear avoidance in developing chronic neck pain disability: Consequences for clinical decision making. Archives of Physical Medicine and Rehabilitation, 85, 496–501.CrossRefGoogle Scholar
  63. Oliveira, A., Gevirtz, R., & Hubbard, R. (2006). A psycho-educational video used in the emergency department provides effective treatment for whiplash injuries. Spine, 31(15), 1652–1657.PubMedCrossRefGoogle Scholar
  64. Ottoson, C., Nyren, O., Johansson, S., & Ponzer, S. (2005). Outcome after minor taffic accidents: A follow-up study of orthopedic patients in an inner city area emergency room. Journal of Trauma, 58, 553–560.CrossRefGoogle Scholar
  65. Passatore, M., & Roatta, S. (2006). Influence of sympathetic nervous system on sensorimotor function: Whiplash associated disorders (WAD) as a model. European Journal of Applied Physiology, 98(5), 423–449.Google Scholar
  66. Peebles, J., McWilliams, L., & MacLennan, R. (2001). A comparison of symptom checklist 90-revised profiles from patients with chronic pain from whiplash and patients with other musculoskeletal injuries. Spine, 26(7), 766–770.PubMedCrossRefGoogle Scholar
  67. Pincus, T., Burton, A., Vogel, S., & Field, A. (2002). A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low bcak pain. Spine, 27(5), E109–E120.PubMedCrossRefGoogle Scholar
  68. Provinciali, L., & Baroni, M. (1999). Clinical approaches to whiplash injuries: A review. Critical Reviews in Physical and Rehabilitation Medicine, 11, 339–368.Google Scholar
  69. Provinciali, L., Baroni, M., Illuminati, L., & Ceravolo, M. (1996). Multimodal treatment to prevent the late whiplash syndrome. Scandinavian Journal of Rehabilitation Medicine, 28(2), 105–111.PubMedGoogle Scholar
  70. Radanov, B., & Sturzenegger, M. (1996). Predicting recovery from common whiplash. European Neurology, 36, 48–51.CrossRefGoogle Scholar
  71. Radanov, B., Sturzenegger, M., & Di Stefano, G. (1995). Long-term outcome after whiplash injury. A 2-year follow-up considering features of injury mechanism and somatic, radiologic, and psychological findings. Medicine, 74(5), 281–297.PubMedCrossRefGoogle Scholar
  72. Rebbeck, T., Sindhausen, D., & Cameron, I. (2006). A prospective cohort study of health outcomes following whiplash associated disorders in an Australian population. Injury Prevention, 12, 86–93.CrossRefGoogle Scholar
  73. Ronnen, J., de Korte, P., & Brink, P. (1996). Acute whiplash injury: Is there a role for MR imaging. Radiology, 201, 93–96.Google Scholar
  74. Rosenfeld, M., Gunnarsson, R., & Borenstein, P. (2000). Early intervention in whiplash-associated disorders. A comparison of two protocols. Spine, 25, 1782–1787.CrossRefGoogle Scholar
  75. Rosenfeld, M., Seferiadis, A., Carllson, J., & Gunnarsson, R. (2003). Active intervention in patients with whiplash associated disorders improves long-term prognosis: A randomised controlled clinical trial. Spine, 28(22), 2491–2498.PubMedCrossRefGoogle Scholar
  76. Rosenfeld, M., Seferiadis, A., & Gunnarsson, R. (2006). Active involvement and intervention in patients exposed to whiplash trauma in automobile crashes reduces costs. Spine, 31(16), 1799–1804.PubMedCrossRefGoogle Scholar
  77. Scholten-Peeters, G., Bekkering, G., Verhagen, A., van der Windt, D., Lanser, K., Hendriks, E., et al. (2002). Clinical practice guideline for the physiotherapy of patients with whiplash associated disorders. Spine, 27(4), 412–422.PubMedCrossRefGoogle Scholar
  78. Scholten-Peeters, G., Verhagen, A., Bekkering, G., van der Windt, D., Barnsley, L., Oostendorp, R., et al. (2003). Prognostic factors of Whiplash Associated Disorders: A systematic review of prospective cohort studies. Pain, 104(1–2), 303–322.PubMedCrossRefGoogle Scholar
  79. Scott, D., Jull, G., & Sterling, M. (2005). Sensory hypersensitivity is a feature of chronic whiplash associated disorders but not chronic idiopathic neck pain. Clinical Journal of Pain, 21(2), 175–181.PubMedCrossRefGoogle Scholar
  80. Sheather-Reid, R., & Cohen, M. (1998). Psychophysical evidence for a neuropathic component of chronic neck pain. Pain, 75, 341–347.CrossRefGoogle Scholar
  81. Shir, Y., Pereira, J., & Fitzcharles, M.-A. (2006). Whiplash and fibromyalgia: An ever widening gap. The Journal of Rheumatology, 33, 1045–1047.Google Scholar
  82. Sizer, P., Poorbaugh, K., & Phelps, V. (2004). Whiplash associated disorders: Pathomechanics, diagnosis and management. Pain Practice, 4(3), 249–266.PubMedCrossRefGoogle Scholar
  83. Steinberg, E., Ovadia, D., Nissan, M., Menahem, A., & Dekel, S. (2005). Whiplash injury: Is there a role for electromyographic studies. Archives of Orthopaedic Trauma Surgery, 125(1), 46–50.CrossRefGoogle Scholar
  84. Stemper, B., Yoganandan, N., Rao, R., & Pintar, F. (2005). Influence of thoracic ramping on whiplash kinematics. Clinical Biomechanics, 20, 1019–1028.CrossRefGoogle Scholar
  85. Sterling, M. (2004). A proposed new classification system for whiplash associate disorders – implications for assessment and management. Manual Therapy, 9(2), 60–70.PubMedCrossRefGoogle Scholar
  86. Sterling, M. (2007). Whiplash injury pain: Basic science and current/future therapeutics. Reviews in Analgesia, 9, 105–116.Google Scholar
  87. Sterling, M., Jull, G., & Kenardy, J. (2006). Physical and psychological predictors of outcome following whiplash injury maintain predictive capacity at long term follow-up. Pain, 122, 102–108.CrossRefGoogle Scholar
  88. Sterling, M., Jull, G., Vicenzino, B., & Kenardy, J. (2003). Sensory hypersensitivity occurs soon after whiplash injury and is associated with poor recovery. Pain, 104, 509–517.CrossRefGoogle Scholar
  89. Sterling, M., Jull, G., Vicenzino, B., & Kenardy, J. (2004). Characterisation of acute whiplash associated disorders. Spine, 29(2), 182–188.PubMedCrossRefGoogle Scholar
  90. Sterling, M., Jull, G., Vicenzino, B., Kenardy, J., & Darnell, R. (2005). Physical and psychological factors predict outcome following whiplash injury. Pain, 114, 141–148.CrossRefGoogle Scholar
  91. Sterling, M., Jull, G., Vizenzino, B., Kenardy, J., & Darnell, R. (2003). Development of motor system dysfunction following whiplash injury. Pain, 103, 65–73.CrossRefGoogle Scholar
  92. Sterling, M., Jull, G., & Wright, A. (2001). Cervical mobilisation: Concurrent effects on pain, sympathetic nervous system activity and motor activity. Manual Therapy, 6(2), 72–81.PubMedCrossRefGoogle Scholar
  93. Sterling, M., & Kenardy, J. (2006). The relationship between sensory and sympathetic nervous system changes and acute posttraumatic stress following whiplash injury – a prospective study. Journal of Psychosomatic Research, 60, 387–393.CrossRefGoogle Scholar
  94. Sterling, M., Kenardy, J., Jull, G., & Vicenzino, B. (2003). The development of psychological changes following whiplash injury. Pain, 106(3), 481–489.PubMedCrossRefGoogle Scholar
  95. Sterling, M., Pettiford, C., Hodkinson, E., & Curatolo, M. (2008). Psychological factors are related to some sensory pain thresholds but not nociceptive flexion reflex threshold in chronic whiplash. 24, 124–130.Google Scholar
  96. Sterling, M., Treleaven, J., Edwards, S., & Jull, G. (2002). Pressure pain thresholds in chronic whiplash associated disorder: Further evidence of altered central pain processing. Journal of Musculoskeletal Pain, 10(3), 69–81.CrossRefGoogle Scholar
  97. Sterling, M., Treleaven, J., & Jull, G. (2002). Responses to a clinical test of mechanical provocation of nerve tissue in whiplash associated disorders. Manual Therapy, 7(2), 89–94.PubMedCrossRefGoogle Scholar
  98. Sterner, Y., Toolanen, G., Gerdle, B., & Hildingson, C. (2003). The incidence of whiplash trauma and the effects of different factors on recovery. Journal of Spinal Disorders, 16, 195–199.Google Scholar
  99. Sterner, Y., Toolanen, G., Knibestol, M., Gerdle, B., & Hildingsson, C. (2001). Prospective study of trigeminal sensibility after whiplash trauma. Journal of Spinal Disorders, 14(6), 479–486.PubMedCrossRefGoogle Scholar
  100. Stewart, M., Maher, C., Refshauge, K., Herbert, R., Bogduk, N., & Nicholas, M. (2007). Randomised controlled trial of exercise for chronic whiplash associated disorders. Pain, 128(1–2), 59–68.PubMedCrossRefGoogle Scholar
  101. Taylor, J., & Finch, P. (1993). Acute injury of the neck: Anatomical and pathological basis of pain. Annals of the Academy of Medicine Singapore, 22(2), 187–192.Google Scholar
  102. Taylor, J., & Taylor, M. (1996). Cervical spinal injuries: An autopsy study of 109 blunt injuries. Journal of Musculoskeletal Pain, 4(4), 61–79.CrossRefGoogle Scholar
  103. Tishler, M., Levy, O., Maslakov, I., Bar-Chaim, S., & Amit-Vazina, M. (2006). Neck injury and fibromyalgia – are they really associated? Journal of Rheumatology, 33, 1183–1185.Google Scholar
  104. Tjell, C., Tenenbaum, A., & Sandstrom, S. (2002). Smooth pursuit neck torsion test – a specific test for whiplash associated disorders. Journal of Whiplash and Related Disorders, 1(2), 9–24.CrossRefGoogle Scholar
  105. Treleaven, J., Jull, G., & LowChoy, N. (2005). Standing balance in persistent whiplash: A comparison between subjects with and without dizziness. Journal of Rehabilitation Medicine, 37, 224–229.CrossRefGoogle Scholar
  106. Treleaven, J., Jull, G., & LowChoy, N. (2005). Smooth pursuit neck torsion test in whiplash associated disorders: Relationship to self-eports of neck pain and disability, dizziness and anxiety. Journal of Rehabilitation Medicine, 37, 219–223.CrossRefGoogle Scholar
  107. Treleaven, J., Jull, G., & Sterling, M. (2003). Dizziness and unsteadiness following whiplash injury – characteristic features and relationship with cervical joint position error. Journal of Rehabilitation, 34, 18.Google Scholar
  108. Uhrenholt, L., Grunnet-Nilsson, N., & Hartvigsen, J. (2002). Cervical spine lesions after road traffic accidents. A systematic review. Spine, 27(17), 1934–1941.PubMedCrossRefGoogle Scholar
  109. Verbunt, J., Seelen, H., Vlaeyen, J., Bousema, E., van der Heijden, G., Heuts, P., et al. (2005). Pain related factors contributing to muscle inhibition in patients with chronic low back pain. Clinical Journal of Pain, 21(3), 232–240.PubMedCrossRefGoogle Scholar
  110. Vierck, C. (2006). Mechanisms underlying development of spatially distributed chronic pain (fibromyalgia). Pain, 124, 242–263.Google Scholar
  111. Vierck, C., Staud, R., Price, D., Cannon, R., Mauderli, A., & Martin, A. (2001). The effect of maximal exercise on temporal summation of second pain (windup) in patients with fibromyalgia syndrome. The Journal of Pain, 2(6), 334–344.PubMedCrossRefGoogle Scholar
  112. Vlaeyen, J., Kole-Snijders, A., & Boeren, R. (1995). Fear of movement/reinjury in chronic low back pain patients and its relation to behavioural performance. Pain, 1995(62), 363–372.CrossRefGoogle Scholar
  113. Vlaeyen, J., & Linton, S. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85, 317–332.CrossRefGoogle Scholar
  114. Watson, P., Booker, C., & Main, C. (1997). Evidence for the role of psychological factors in abnormal paraspinal activity in patients with chronic low back pain. Journal of Musculoskeletal Pain, 5(4), 41–56.CrossRefGoogle Scholar
  115. Wenzel, H., Haug, T., Mykletun, A., & Dahl, A. (2002). A population study of anxiety and depression among persons who report whiplash traumas. Journal of Psychosomatic Research, 53(3), 831.Google Scholar
  116. Woolf, C., & Mannion, R. (1999). Neuropathic pain: Aetiology, symptoms, mechanisms and management. Lancet, 353, 1959–1964.CrossRefGoogle Scholar
  117. Wynne-Jones, G., Macfarlane, G., Silman, A., & Jones, G. (2006). Does physical trauma lead to an increase in the risk of new onset widespread pain? Annals of Rheumatic Disease, 65, 391–393.CrossRefGoogle Scholar
  118. Yoganandan, N., Knowles, S., Maiman, D., & Pintar, F. (2003). Anatomic study of the morphology of the human cervical facet joint. Spine, 28, 2317–2323.CrossRefGoogle Scholar
  119. Yoganandan, N., Pintar, F., & Cusick, J. (2002). Biomechanical analyses of whiplash injuries using an experimental model. Accident Analysis and Prevention, 34, 663–671.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Associate Director, Centre for National Research on Disability and Rehabilitation Medicine (CONROD) and Director of the Rehabilitation (Medical and Allied Health) Research Program (CONRD). The University of QueenslandAustralia

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