Evidence map›Paper›PMID 22020617›Full record

ReviewSpine2011

The potential contribution of stress systems to the transition to chronic whiplash-associated disorders.

Samuel A McLean

Abstract readReview
In one paragraph

Review in Spine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 52 citations in OpenAlex.

  1. The effect of steroid treatment on whiplash associated syndrome: a controlled randomized prospective trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Can cortisol levels predict the severity of acute whiplash-associated disorders?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Observational
  9. Article
  10. Early Screening for Posttraumatic Stress Disorder and Depression Among Injured Emergency Department Patients: A Feasibility Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019
    Article
  11. Article
  12. Article
  13. A Functional riboSNitch in the 3' Untranslated Region ofThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
  14. Review
  15. Article
  16. An Integrated Model of Chronic Whiplash-Associated Disorder.The Journal of orthopaedic and sports physical therapy · 2017
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Samuel A McLeanDepartment of Anesthesiology, N2201 UNC Hospitals, Chapel Hill, NC 27599-7010, USA. smclean@aims.unc.edu
University of North Carolina Health Care · US

Funding

Genetic Predictors of Acute and Chronic Musculoskeletal Pain After Minor MVCR01AR056328 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MCLEAN, SAMUEL A. · 2008 to 2011
$2.9M
Development of Chronic Pain After Motor Vehicle TraumaK23AR050410 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MCLEAN, SAMUEL A. · 2006 to 2008
$385k
NIAMS NIH HHS K23 AR050410NIAMS NIH HHS R01 AR056328
6 · The paper itself

Abstract

STUDY

designA narrative description highlighting preclinical and clinical evidence that physiologic stress systems contribute to whiplash-associated disorders (WAD) pathogenesis.

objectiveTo present several lines of evidence supporting the hypothesis that physiologic stress systems contribute to WAD pathogenesis. SUMMARY OF BACKGROUND DATA: In addition to subjecting soft tissue to biomechanical strain, a motor vehicle collision (MVC) event is also an acute stressor which activates physiologic stress systems. Increasing data from animal and human studies suggest that the activation of these stress systems may contribute to long-lasting changes in pain sensitivity after tissue injury.

methodsNonsystematic review of several lines of evidence that together suggest that physiologic systems involved in the stress response may contribute to the development of WAD.

resultsStress systems which appear capable of producing hyperalgesia and allodynia include catecholaminergic systems, serotonin systems, and the hypothalamic-pituitary-adrenocortical system. Evidence for the role of these systems comes, in part, from studies examining the association between genetic variants and chronic pain outcomes. For example, in a recent study of acute neck pain after MVC, patients with certain genotypes of an enzyme involved in catecholamine metabolism were more than twice as likely to report moderate or severe neck pain in the emergency department. Such pain vulnerability because of stress system function may interact with the effects of biomechanical injury and psychobehavioral responses to influence the development of WAD.

conclusionMore research examining the influence of stress systems on WAD are needed. If these systems do influence WAD outcomes, then treatments which diminish the adverse effects of stress systems may be a useful component of multimodal therapeutic interventions for individuals at risk of chronic pain development after MVC.

Indexed as

AnimalsCatecholaminesChronic PainDisease ProgressionHumansHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemReceptors, AdrenergicStress, PhysiologicalWhiplash InjuriesCatecholaminesReceptors, Adrenergic

Identifiers

PMID22020617
PMCPMC3232298
OpenAlexW2054393058

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.