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• W1984710751 abstract "Cervical facet block (FB) procedures are often used as a diagnostic precursor to radiofrequency neurotomies (RFN) in the management of chronic whiplash associated disorders (WAD). Some individuals will respond to the FB procedures and others will not respond. Such responders and non-responders provided a sample of convenience to question whether there were differences in their physical and psychological features. This information may inform future predictive studies and ultimately the clinical selection of patients for FB procedures.This cross-sectional study involved 58 individuals with chronic WAD who responded to cervical FB procedures (WAD_R); 32 who did not respond (WAD_NR) and 30 Healthy Controls (HC)s. Measures included: quantitative sensory tests (pressure; thermal pain thresholds; brachial plexus provocation test); nociceptive flexion reflex (NFR); motor function (cervical range of movement (ROM); activity of the superficial neck flexors during the cranio-cervical flexion test (CCFT). Self-reported measures were gained from the following questionnaires: neuropathic pain (s-LANSS); psychological distress (General Health Questionnaire-28), post-traumatic stress (PDS) and pain catastrophization (PCS). Individuals with chronic whiplash attended the laboratory once the effects of the blocks had abated and symptoms had returned.Following FB procedures, both WAD groups demonstrated generalized hypersensitivity to all sensory tests, decreased neck ROM and increased superficial muscle activity with the CCFT compared to controls (p < 0.05). There were no significant differences between WAD groups (all p > 0.05). Both WAD groups demonstrated psychological distress (GHQ-28; p < 0.05), moderate post-traumatic stress symptoms and pain catastrophization. The WAD_NR group also demonstrated increased medication intake and elevated PCS scores compared to the WAD_R group (p < 0.05).Chronic WAD responders and non-responders to FB procedures demonstrate a similar presentation of sensory disturbance, motor dysfunction and psychological distress. Higher levels of pain catastrophization and greater medication intake were the only factors found to differentiate these groups." @default.
• W1984710751 created "2016-06-24" @default.
• W1984710751 creator A5038796650 @default.
• W1984710751 creator A5054812794 @default.
• W1984710751 creator A5062132451 @default.
• W1984710751 creator A5070396919 @default.
• W1984710751 creator A5071181592 @default.
• W1984710751 creator A5073805433 @default.
• W1984710751 date "2013-11-04" @default.
• W1984710751 modified "2023-10-14" @default.
• W1984710751 title "A comparison of physical and psychological features of responders and non-responders to cervical facet blocks in chronic whiplash" @default.
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• W1984710751 doi "https://doi.org/10.1186/1471-2474-14-313" @default.
• W1984710751 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3819261" @default.
• W1984710751 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24188899" @default.
• W1984710751 hasPublicationYear "2013" @default.

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