The role of cervical spine range of motion in recovery from whiplash associated disorders
Williams, Mark A. (2011) The role of cervical spine range of motion in recovery from whiplash associated disorders. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk:80/record=b2580969~S1
This thesis investigates the role of cervical spine Range of Motion in the recovery from
Whiplash Associated Disorders.
In clinical practice, Health Care Professionals attach value to measurements of cervical spine
Range of Motion for diagnostic, prognostic and treatment evaluation purposes. A systematic
literature review found conflicting evidence as to whether cervical spine Range of Motion
was a prognostic factor following a whiplash injury. Greater understanding of prognostic
factors such as this may facilitate improvements in patient management.
A second systematic literature review investigated the reliability and validity of methods for
measuring cervical spine Range of Motion. The Cervical Range Of Motion (CROM) device
was found to be the most rigorously tested and clinimetrically promising method and was
subsequently investigated for intra- and inter-observer reliability in a group of whiplashinjured
individuals and found to be substantially reliable.
The CROM device was utilised in a longitudinal cohort study of 599 whiplash-injured
patients to investigate the prognostic value of cervical spine Range of Motion for neck painrelated
disability and patient-reported recovery at short, medium and long-term follow-up. A
patient-reported version of cervical spine Range of Motion was also evaluated as a
Although useful for explaining disability at the time of measurement, active, passive and
patient-reported forms of cervical spine Range of Motion were not significant prognostic
factors for poor outcome when other physical and psychosocial factors were accounted for.
The clinical implication of this research is that if patients are experiencing reduced cervical
spine Range of Motion a few weeks after their whiplash injury they will not necessarily have
a poor outcome in the longer term as is commonly believed at present.
|Item Type:||Thesis or Dissertation (PhD)|
|Subjects:||R Medicine > RC Internal medicine|
|Library of Congress Subject Headings (LCSH):||Whiplash injuries -- Prognosis, Cervical vertebrae, Joints -- Range of motion|
|Official Date:||April 2011|
|Institution:||University of Warwick|
|Theses Department:||Warwick Medical School|
|Supervisor(s)/Advisor:||Cooke, Matthew, MB ChB ; Gates, Simon|
This is an abridged version for electronic use; please see the official URL for details on how to access the full version.
|Extent:||xxv, 504 leaves : ill., charts|
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