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Advanced magnetic resonance imaging of chronic whiplash patients: a clinical practice-based feasibility study.
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- Author(s): Uhrenholt, Lars; Brix, Lau; Wichmann, Thea Overgaard; Pedersen, Michael; Ringgaard, Steffen; Jensen, Tue Secher
- Source:
Chiropractic & Manual Therapies; 1/7/2022, Vol. 30 Issue 1, p1-13, 13p- Subject Terms:
CEREBROSPINAL fluid examination; BIOMARKERS; SPINAL cord; DIGITAL image processing; CERVICAL vertebrae; WHIPLASH injuries; NECK pain; ANALYSIS of variance; TRAFFIC accidents; RANGE of motion of joints; CEREBRAL circulation; MAGNETIC resonance imaging; CASE-control method; FISHER exact test; MANN Whitney U Test; PAIN threshold; SEVERITY of illness index; QUESTIONNAIRES; DESCRIPTIVE statistics; SPINAL nerve roots; ALGOMETRY; RESEARCH funding; DATA analysis software; SYMPTOMS - Source:
- Additional Information
- Abstract: Background: Whiplash injury is common following road traffic crashes affecting millions worldwide, with up to 50% of the injured developing chronic symptoms and 15% having a reduced working capability due to ongoing disability. Many of these patients receive treatment in primary care settings based upon clinical and diagnostic imaging findings. Despite the identification of different types of injuries in the whiplash patients, clinically significant relationships between injuries and chronic symptoms remains to be fully established. This study investigated the feasibility of magnetic resonance imaging (MRI) techniques including quantitative diffusion weighted imaging and measurements of cerebrospinal fluid (CSF) flow as novel non-invasive biomarkers in a population of healthy volunteers and chronic whiplash patients recruited from a chiropractic clinic for the purpose of improving our understanding of whiplash injury. Methods: Twenty chronic whiplash patients and 18 healthy age- and gender matched control subjects were included [mean age ± SD (sex ratio; females/males), case group: 37.8 years ± 9.1 (1.22), control group: 35.1 years ± 9.2 (1.25)]. Data was collected from May 2019 to July 2020. Data from questionnaires pertaining to the car crash, acute and current symptoms were retrieved and findings from clinical examination and MRI including morphologic, diffusion weighted and phase-contrast images were recorded. The apparent diffusion coefficient and fractional anisotropy were calculated, and measurement and analysis of CSF flow was conducted. Statistical analyses included Fisher's exact test, Mann Whitney U test and analysis of variance between groups. Results: The studied population was described in detail using readily available clinical tools. No statistically significant differences were found between the groups on MRI. Conclusions: This study did not show that MRI‐based measures of morphology, spinal cord and nerve root diffusion or cerebrospinal fluid flow are sensitive biomarkers to distinguish between chronic whiplash patients and healthy controls. The detailed description of the chronic whiplash patients using readily available clinical tools may be of great relevance to the clinician. In the context of feasibility, clinical practice-based advanced imaging studies with a technical setup similar to the presented can be expected to have a high likelihood of successful completion. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Chiropractic & Manual Therapies is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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