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Correlation between expectations of recovery and injury severity perception in whiplash-associated disorders

Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2011年第8期12卷 683-686页

作者： Robert FERRARI Deon LOUW Department of Medicine University of AlbertaEdmonton

Objective:To assess the correlation between expectations of recovery and whiplash patients' perceptions of injury severity using a simplified *** of recovery have been shown to predict rate of recovery from whiplash injury in population-based *** perception of having more severe pathology or more ominous diagnostic labels has also been associated with a worse ***:Consecutive patients with whiplash-associated disorder grade 1 or 2,presenting in the acute stage to a primary care centre,were asked "do you think that your injury will…" with response options "get better soon;get better slowly;never get better;don't know." Injury severity perception (ISP) was measured with a numerical rating scale which ranged from 0-10,on which subjects were asked to rate how severe (in terms of damage) they thought their injury *** anchors were labeled "no damage" (0) and "severe,and maybe permanent damage" (10).The primary outcome measure was the correlation between the subject's ISP score and expectation of ***:A total of 94 subjects (34 males,60 females,and mean age (40.6±10.0) years,range 19-60 years) were *** initial responses to expectation of recovery were:get better soon (29/94);get better slowly (22/94);never get better (11/94);don't know (32/94).The mean ISP score was 4.9±1.7 (range 2-9 out of 10).There was a high correlation between expectations and ISP scores (Spearman's rank correlation coefficient 0.68).Those who expected to recover soon and those who expected to get better slowly had the lowest ISP ***:The more slowly whiplash patients expect to recover,or the less sure they are of recovery,the more severe their initial perceptions of injury.

关键词： Whiplash-associated disorders (WAD) expectations of recovery Injury severity perception (ISP)

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