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dc.contributor.authorWANG, Danping
dc.contributor.authorLECOMPTE, Jennyfer
dc.contributor.authorBLANCHO, Sophie
dc.contributor.authorSANDOZ, Baptiste
dc.contributor.authorFEYDY, Antoine
dc.contributor.authorLINDBERG, Pavel
dc.contributor.authorADRIAN, Julien
dc.contributor.authorCHIAROVANO, Elodie
dc.contributor.authorDE WAELE, Catherine
dc.contributor.author
 hal.structure.identifier
VIDAL, Pierre-Paul
1017 Neurobiologie des réseaux sensorimoteurs [NRS (U7060)]
dc.contributor.author
 hal.structure.identifier
LAPORTE, Sébastien
99538 Laboratoire de biomécanique [LBM]
dc.date.accessioned2016
dc.date.available2016
dc.date.issued2016
dc.date.submitted2016
dc.identifier.issn1664-2295
dc.identifier.urihttp://hdl.handle.net/10985/11376
dc.description.abstractThe main concern with whiplash is that a large proportion of whiplash patients experience disabling symptoms or whiplash-associated disorders (WAD) for months if not years following the accident. Therefore, identifying early prognostic factors of WAD development is important as WAD have widespread clinical and economic consequences. In order to tackle that question, our study was specifically aimed at combining several methods of investigation in the same WAD patients at the acute stage and 6 months later. Our longitudinal, open, prospective, multi-center study included 38 whiplash patients, and 13 healthy volunteers matched for age, gender, and socio-economic status with the whiplash group. Whiplash patients were evaluated 15–21 days after road accident, and 6 months later. At each appointment, patients underwent a neuropsychological evaluation, a full clinical neurological examination, neurophysiological and postural tests, oto-neurological tests, cervical spine cord magnetic resonance imaging (MRI) with tractography (DTI). At 6 months, whiplash patients were categorized into two subgroups based on the results of the Diagnostic and Statistical Manual of Mental Disorders as having either favorable or unfavorable progression [an unfavorable classification corresponding to the presence of post-concussion symptom (PCS)] and we searched retrospectively for early prognostic factors of WAD predicting the passage to chronicity. We found that patients displaying high level of catastrophizing at the acute stage and/or post-traumatic stress disorder associated with either abnormalities in head or trunk kinematics, abnormal test of the otolithic function and at the Equitest or a combination of these syndromes, turned to chronicity. This study suggests that low-grade whiplash patients should be submitted as early as possible after the trauma to neuropsychological and motor control tests in a specialized consultation. In addition, they should be evaluated by a neuro-otologist for a detailed examination of vestibular functions, which should include cervical vestibular evoked myogenic potential. Then, if diagnosed at risk of WAD, these patients should be subjected to an intensive preventive rehabilitation program, including vestibular rehabilitation if required.
dc.description.sponsorshipThis study was funded by the French Fondation Sécurité Routière
dc.language.isoen
dc.publisherFrontiers
dc.rightsPost-print
dc.subjectwhiplash outcome
dc.subjectbiomechanics
dc.subjectneuro-otology
dc.subjectcognition
dc.subjecttractography
dc.subjectneuropsychological tests
dc.titleAn Attempt of Early Detection of Poor Outcome after Whiplash
dc.typdocArticle dans une revue avec comité de lecture
dc.localisationCentre de Paris
dc.subject.halSciences de l'ingénieur: Mécanique: Biomécanique
dc.subject.halSciences du vivant: ingénierie bio-médicale
ensam.audienceInternationale
ensam.page177
ensam.journalFrontiers in Neurology
ensam.volume7
ensam.languagefr
ensam.peerReviewingOui
hal.description.error{"meta":{"identifier":{"regexNotMatch":"'dx.doi.org\/10.3389\/fneur.2016.00177' n'est pas un DOI valide, par exemple : 10.xxx"}},"author":["Missing affiliation for all authors"]}
hal.statusunsent


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