ArticlePain medicine (Malden, Mass.)2014
Mechanisms underlying chronic whiplash: contributions from an incomplete spinal cord injury?
Article in Pain medicine (Malden, Mass.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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.
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Who cites it
19 citing papers in PubMed.
- Confirming the geography of fatty infiltration in the deep cervical extensor muscles in whiplash recovery.Scientific reports · 2020Trial
- Neck-specific exercises with internet-based support compared to neck-specific exercises at a physiotherapy clinic for chronic whiplash-associated disorders: study protocol of a randomized controlled multicentre trial.BMC musculoskeletal disorders · 2017Trial
- The presence and prognosis of nerve pathology following whiplash injury: a prospective cohort study.Brain : a journal of neurology · 2025Article
- Review
- Sarcopenia and the management of spinal disease in the elderly.GeroScience · 2025Review
- Subtle ocular motor deficits in people with chronic whiplash associated disorder compared to healthy controls.Frontiers in neurology · 2025Article
- Biopsychosocial sequelae and recovery trajectories from whiplash injury following a motor vehicle collision.The spine journal : official journal of the North American Spine Society · 2023Article
- Macromolecular changes in spinal cord white matter characterize whiplash outcome at 1-year post motor vehicle collision.Scientific reports · 2020Article
- Magnetization Transfer Ratio and Morphometrics of the Spinal Cord Associates with Surgical Recovery in Patients with Degenerative Cervical Myelopathy.World neurosurgery · 2020Article
- Spinal cord injury is not a feature of chronic whiplash-associated disorder: a magnetic resonance spectroscopy study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Article
- Whiplash-Associated Dysphagia: Considerations of Potential Incidence and Mechanisms.Dysphagia · 2020Article
- Are Magnetic Resonance Imaging Technologies Crucial to Our Understanding of Spinal Conditions?The Journal of orthopaedic and sports physical therapy · 2019Article
- The relation between local and distal muscle fat infiltration in chronic whiplash using magnetic resonance imaging.PloS one · 2019Article
- Advancing imaging technologies for patients with spinal pain: with a focus on whiplash injury.The spine journal : official journal of the North American Spine Society · 2018Review
- Intramuscular fat is present in cervical multifidus but not soleus in patients with chronic whiplash associated disorders.PloS one · 2018Article
- The Relationship Between Volitional Activation and Muscle Properties in Incomplete Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 2018Article
- An Integrated Model of Chronic Whiplash-Associated Disorder.The Journal of orthopaedic and sports physical therapy · 2017Article
- Advancements in Imaging Technology: Do They (or Will They) Equate to Advancements in Our Knowledge of Recovery in Whiplash?The Journal of orthopaedic and sports physical therapy · 2016Article
- Potential associations between chronic whiplash and incomplete spinal cord injury.Spinal cord series and casesArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo explore the association between findings on advanced, but available, magnetic resonance imaging (MRI) sequences of the cervical spinal cord and muscular system, in tandem with biomechanical measures of maximum volitional plantar flexion torques as a proxy for a mild incomplete spinal cord injury.
designObservational case series.
settingUniversity research laboratory. SUBJECTS: Three patients with chronic whiplash and one patient with history of whiplash injury but no current symptoms.
methodsWe measured lower extremity muscle fat, morphological changes in descending spinal cord pathways with advanced MRI applications and maximal activation of the plantar flexors.
resultsLarger magnitudes of lower extremity muscle fat corresponded to altered spinal cord anatomy and reductions in the ability to maximally activate plantar flexor torques in the three subjects with chronic whiplash. Such findings were not present in the recovered participant.
conclusionsThe potential value of MRI to quantify neuromuscular degeneration in chronic whiplash is recognized. Larger scaled prospective studies are warranted before stronger conclusions can be drawn.
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Registered trials
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.