Chronic whiplash, pain and pain tolerance
Abstract Aim Among individuals who experience whiplash accidents, around 20% develop chronic pain. We aimed to compare number of painful locations and pain intensity between individuals with chronic whiplash and individuals with other chronic pain, and to investigate whether differences could be exp...
Published in: | Scandinavian Journal of Pain |
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Walter de Gruyter GmbH
2014
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Online Access: | http://dx.doi.org/10.1016/j.sjpain.2014.05.020 http://www.degruyter.com/view/j/sjpain.2014.5.issue-3/j.sjpain.2014.05.020/j.sjpain.2014.05.020.xml http://api.elsevier.com/content/article/PII:S1877886014000822?httpAccept=text/xml http://api.elsevier.com/content/article/PII:S1877886014000822?httpAccept=text/plain https://www.degruyter.com/document/doi/10.1016/j.sjpain.2014.05.020/xml https://www.degruyter.com/document/doi/10.1016/j.sjpain.2014.05.020/pdf |
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crdegruyter:10.1016/j.sjpain.2014.05.020 2024-04-07T07:56:16+00:00 Chronic whiplash, pain and pain tolerance Myrtveit, Solbjørg Makalani Skogen, Jens Christoffer Sivertsen, Børge Steingrímsdóttir, Ólöf Anna Stubhaug, Audun Nielsen, Christopher Sivert 2014 http://dx.doi.org/10.1016/j.sjpain.2014.05.020 http://www.degruyter.com/view/j/sjpain.2014.5.issue-3/j.sjpain.2014.05.020/j.sjpain.2014.05.020.xml http://api.elsevier.com/content/article/PII:S1877886014000822?httpAccept=text/xml http://api.elsevier.com/content/article/PII:S1877886014000822?httpAccept=text/plain https://www.degruyter.com/document/doi/10.1016/j.sjpain.2014.05.020/xml https://www.degruyter.com/document/doi/10.1016/j.sjpain.2014.05.020/pdf en eng Walter de Gruyter GmbH http://www.elsevier.com/tdm/userlicense/1.0/ Scandinavian Journal of Pain volume 5, issue 3, page 210-210 ISSN 1877-8860 1877-8879 Anesthesiology and Pain Medicine Neurology (clinical) journal-article 2014 crdegruyter https://doi.org/10.1016/j.sjpain.2014.05.020 2024-03-08T00:42:06Z Abstract Aim Among individuals who experience whiplash accidents, around 20% develop chronic pain. We aimed to compare number of painful locations and pain intensity between individuals with chronic whiplash and individuals with other chronic pain, and to investigate whether differences could be explained by pain tolerance. Methods Employing data from the sixth wave of the Tromsø Study, individuals reporting whiplash were compared to individuals with other chronic pain. Number of pain locations was compared using Poisson regression, pain intensity using linear regression. Pain tolerance (cold-pressor test) was compared using cox regression; one model compared individuals with whiplash to those with other chronic pain, another model compared the two groups with chronic pain to pain-free controls. In order to investigate whether pain tolerance could account for differences in pain, the regression models were adjusted for time-till-failure in the cold-pressor test. Results Individuals with whiplash reported a higher number of painful locations (IRR = 5.23, 95%CI: 4.93–5.53 versus IRR = 3.57, 95%CI: 3.50–3.65) and higher pain intensity (mean: 7.80, 95%CI: 7.58–8.02 versus mean: 7.14, 95%CI: 7.08–7.21) than individuals with other chronic pain. Pain tolerance did not differ between these two groups, but compared to pain-free controls individuals in both groups had reduced pain tolerance. Conclusions Individuals with chronic whiplash had reduced pain tolerance compared to individuals without chronic pain, but not compared to individuals with other chronic pain. Reduced pain tolerance can account for some of the increased pain reported by individuals with chronic whiplash compared to controls but not compared to individuals with other chronic pain. Article in Journal/Newspaper Tromsø De Gruyter Tromsø Scandinavian Journal of Pain 5 3 210 210 |
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crdegruyter |
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English |
topic |
Anesthesiology and Pain Medicine Neurology (clinical) |
spellingShingle |
Anesthesiology and Pain Medicine Neurology (clinical) Myrtveit, Solbjørg Makalani Skogen, Jens Christoffer Sivertsen, Børge Steingrímsdóttir, Ólöf Anna Stubhaug, Audun Nielsen, Christopher Sivert Chronic whiplash, pain and pain tolerance |
topic_facet |
Anesthesiology and Pain Medicine Neurology (clinical) |
description |
Abstract Aim Among individuals who experience whiplash accidents, around 20% develop chronic pain. We aimed to compare number of painful locations and pain intensity between individuals with chronic whiplash and individuals with other chronic pain, and to investigate whether differences could be explained by pain tolerance. Methods Employing data from the sixth wave of the Tromsø Study, individuals reporting whiplash were compared to individuals with other chronic pain. Number of pain locations was compared using Poisson regression, pain intensity using linear regression. Pain tolerance (cold-pressor test) was compared using cox regression; one model compared individuals with whiplash to those with other chronic pain, another model compared the two groups with chronic pain to pain-free controls. In order to investigate whether pain tolerance could account for differences in pain, the regression models were adjusted for time-till-failure in the cold-pressor test. Results Individuals with whiplash reported a higher number of painful locations (IRR = 5.23, 95%CI: 4.93–5.53 versus IRR = 3.57, 95%CI: 3.50–3.65) and higher pain intensity (mean: 7.80, 95%CI: 7.58–8.02 versus mean: 7.14, 95%CI: 7.08–7.21) than individuals with other chronic pain. Pain tolerance did not differ between these two groups, but compared to pain-free controls individuals in both groups had reduced pain tolerance. Conclusions Individuals with chronic whiplash had reduced pain tolerance compared to individuals without chronic pain, but not compared to individuals with other chronic pain. Reduced pain tolerance can account for some of the increased pain reported by individuals with chronic whiplash compared to controls but not compared to individuals with other chronic pain. |
format |
Article in Journal/Newspaper |
author |
Myrtveit, Solbjørg Makalani Skogen, Jens Christoffer Sivertsen, Børge Steingrímsdóttir, Ólöf Anna Stubhaug, Audun Nielsen, Christopher Sivert |
author_facet |
Myrtveit, Solbjørg Makalani Skogen, Jens Christoffer Sivertsen, Børge Steingrímsdóttir, Ólöf Anna Stubhaug, Audun Nielsen, Christopher Sivert |
author_sort |
Myrtveit, Solbjørg Makalani |
title |
Chronic whiplash, pain and pain tolerance |
title_short |
Chronic whiplash, pain and pain tolerance |
title_full |
Chronic whiplash, pain and pain tolerance |
title_fullStr |
Chronic whiplash, pain and pain tolerance |
title_full_unstemmed |
Chronic whiplash, pain and pain tolerance |
title_sort |
chronic whiplash, pain and pain tolerance |
publisher |
Walter de Gruyter GmbH |
publishDate |
2014 |
url |
http://dx.doi.org/10.1016/j.sjpain.2014.05.020 http://www.degruyter.com/view/j/sjpain.2014.5.issue-3/j.sjpain.2014.05.020/j.sjpain.2014.05.020.xml http://api.elsevier.com/content/article/PII:S1877886014000822?httpAccept=text/xml http://api.elsevier.com/content/article/PII:S1877886014000822?httpAccept=text/plain https://www.degruyter.com/document/doi/10.1016/j.sjpain.2014.05.020/xml https://www.degruyter.com/document/doi/10.1016/j.sjpain.2014.05.020/pdf |
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Tromsø |
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Tromsø |
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Tromsø |
genre_facet |
Tromsø |
op_source |
Scandinavian Journal of Pain volume 5, issue 3, page 210-210 ISSN 1877-8860 1877-8879 |
op_rights |
http://www.elsevier.com/tdm/userlicense/1.0/ |
op_doi |
https://doi.org/10.1016/j.sjpain.2014.05.020 |
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Scandinavian Journal of Pain |
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5 |
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3 |
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210 |
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210 |
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