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Sex-based differences in pain distribution in a cohort of patients with persistent post-traumatic neck pain

Westergren, Hans LU ; Larsson, Johan LU ; Freeman, Michael; Carlsson, Anna; Jöud, Anna LU and Malmström, Eva Maj LU (2018) In Disability and Rehabilitation 40(9). p.1085-1091
Abstract

Objectives: To analyze a cohort of 745 consecutive patients referred to a regional specialist clinic for evaluation of post-traumatic neck pain during a five-year period. Methods: A cross-sectional observational study of baseline assessments performed by multi-professional rehabilitation teams according to a standardized checklist. Results: The cohort contained nearly twice as many females as males (64% versus 36%). The type of injury did not differ between sexes. Of the entire cohort, 38% were diagnosed with widespread pain, 50% with regional pain, and 12% with local pain. The pain distribution among the females was 43% widespread, 48% regional, and 9% local, and corresponding figures among males were 29%, 53%, and 18%. Longer time... (More)

Objectives: To analyze a cohort of 745 consecutive patients referred to a regional specialist clinic for evaluation of post-traumatic neck pain during a five-year period. Methods: A cross-sectional observational study of baseline assessments performed by multi-professional rehabilitation teams according to a standardized checklist. Results: The cohort contained nearly twice as many females as males (64% versus 36%). The type of injury did not differ between sexes. Of the entire cohort, 38% were diagnosed with widespread pain, 50% with regional pain, and 12% with local pain. The pain distribution among the females was 43% widespread, 48% regional, and 9% local, and corresponding figures among males were 29%, 53%, and 18%. Longer time between trauma and assessment did not affect pain distribution among the men, but a tendency towards more widespread pain was observed among the women. Discussion: The importance of "female sex" as risk factor for the development of persistent pain after neck trauma needs to be discussed further. The high frequency of regional and widespread pain among patients with persistent neck pain after trauma calls for both multidisciplinary assessments and treatment strategies. The relationships between different pain distribution patterns, disability, activity, and psychological factors need to be studied further.Implications for rehabilitationPatients suffering from pain and disability after neck trauma constitute a significant proportion of patients with persistent pain.The importance of the risk factor “female sex" should be further discussed in the development of persistent pain after neck trauma.The high frequency of regional and widespread pain among patients with persistent neck pain after trauma calls both for multidisciplinary assessments and treatment strategies.The relationships between different pain distribution patterns, disability, activity, and psychological factors need to be studied further.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
gender differences, pain distribution, persistent pain, sex characteristics, Whiplash trauma
in
Disability and Rehabilitation
volume
40
issue
9
pages
1085 - 1091
publisher
Taylor & Francis
external identifiers
  • scopus:85010949818
ISSN
0963-8288
DOI
10.1080/09638288.2017.1280543
language
English
LU publication?
yes
id
c574834b-52fb-4916-a2ce-f0f846c090ba
date added to LUP
2017-02-14 13:41:56
date last changed
2018-04-08 04:53:53
@article{c574834b-52fb-4916-a2ce-f0f846c090ba,
  abstract     = {<p>Objectives: To analyze a cohort of 745 consecutive patients referred to a regional specialist clinic for evaluation of post-traumatic neck pain during a five-year period. Methods: A cross-sectional observational study of baseline assessments performed by multi-professional rehabilitation teams according to a standardized checklist. Results: The cohort contained nearly twice as many females as males (64% versus 36%). The type of injury did not differ between sexes. Of the entire cohort, 38% were diagnosed with widespread pain, 50% with regional pain, and 12% with local pain. The pain distribution among the females was 43% widespread, 48% regional, and 9% local, and corresponding figures among males were 29%, 53%, and 18%. Longer time between trauma and assessment did not affect pain distribution among the men, but a tendency towards more widespread pain was observed among the women. Discussion: The importance of "female sex" as risk factor for the development of persistent pain after neck trauma needs to be discussed further. The high frequency of regional and widespread pain among patients with persistent neck pain after trauma calls for both multidisciplinary assessments and treatment strategies. The relationships between different pain distribution patterns, disability, activity, and psychological factors need to be studied further.Implications for rehabilitationPatients suffering from pain and disability after neck trauma constitute a significant proportion of patients with persistent pain.The importance of the risk factor “female sex" should be further discussed in the development of persistent pain after neck trauma.The high frequency of regional and widespread pain among patients with persistent neck pain after trauma calls both for multidisciplinary assessments and treatment strategies.The relationships between different pain distribution patterns, disability, activity, and psychological factors need to be studied further.</p>},
  author       = {Westergren, Hans and Larsson, Johan and Freeman, Michael and Carlsson, Anna and Jöud, Anna and Malmström, Eva Maj},
  issn         = {0963-8288},
  keyword      = {gender differences,pain distribution,persistent pain,sex characteristics,Whiplash trauma},
  language     = {eng},
  number       = {9},
  pages        = {1085--1091},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Sex-based differences in pain distribution in a cohort of patients with persistent post-traumatic neck pain},
  url          = {http://dx.doi.org/10.1080/09638288.2017.1280543},
  volume       = {40},
  year         = {2018},
}