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Prevalence of whiplash injury and its association with quality of life in local residents in Japan: A cross sectional study
Institution:1. Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan;2. Department of Health and Beauty Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan;3. Department of Diet and Health Sciences, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan;1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;2. Department of Orthopaedic Surgery, Takatsuki General Hospital, Osaka, Japan;5. Kawaguchikogyo General Hospital, Japan;6. Doai Memorial Hospital, Japan;7. Yokohama Minato Red Cross Hospital, Japan;8. Tama-Hokubu Medical Center, Japan;9. Nitobe Memorial Nakano General Hospital, Japan;10. Suwa Central Hospital, Japan;11. Nissan Tamagawa Hospital, Japan;12. National Hospital Organization Disaster Medical Center, Japan;13. Tsuchiura Kyodo General Hospital, Japan;14. Soka City Hospital, Japan;15. Tokyo Bay Urayasu Ichikawa Medical Center, Japan;p. Tokyo Medical and Dental University Hospital, Japan;q. Nerima General Hospital, Japan;r. Kyoundo Hospital, Japan;s. Dokkyo Medical University Saitama Medical Center, Japan;t. Tokyo-Kita Medical Center, Japan;1. Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan;2. Kawaguchikogyo General Hospital, 1-18-15 Aoki, Kawaguchi, Saitama 332-0031, Japan;3. Doai Memorial Hospital, 2-1-11 Yokoami, Sumida-ku, Tokyo 130-8587, Japan;4. National Hospital Organization Disaster Medical Center, 3256 Midori, Tachikawa, Tokyo 190-0014, Japan;1. Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, TX, USA;2. Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA;3. Department of Orthopaedic Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA;1. Department of Orthopaedics, Friedrich-Schiller-University of Jena, Campus Eisenberg, Klosterlausnitzer Straße 81, D-07607, Eisenberg, Germany;2. Trauma Department, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625, Hannover, Germany;3. Department of Ophthalmology, Friedrich-Schiller-University of Jena, Am Klinikum 1, D-07747, Jena, Germany;4. Department of Orthopaedics and Trauma Surgery, Alfried Krupp Hospital, Campus Rüttenscheid, Essen, Germany
Abstract:BackgroundAssociations between whiplash injuries and quality of life (QOL) have been previously published by conducting surveys among patients. This study aimed to investigate the prevalence of whiplash injuries in a Japanese community, and the association between whiplash injuries and QOL was also determined.MethodsIn all, 1140 volunteers participated in this study, filled out a questionnaire about whether they had experienced a whiplash injury, or had any neck pain or neck-shoulder stiffness in the previous 3 months, and completed the Medical Outcomes Study 36-Item Short-Form Health Survey. QOL was evaluated from the eight domain scores, and the Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. We compared the characteristics, habits, history, medication, body mass index, and health-related QOL (eight domains, PCS and MCS scores) between the groups with whiplash injuries and no whiplash injuries for each sex. Multiple linear regressions with the forced-entry procedure were performed to evaluate the effects of a whiplash injury on the PCS and MCS. A p-value of <0.05 was considered statistically significant.ResultsThe prevalence of whiplash injuries was 7.7% and 9.6% in men and women, respectively. The percentage of those who experienced whiplash injuries with symptoms persisting for more than 3 months was 34.3% and 24.2% in men and women, respectively. The prevalence of neck symptoms was significantly higher in the whiplash injury group than in the non-whiplash injury group. Multiple linear regression analysis showed that, although whiplash injuries were associated with poor health-related QOL in men, age was more associated with health-related QOL than whiplash injuries in both sexes.ConclusionThe prevalence of whiplash injuries was 7.7% and 9.6% in men and women in local residents in Japan, respectively. Whiplash injuries were poorly associated with a poor health-related QOL in men (P = 0.015).
Keywords:Whiplash injuries  Quality of life  Neck symptoms
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