Abstract
Whiplash-associated disorders (WAD) are a common, disabling and costly condition that occur usually as a consequence of a motor vehicle crash (MVC) with up to 50% of injured people failing to fully recover. Current management approaches have shown limited benefits for injured people both in the acute and chronic stages of the condition. Additionally, the identification of a specific peripheral lesion is usually not possible. For these reasons, research interest has focussed on the physiological and psychological manifestations of the condition which may provide information on which to base the development of new management approaches. The aim of this chapter is to outline the physiological and psychological manifestations of whiplash as well as discuss the role that stress symptoms may play in the presentation and outcomes following whiplash injury. The implications for management as well as future directions for research will be discussed.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
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.
Blincoe, L., Seay, A., Zaloshnja, E., Miller, T., Romano, E., Luchter, S., et al. (2002). Economic impact of motor vehicle crashes 2000. Washington: Department of Transportation (US), National Highway Traffic Safety Administration (NHTSA).
Bogduk, N. (2002). Point of view. Spine, 27(17), 1940–1941.
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.
Buitenhuis, J., deJong, P., Jaspers, J., & Kenardy, J. (2011). Psychological aspects of whiplash associated disorders. In M. Sterling & J. Kenardy (Eds.), Whiplash: Evidence-base for clinical practice. Australia: Elsevier.
Buitenhuis, J., Spanjer, J., & Fidler, V. (2003). Recovery from acute whiplash – The role of coping styles. Spine, 28(9), 896–901.
Bunketorp-Kall, L., Andersson, G., & Asker, B. (2007). The impact of subacute whiplash-associated disorders on functional self-efficacy: A cohort study. International Journal of Rehabilitation Research, 30(3), 221–226.
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.
Carroll, L., Holm, L., Hogg-Johnson, S., Cote, P., Cassidy, D., Haldeman, S., et al. (2008). Course and prognostic factors for neck pain in Whiplash-Associated Disorders (WAD). Results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine, 33(42), 583–592.
Carstensen, T., Frostholm, L., Oernboel, E., Kongsted, A., Kasch, H., Jensen, T., et al. (2008). Post-trauma ratings of pre-collision pain and psychological distress predict poor outcome following acute whiplash trauma: A 12-month follow-up study. Pain, 139(2), 248–259.
Chien, A., Eliav, E., & Sterling, M. (2008). Hypoaesthesia occurs in acute whiplash irrespective of pain and disability levels and the presence of sensory hypersensitivity. The Clinical Journal of Pain, 24(9), 759–766.
Chien, A., Eliav, E., & Sterling, M. (2010). The development of sensory hypoaesthesia following whiplash injury. The Clinical Journal of Pain, 26, 722–728.
Chou, R., & Huffman, L. (2007). Medications for acute and chronic low back pain: A review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Annals of Internal Medicine, 147(7), 505–514.
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.
Cote, P., Hogg-Johnson, S., Cassidy, D., Carroll, L., Frank, J., & Bombardier, C. (2005). Initial patterns of clinical care and recovery from whiplash injuries. Archives of Internal Medicine, 165, 2257–2263.
Crowe, H. (1964). A new diagnostic sign in neck injuries. California Medicine, 100, 12–13.
Curatolo, M., & Sterling, M. (2011). Pain-processing mechanisms in whiplash associated disorders. In M. Sterling & J. Kenardy (Eds.), Whiplash: Evidence-base for clinical practice. Australia: Elsevier.
Daly, E., & Bialocerkowski, A. (2009). Does evidence support physiotherapy management of adult Complex Regional Pain Syndrome Type One? A systematic review. European Journal of Pain, 13(4), 339–353.
Diatchenko, L., Slade, G., Nackley, A., Bhalang, K., Sigurdsson, A., Belfer, I., et al. (2005). Genetic basis for individual variations in pain perception and the development of a chronic pain condition. Human Molecular Genetics, 14, 135–143.
Ehlert, U., Gaab, J., & Heinrichs, M. (2001). Psychoneuroendocrinological contributions to the etiology of depression, posttraumatic stress disorder, and stress-related bodily disorders: the role of the hypothalamus-pituitary-adrenal axis. Biological Psychiatry, 57, 141–152.
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), E847–E851.
Elliott, J., Jull, G., Sterling, M., Noteboom, T., Darnell, R., & Galloway, G. (2008). Fatty infiltrate in the cervical extensor muscles is not a feature of chronic insidious onset neck pain. Clinical Radiology, 63(6), 681–687.
Elliott, J., O’Leary, S., Sterling, M., Hendrikz, J., Pedler, A., & Jull, G. (2010). MRI findings of fatty infiltrate in the cervical flexors in chronic whiplash. Spine, 35(9), 948–954.
Elliott, J., et al. (2011). The temporal development of fatty infiltrates in the neck muscles following whiplash injury: an association with pain and posttraumatic stress. Plos One, 6(6), e21194.
Elliott, J., Sterling, M., Noteboom, T., Treleaven, J., Galloway, G., & Jull, G. (2009). The clinical presentation of chronic whiplash and the relationship to findings of MRI fatty infiltrates in the cervical extensor musculature: A preliminary investigation. European Spine Journal, 18(9), 1371–1378.
Falla, D., Jull, G., & Hodges, P. (2004). Neck pain patients demonstrate reduced EMG activity of the deep cervical flexor muscles during performance of the cranio-cervical flexion test. Spine, 29(19), 2108–2114.
Ferrari, R. (2001). Whiplash and symptom amplification. Pain, 89, 293–294.
Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G., et al. (2007). Australian guidelines for the treatment of adults with acute stress disorder and posttraumatic stress disorder. The Australian and New Zealand Journal of Psychiatry, 41, 637–648.
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.
Gatchel, R. J., Haggard, R., Thomas, C., & Howard, K. J. (2011). A biopsychosocial approach to understanding chronic pain and disability. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.
Gockel, M., Lindholm, H., Niemisto, L., & Hurri, H. (2008). Perceived disability but not pain is connected with autonomic nervous system function among people with chronic low back pain. Journal of Rehabilitation Medicine, 40, 355–358.
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.
Greening, J., Lynn, B., & Leary, R. (2003). Sensory and autonomic function in the hands of patients with non-specific arm pain (NSAP) and asymptomatic office workers. Pain, 104, 275–281.
Haanpaa, M., Backonja, M., Bennett, M., Bouhassira, D., Cruccu, G., Hansson, P., et al. (2009). Assessment of neuropathic pain in primary care. The American Journal of Medicine, 122(10S), S13–S21.
Haines, T., Gross, A., Burnie, S., Goldsmith, C., & Perry, J. (2009). Patient education for neck pain with or without radiculopathy. Cochrane Database of Systematic Reviews, (4), CD005106.
Hellstrom, F., Roatta, S., Thunberg, J., Passatore, M., & Djupsjobacka, M. (2005). Responses of muscle spindles in feline dorsal neck muscles to electrical stimulation of the cervical sympathetic nerve. Experimental Brain Research, 165, 328–342.
Hildingsson, C., & Toolanen, G. (1990). Outcome after soft-tissue injury of the cervical spine: A prospective study of 93 car-accident victims. Acta Orthopaedica Scandinavica, 61(4), 357–359.
Hocking, L., Smith, B., Jones, G., Reid, D., Strachan, D., & Macfarlane, G. (2010). Genetic variation in the beta2-adrenergic receptor but not catecholamine-O-methyltransferase predisposes to chronic pain: Results from the 1958 British Birth Cohort Study. Pain, 149(1), 143–151.
Holbrook, T., Galarneau, M., Dye, J., Quinn, K., & Dougherty, A. (2010). Morphine use after combat injury in Iraq and post-traumatic stress disorder. The New England Journal of Medicine, 362(2), 110–117.
Holm, L., Carroll, L., Cassidy, D., Hogg-Johnson, S., Cote, P., Guzman, J., et al. (2008). The burden and determinants of neck pain in whiplash-associated disorders after traffic collisions. Spine, 33(4S), S52.
Ichihara, D., Okado, E., Chiba, K., Toyama, Y., Fuijwara, H., & Momoshima, S. (2009). Longitudinal magnetic resonance imaging study on whiplash injury patients: Minimum 10-year follow-up. Journal of Orthopaedic Science, 14(5), 602–610.
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 (Br), 83, 226–229.
Jenewein, J., Wittmann, L., Moergeli, H., Creutzig, J., & Schnyder, U. (2009). Mutual influence of PTSD symptoms and chronic pain among injred accident survivors: A longitudinal study. Journal of Traumatic Stress, 22(6), 540–548.
Johansson, B. (2006). Whiplash injuries can be visible by functional magnetic resonance imaging. Pain Research and Management, 11(3), 197–199.
Joslin, C., Khan, S., & Bannister, G. (2004). Long-term disability after neck injury. A comparative study. Journal of Bone and Joint Surgery, 86(7), 1032–1034.
Jull, G. (2000). Deep cervical flexor muscle dysfunction in whiplash. Journal of Musculoskeletal Pain, 8(1/2), 143–154.
Jull, G., et al. (2002). A randomised controlled trial of physiotherapy management for cervicogenic headache. Spine, 27(17), 1835–1843.
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.
Jull, G., Sterling, M., Falla, D., Treleaven, J., & O’Leary, S. (2008). Whiplash, headache and neck pain: Research based directions for physical therapies. Edinburgh: Elsevier.
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(2), 28–34.
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.
Kamper, S., Rebbeck, T., Maher, C., McAuley, J., & Sterling, M. (2008). Course and prognostic factors of whiplash: A systematic review and meta-analysis. Pain, 138(3), 617–629.
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.
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.
Kivioja, J., Jensen, I., & Lindgren, U. (2005). Early coping strategies do not influence the prognosis after whiplash injuries. Injury, 36, 935–940.
Kivioja, J., Sjalin, M., & Lindgren, U. (2004). Psychiatric morbidity in patients with chronic whiplash associated disorder. Spine, 29(11), 1235–1239.
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.
Kongsted, A., Leboeuf-Yde, C., Korsholm, L., & Bendix, T. (2008a). Are altered smooth pursuit eye movements related to chronic pain and disability following whiplash injuries? A prospective trial with one-year follow-up. Clinical Rehabilitation, 22, 469–479.
Kongsted, A., Qerama, E., Kasch, H., Bach, F., Korsholm, L., Jensen, T., et al. (2008b). Education of patients after whiplash injury: Is oral advice any better than a pamphlett? Spine, 33(22), E843–E848.
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.
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.
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.
Lindstrom, R., Schomacher, J., Farina, D., Rechter, L., & Falla, D. (2011). Association between neck muscle coactivation, pain, and strength in women with neck pain. Manual Therapy, 16(1), 80–86.
Lord, S., Barnsley, L., Wallis, B., & Bogduk, N. (1996a). Chronic cervical zygapophysial joint pain after whiplash: A placebo-controlled prevalence study including commentary by Derby R Jr. Spine, 21(15), 1737–1745.
Lord, S., Barnsley, L., Wallis, B., McDonald, G., & Bogduk, N. (1996b). Percutaneous radiofrequency neurotomy for chronic cervical zygapophyseal joint pain. The New England Journal of Medicine, 335(23), 1721–1726.
MAA. (2007). Guidelines for the management of whiplash associated disorders. Sydney: Motor Accident Authority (NSW). www.maa.nsw.gov.au.
Macintyre, P., Scott, D., Schug, S., Visser, E., & Walker, S. (2010). Acute pain management: Scientific evidence. Melbourne: ANZVA & FPM.
MAIC. (2002). Whiplash – Review of CTP Queensland data to 31 Dec 2001. Brisbane: MAIC.
MAIC. (2009). Annual report. Brisbane.
Malleson, A. (2002). Whiplash and other useful illnesses. Quebec: McGill-Queen’s University Press.
Martinez-Lavin, M. (2007). Stree, the stress response system, and fibromyalgia. Arthritis Research & Therapy, 9(4), 216–223.
May, S. (2011). Chronic low back pain. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.
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.
McLean, S., Diatchenko, L., Lee, M., Swor, R., Domeier, R., Jones, J., et al. (2011). Catechol O-methyltransferase haplotype predicts immediate musculoskeletal neck pain and psychological symptoms after motor vehicle collision. The Journal of Pain, 12(1), 101–107.
Moog, M., Quintner, J., Hall, T., & Zusman, M. (2002). The late whiplash syndrome: A psychophysical study. European Journal of Pain, 6(4), 283–294.
Moore, A., Jackson, A., Jordan, J., Hammersley, S., Hill, J., Mercer, C., et al. (2005). Clinical guidelines for the physiotherapy management of Whiplash associated disorder. London: The Chartered Society of Physiotherapy.
Moseley, G. (2006). Graded motor imagery for pathologic pain: A randomized controlled trial. Neurology, 67, 2129–2134.
Moseley, G., & Wiech, K. (2009). The effect of tactile discrimination training is enhanced when patients watch the reflected image of their unaffected limb during training. Pain, 144(3), 314–319.
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.
Neziri, A., Andersen, O., Petersen-Felix, S., Radanov, B., Dichenson, A., Scaramozzino, P., et al. (2010). The nociceptive withdrawal reflex: Normative values of thresholds and reflex receptive fields. European Journal of Pain, 14(2), 134–141.
NSW, M. (1999). Whiplash and the NSW motor accidents scheme. statistical information paper No. 7. Sydney.
O’Donnell, M., Creamer, M., Bryant, R., Schnyder, U., & Shalev, A. (2003). Posttraumatic disorders following injury: An empirical and methodological review. Clinical Psychology Review, 23, 587–603.
O’Donnell, M., Elliott, P., Lau, W., & Creamer, M. (2007). PTSD symptom trajectories: From early to chronic response. Behaviour Research and Therapy, 45, 601–606.
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.
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.
Pfirrmann, C., Binkert, C., & Zanetti, M. (2001). MR morphology of alar ligaments and occipitoatlantoaxial joints: Study in 50 asymptomatic subjects. Radiology, 218, 133–137.
Phillips, L., Carroll, L., Cassidy, D., & Cote, P. (2010). Whiplash-associated disorders: Who gets depressed? Who stays depressed? European Spine Journal, 19(6), 945–956.
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.
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.
Rang, H., Bevan, S., & Dray, A. (1991). Chemical activation of nociceptive peripheral neurones. British Medical Bulletin, 47, 534–548.
Rao, S. (2009). Current progress in the pharmacological therapy of fibromyalgia. Expert Opinion on Investigational Drugs, 18(10), 1479–1493.
Rebbeck, T., Maher, C., & Refshauge, K. (2006a). Evaluating two implementation strategies for whiplash guidelines in physiotherapy: A cluster randomised trial. The Australian Journal of Physiotherapy, 52(3), 165–174.
Rebbeck, T., Sindhausen, D., & Cameron, I. (2006b). A prospective cohort study of health outcomes following whiplash associated disorders in an Australian population. Injury Prevention, 12, 86–93.
Rijn, M., Marinus, J., Putter, H., & van Hilten, J. (2007). Onset and progression of dystonia in complex regional pain syndrome. Pain, 130, 287–293.
Rivest, K., Cote, J., Dumas, J.-P., Sterling, M., & deSerres, S. (2010). Relationships between pain thresholds, catastrophizing and gender in acute whiplash injury. Manual Therapy, 15, 154–159.
Roatta, S., Arendt-Nielsen, L., & Farina, D. (2008). Sympathetic-induced changes in discharge rate and spike-triggered average twitch torque of low-threshold motor units in humans. The Journal of Physiology, 586, 5561–5574.
Ronnen, J., de Korte, P., & Brink, P. (1996). Acute whiplash injury: Is there a role for MR imaging. Radiology, 201, 93–96.
Rosenfeld, M., Gunnarsson, R., & Borenstein, P. (2000). Early intervention in whiplash-associated disorders. A comparison of two protocols. Spine, 25, 1782–1787.
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.
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.
Roy, S., Hol, P., & Laerum, L. (2004). Pitfalls of magnetic resonance imaging of alar ligament. Neuroradiology, 46, 392–398.
Sheather-Reid, R., & Cohen, M. (1998). Psychophysical evidence for a neuropathic component of chronic neck pain. Pain, 75, 341–347.
Sizer, P., Poorbaugh, K., & Phelps, V. (2004). Whiplash associated disorders: Pathomechanics, diagnosis and management. Pain Practice, 4(3), 249–266.
Soderlund, A., & Lindberg, P. (2001). Cognit ive behavioural components in physiotherapy management of chronic whiplash associated disorders (WAD) – A randomised group study. Physiotherapy Theory and Practice, 17, 229–238.
Steinberg, E., Ovadia, D., Nissan, M., Menahem, A., & Dekel, S. (2005). Whiplash injury: Is there a role for electromyographic studies. Archives of Orthopaedic and Trauma Surgery, 125(1), 46–50.
Sterling, M. (2010). Differential development of sensory hypersensitivity and spinal cord hyperexcitability following whiplash injury. Pain, 150(3), 501–506.
Sterling, M., & Chadwick, B. (2010). Psychological processes in daily life with chronic Whiplash: Relations of post-traumatic stress symptoms and fear-of-pain to hourly pain and uptime. The Clinical Journal of Pain, 26(7), 573–582.
Sterling, M., Hendrikz, J., & Kenardy, J. (2009). Developmental trajectories of pain and disability and posttraumatic stress symptoms following whiplash injury. In Paper presented at the Australian Spine society annual meeting, Brisbane.
Sterling, M., Hendrikz, J., & Kenardy, J. (2010). Developmental trajectories of pain/disability and PTSD symptoms following whiplash injury. Pain, 150(1), 22–28.
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.
Sterling, M., Jull, G., Vicenzino, B., & Kenardy, J. (2003a). Sensory hypersensitivity occurs soon after whiplash injury and is associated with poor recovery. Pain, 104, 509–517.
Sterling, M., Jull, G., Vicenzino, B., & Kenardy, J. (2004). Characterisation of acute whiplash associated disorders. Spine, 29(2), 182–188.
Sterling, M., Jull, G., Vicenzino, B., Kenardy, J., & Darnell, R. (2005). Physical and psychological factors predict outcome following whiplash injury. Pain, 114, 141–148.
Sterling, M., Jull, G., Vizenzino, B., Kenardy, J., & Darnell, R. (2003b). Development of motor system dysfunction following whiplash injury. Pain, 103, 65–73.
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.
Sterling, M., Kenardy, J., Jull, G., & Vicenzino, B. (2003c). The development of psychological changes following whiplash injury. Pain, 106(3), 481–489.
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. The Clinical Journal of Pain, 24(2), 124–130.
Sterling, M., Treleaven, J., Edwards, S., & Jull, G. (2002a). Pressure pain thresholds in chronic whiplash associated disorder: Further evidence of altered central pain processing. Journal of Musculoskeletal Pain, 10(3), 69–81.
Sterling, M., Treleaven, J., & Jull, G. (2002b). Responses to a clinical test of mechanical provocation of nerve tissue in whiplash associated disorders. Manual Therapy, 7(2), 89–94.
Sterner, Y., & Gerdle, B. (2004). Acute and chronic whiplash disorders – A review. Journal of Rehabilitation Medicine, 2004(36), 193–210.
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.
Stoney, C. (2011). Stress and pain. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.
Stovner, L. (1996). The nosologic status of the whiplash syndrome: A critical review based on a methadological approach. Spine, 21(23), 2735–2746.
Strawn, J., & Geracioti, T. (2008). Noradrenergic dysfunction and the psychopharmacology of posttraumatic stress disorder. Depression and Anxiety, 25(3), 260–271.
Sullivan, M., Stanish, W., Sullivan, M., & Tripp, D. (2002). Differential predictors of pain and disability in patients with whiplash injury. Pain Research and Management, 7(2), 68–74.
Taylor, J., & Taylor, M. (1996). Cervical spinal injuries: An autopsy study of 109 blunt injuries. Journal of Musculoskeletal Pain, 4(4), 61–79.
TRACsa. (2008). A clinical pathway for best practice management of acute and chronic whiplash-associated disorders. Adelaide: South Australian Centre for Trauma and Injury Recovery.
Treleaven, J., Jull, G., & Low Choy, N. (2005a). Standing balance in persistent whiplash: A comparison between subjects with and without dizziness. Journal of Rehabilitation Medicine, 37, 224–229.
Treleaven, J., Jull, G., & LowChoy, N. (2005b). 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.
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, 1–8.
Trotter, K. (2009). It’s only whiplash. Aren’t you over it yet, ISBN: 1451534647.
Uhrenholt, L., Grunnet-Nilsson, N., & Hartvigsen, J. (2002). Cervical spine lesions after road traffic accidents. A systematic review. Spine, 27(17), 1934–1941.
Vangronsveld, K., Peters, M., Goosens, M., & Vlaeyen, J. (2008). The influence of fear of movement and pain catastrophizing on daily pain and disability in individuals with acute whiplash injury: A daily diary study. Pain, 139(2), 449–457.
Velly, A. M., Chen, H., Ferreira, J. R., & Friction, J. R. (2011). Temporomandibular disorders and fibromyalgia. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.
Verhagen, A., Scholten-Peeters, G., van Wijngaarden, S., de Bie, R., & Bierma-Zeinstra, S. (2007). Conservative treatments for whiplash. Cochrane Database of Systematic Reviews, (2), CD003338.
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.
Walton, D., Pretty, J., MacDermid, J., & Teasell, R. (2009). Risk factors for persistent problems following whiplash injury: Results of a systematic review and meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 39(5), 334–350.
Wand, B., O’Connell, N., & Parkitny, L. (2010). Letter to the Editor: Depression may contribute to the sensory changes in whiplash patients? Manual Therapy, 15(3): p. E1.
Woo, J., Yoon, K., & Yu, B. (2002). Catechol O-methyltransferase genetic polymorphism in panic disorder. The American Journal of Psychiatry, 159, 1785–1787.
Woodhouse, A., & Vasseljen, O. (2008). Altered motor control patterns in whiplash and chronic neck pain. BMC Musculoskeletal Disorders, 9, 90.
Wynne-Jones, G., Jones, G., Wiles, N., Silman, A., & Macfarlane, G. (2006). Predicting new onset of widespread pain following a motor vehicle collision. Journal of Rheumatology, 33, 968–974.
Yoganandan, N., Knowles, S., Maiman, D., & Pintar, F. (2003). Anatomic study of the morphology of the human cervical facet joint. Spine, 28, 2317–2323.
Yoganandan, N., Pintar, F., & Cusick, J. (2002). Biomechanical analyses of whiplash injuries using an experimental model. Accident Analysis and Prevention, 34, 663–671.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Sterling, M. (2013). Pain, Whiplash Disorder and Traffic Safety. In: Moore, R.J. (eds) Handbook of Pain and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1651-8_15
Download citation
DOI: https://doi.org/10.1007/978-1-4419-1651-8_15
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-1650-1
Online ISBN: 978-1-4419-1651-8
eBook Packages: MedicineMedicine (R0)