Cargando…

Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?

Background: Painfully decreased cervical range of motion accompanied by muscle spasm is a common presentation of whiplash injury of the neck. Stiffness of the cervical muscles can be assessed by ultrasound shear wave elastography (SWE), expressed in kilopascals (kPa). The hypothesis: SWE of the trap...

Descripción completa

Detalles Bibliográficos
Autores principales: Aljinović, Jure, Barun, Blaž, Benzon, Benjamin, Poljičanin, Ana, Vlak, Tonko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267389/
https://www.ncbi.nlm.nih.gov/pubmed/35807136
http://dx.doi.org/10.3390/jcm11133851
_version_ 1784743707774287872
author Aljinović, Jure
Barun, Blaž
Benzon, Benjamin
Poljičanin, Ana
Vlak, Tonko
author_facet Aljinović, Jure
Barun, Blaž
Benzon, Benjamin
Poljičanin, Ana
Vlak, Tonko
author_sort Aljinović, Jure
collection PubMed
description Background: Painfully decreased cervical range of motion accompanied by muscle spasm is a common presentation of whiplash injury of the neck. Stiffness of the cervical muscles can be assessed by ultrasound shear wave elastography (SWE), expressed in kilopascals (kPa). The hypothesis: SWE of the trapezius muscle is an objective measurement suitable for the initial screening and follow-up of patients who report whiplash injury. Methods and results: A total of 99 patients after whiplash injury were compared to 75 control participants. Mean trapezius stiffness was 82.24 ± 21.11 vs. 57.47 ± 13.82 for whiplash patients and controls, respectively. The cut-off value of SWE of 75.8 kPa showed 77% accuracy in correctly assigning patients to the whiplash or control group. To evaluate whether SWE can be used as a follow-up method of recovery after a whiplash injury, initial and endpoint SWE (after six months, n = 24) was carried out. Patients reporting no recovery showed similar SWE values as completely recovered patients. This finding refutes the second part of our hypothesis. Conclusions: SWE is a method that can be used for the initial screening of patients with whiplash injury, but we are still searching for an objective measurement that can be used in the follow-up of recovery.
format Online
Article
Text
id pubmed-9267389
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-92673892022-07-09 Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer? Aljinović, Jure Barun, Blaž Benzon, Benjamin Poljičanin, Ana Vlak, Tonko J Clin Med Review Background: Painfully decreased cervical range of motion accompanied by muscle spasm is a common presentation of whiplash injury of the neck. Stiffness of the cervical muscles can be assessed by ultrasound shear wave elastography (SWE), expressed in kilopascals (kPa). The hypothesis: SWE of the trapezius muscle is an objective measurement suitable for the initial screening and follow-up of patients who report whiplash injury. Methods and results: A total of 99 patients after whiplash injury were compared to 75 control participants. Mean trapezius stiffness was 82.24 ± 21.11 vs. 57.47 ± 13.82 for whiplash patients and controls, respectively. The cut-off value of SWE of 75.8 kPa showed 77% accuracy in correctly assigning patients to the whiplash or control group. To evaluate whether SWE can be used as a follow-up method of recovery after a whiplash injury, initial and endpoint SWE (after six months, n = 24) was carried out. Patients reporting no recovery showed similar SWE values as completely recovered patients. This finding refutes the second part of our hypothesis. Conclusions: SWE is a method that can be used for the initial screening of patients with whiplash injury, but we are still searching for an objective measurement that can be used in the follow-up of recovery. MDPI 2022-07-02 /pmc/articles/PMC9267389/ /pubmed/35807136 http://dx.doi.org/10.3390/jcm11133851 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Aljinović, Jure
Barun, Blaž
Benzon, Benjamin
Poljičanin, Ana
Vlak, Tonko
Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?
title Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?
title_full Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?
title_fullStr Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?
title_full_unstemmed Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?
title_short Lack of Objective Measurement in the Initial Screening and Follow-Up of Patients Who Report Whiplash Injury—Is Elastography of the Trapezius Muscle an Answer?
title_sort lack of objective measurement in the initial screening and follow-up of patients who report whiplash injury—is elastography of the trapezius muscle an answer?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267389/
https://www.ncbi.nlm.nih.gov/pubmed/35807136
http://dx.doi.org/10.3390/jcm11133851
work_keys_str_mv AT aljinovicjure lackofobjectivemeasurementintheinitialscreeningandfollowupofpatientswhoreportwhiplashinjuryiselastographyofthetrapeziusmuscleananswer
AT barunblaz lackofobjectivemeasurementintheinitialscreeningandfollowupofpatientswhoreportwhiplashinjuryiselastographyofthetrapeziusmuscleananswer
AT benzonbenjamin lackofobjectivemeasurementintheinitialscreeningandfollowupofpatientswhoreportwhiplashinjuryiselastographyofthetrapeziusmuscleananswer
AT poljicaninana lackofobjectivemeasurementintheinitialscreeningandfollowupofpatientswhoreportwhiplashinjuryiselastographyofthetrapeziusmuscleananswer
AT vlaktonko lackofobjectivemeasurementintheinitialscreeningandfollowupofpatientswhoreportwhiplashinjuryiselastographyofthetrapeziusmuscleananswer