Sex-based differences in pain distribution in a cohort of patients with persistent post-traumatic neck pain
Artikel i vetenskaplig tidskrift, 2017

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 rehabilitation Patients 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.

persistent pain

gender differences

sex characteristics

Whiplash trauma

pain distribution

Författare

Hans Westergren

Johan Larsson

Michael Freeman

Anna K Carlsson

Chalmers, SAFER - Fordons- och Trafiksäkerhetscentrum

Anna Jöud

Eva-Maj Malmström

Disability and Rehabilitation

0963-8288 (ISSN) 1464-5165 (eISSN)

Vol. Epub ahead of print

Drivkrafter

Hållbar utveckling

Styrkeområden

Transport

Ämneskategorier

Klinisk medicin

Fundament

Grundläggande vetenskaper

DOI

10.1080/09638288.2017.1280543

PubMed

28129693