Australian Family Physician
Australian Family Physician


Volume 39, Issue 11, November 2010

Predicting central sensitisation Whiplash patients

Robert Ferrari
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Central sensitisation is associated with chronic pain in whiplash patients. Predicting which patients will develop central sensitisation is difficult but patient expectations of recovery predict a variety of outcomes in whiplash patients.
Whiplash patients who expect ‘never to get better’ or ‘don’t know’ have a much higher likelihood of developing at least one sign of central sensitisation 3 months after their collision.
Adjusting for a number of predictors, patient expectation of recovery was found to predict the results of the BPPT. Subjects who expected ‘to get better soon’ had a BPPT angle that was 42 degrees less (ie. closer to normal or full range) than any of the subjects who had poor recovery expectations.

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