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Article details
Title
Case Report: Whiplash-Associated Disorder From a Low-Velocity Bumper Car Collision: History, Evaluation, and Surgery
Published in
Spine, September 2004
DOI 10.1097/01.brs.0000137064.85554.fa
Pubmed ID
Authors

Michael F. Duffy, Wayne Stuberg, Stacey DeJong, Kurt V. Gold, N Ake Nystrom

Abstract

Case report of a patient with a whiplash-associated disorder following a bumper car collision. Imaging studies failed to provide an anatomic explanation for the debilitating symptoms. To report a chronic, debilitating pain syndrome after a low-velocity bumper car collision while using complex range-of-motion data for the diagnosis, prognosis, and surgical indication in whiplash-associated disorder. The controversy of whiplash-associated disorder mainly concerns pathophysiology and collision dynamics. Although many investigations attempt to define a universal lesion or determine a threshold of force that may cause permanent injury, no consensus has been reached. Eight years after a low-velocity collision, the patient underwent surgical excision of multiple painful trigger points in the posterior neck. Computerized motion analysis was used for pre- and postoperative evaluations. Surgical treatment resulted in an increase in total active range of motion by 20%, reduced intake of pain medication, doubled the number of work hours, and generally led to a dramatic improvement in quality of life. This case of whiplash-associated disorder after a low-velocity collision highlights the difficulty in defining threshold of injury in regard to velocity. It also illustrates the value of computerized motion analysis in confirming the diagnosis of whiplash-associated disorder and in the evaluation of prognosis and treatment.

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X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley demographics

Mendeley demographics

The data shown below were compiled from readership statistics for 84 Mendeley readers of this research output. Click here to see the associated Mendeley record.
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Geographical breakdown

Geographical breakdown
Country Count As %
United States 1 1%
Sweden 1 1%
Unknown 82 98%

Demographic breakdown

Readers by professional status
Readers by professional status Count As %
Researcher 14 17%
Student > Bachelor 13 15%
Student > Ph. D. Student 10 12%
Other 9 11%
Student > Postgraduate 5 6%
Other 16 19%
Unknown 17 20%
Readers by discipline
Readers by discipline Count As %
Medicine and Dentistry 27 32%
Nursing and Health Professions 14 17%
Engineering 9 11%
Agricultural and Biological Sciences 3 4%
Psychology 3 4%
Other 9 11%
Unknown 19 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 August 2016.
All research outputs
#24,652,600
of 29,978,296 outputs
Outputs from Spine
#7,478
of 9,302 outputs
Outputs of similar age
#78,785
of 82,015 outputs
Outputs of similar age from Spine
#54
of 55 outputs
Altmetric has tracked 29,978,296 research outputs across all sources so far. This one is in the 9th percentile – i.e., 9% of other outputs scored the same or lower than it.
So far Altmetric has tracked 9,302 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one is in the 8th percentile – i.e., 8% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 82,015 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 55 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.